Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control

Tim Wysocki, Michael Harris, Lisa M. Buckloh, Deborah Mertlich, Amanda Sobel Lochrie, Alexandra Taylor, Michelle Sadler, Nelly Mauras, Neil H. White

Research output: Contribution to journalArticle

191 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)928-938
Number of pages11
JournalJournal of Pediatric Psychology
Volume31
Issue number9
DOIs
StatePublished - Oct 2006
Externally publishedYes

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Family Therapy
Family Relations
Self-Help Groups
Family Conflict
Therapeutics
Patient Acceptance of Health Care
Glycosylated Hemoglobin A
Communication

Keywords

  • Adolescence
  • Diabetes
  • Family therapy

ASJC Scopus subject areas

  • Psychology(all)
  • Developmental and Educational Psychology

Cite this

Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control. / Wysocki, Tim; Harris, Michael; Buckloh, Lisa M.; Mertlich, Deborah; Lochrie, Amanda Sobel; Taylor, Alexandra; Sadler, Michelle; Mauras, Nelly; White, Neil H.

In: Journal of Pediatric Psychology, Vol. 31, No. 9, 10.2006, p. 928-938.

Research output: Contribution to journalArticle

Wysocki, Tim ; Harris, Michael ; Buckloh, Lisa M. ; Mertlich, Deborah ; Lochrie, Amanda Sobel ; Taylor, Alexandra ; Sadler, Michelle ; Mauras, Nelly ; White, Neil H. / Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control. In: Journal of Pediatric Psychology. 2006 ; Vol. 31, No. 9. pp. 928-938.
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AU - Lochrie, Amanda Sobel

AU - Taylor, Alexandra

AU - Sadler, Michelle

AU - Mauras, Nelly

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