TY - JOUR
T1 - Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes
T2 - Maintenance and Generalization of Effects on Parent-Adolescent Communication
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 - White, Neil H.
N1 - Funding Information:
This study was supported by NIH grants 1 RO1-DK43802 and K24 DK67128 to the first author; and NIH grants P60 DK20579 and RR00036 which support the Diabetes Research and Training Center and General Clinical Research Center, respectively, at the Washington University School of Medicine. William L. Clarke, M.D., and Linda Gonder-Frederick, Ph.D., served as members of the study advisory panel.
PY - 2008/3
Y1 - 2008/3
N2 - We report a randomized trial of a revised Behavioral Family Systems Therapy for Diabetes (BFST-D) intervention. Families of 104 adolescents with diabetes were randomized to standard care (SC) or to 6 months of an educational support group (ES) or BFST-D. Family communication and problem-solving skills were assessed at 0, 6, 12, and 18 months by independent rating of videotaped family problem-solving discussions. BFST-D improved individual communication of adolescents and mothers, but not fathers. BFST-D significantly improved quality of family interaction compared to SC (10 of 12 comparisons) and ES (6 of 12 comparisons). Changes in family communication were differentially associated with changes in glycemic control, adherence, and family conflict. BFST-D improved family communication and problem solving relative to SC and modestly relative to ES.
AB - We report a randomized trial of a revised Behavioral Family Systems Therapy for Diabetes (BFST-D) intervention. Families of 104 adolescents with diabetes were randomized to standard care (SC) or to 6 months of an educational support group (ES) or BFST-D. Family communication and problem-solving skills were assessed at 0, 6, 12, and 18 months by independent rating of videotaped family problem-solving discussions. BFST-D improved individual communication of adolescents and mothers, but not fathers. BFST-D significantly improved quality of family interaction compared to SC (10 of 12 comparisons) and ES (6 of 12 comparisons). Changes in family communication were differentially associated with changes in glycemic control, adherence, and family conflict. BFST-D improved family communication and problem solving relative to SC and modestly relative to ES.
UR - http://www.scopus.com/inward/record.url?scp=40049103888&partnerID=8YFLogxK
U2 - 10.1016/j.beth.2007.04.001
DO - 10.1016/j.beth.2007.04.001
M3 - Article
C2 - 18328868
AN - SCOPUS:40049103888
SN - 0005-7894
VL - 39
SP - 33
EP - 46
JO - Behavior Therapy
JF - Behavior Therapy
IS - 1
ER -