TY - JOUR
T1 - Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control
AU - Wysocki, Tim
AU - Harris, Michael A.
AU - Buckloh, Lisa M.
AU - Mertlich, Deborah
AU - Lochrie, Amanda Sobel
AU - Taylor, Alexandra
AU - Sadler, Michelle
AU - Mauras, Nelly
AU - White, Neil H.
N1 - Funding Information:
This study was supported by NIH grant 1-RO1-DK43802 to the first author and NIH grants P60-DK20579 and RR00036 which support the Diabetes Research and Training Center and General Clinical Research Center at the Washington University School of Medicine.
PY - 2006/10
Y1 - 2006/10
N2 - Background: Behavioral family systems therapy (BFST) for adolescents with diabetes has improved family relationships and communication, but effects on adherence and metabolic control were weak. We evaluated a revised intervention, BFST for diabetes (BFST-D). Methods: One hundred and four families were randomized to standard care (SC) or to 12 sessions of either an educational support group (ES) or a BFST-D over 6 months. Family relationships, adherence, glycosylated hemoglobin (HbA1c), and health care utilization were measured at baseline and after treatment. Results: BFST-D significantly improved family conflict and adherence compared to SC and ES, especially among those with baseline HbA1c ≥9.0%. BFST-D and ES significantly improved HbA1c compared to SC among those with baseline HbA1c ≥9.0%. Conclusions: The revised intervention (BFST-D) improved family conflict and treatment adherence significantly, while both ES and BFST-D reduced HbA1c significantly, particularly among adolescents with poor metabolic control. Clinical translation of BFST-D requires further study.
AB - Background: Behavioral family systems therapy (BFST) for adolescents with diabetes has improved family relationships and communication, but effects on adherence and metabolic control were weak. We evaluated a revised intervention, BFST for diabetes (BFST-D). Methods: One hundred and four families were randomized to standard care (SC) or to 12 sessions of either an educational support group (ES) or a BFST-D over 6 months. Family relationships, adherence, glycosylated hemoglobin (HbA1c), and health care utilization were measured at baseline and after treatment. Results: BFST-D significantly improved family conflict and adherence compared to SC and ES, especially among those with baseline HbA1c ≥9.0%. BFST-D and ES significantly improved HbA1c compared to SC among those with baseline HbA1c ≥9.0%. Conclusions: The revised intervention (BFST-D) improved family conflict and treatment adherence significantly, while both ES and BFST-D reduced HbA1c significantly, particularly among adolescents with poor metabolic control. Clinical translation of BFST-D requires further study.
KW - Adolescence
KW - Diabetes
KW - Family therapy
UR - http://www.scopus.com/inward/record.url?scp=33748800723&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsj098
DO - 10.1093/jpepsy/jsj098
M3 - Article
C2 - 16401678
AN - SCOPUS:33748800723
SN - 0146-8693
VL - 31
SP - 928
EP - 938
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 9
ER -