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

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

doi:10.1093/jpepsy/jsj098

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

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

Research output: Contribution to journal › Article › peer-review

233 Scopus citations

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 language	English (US)
Pages (from-to)	928-938
Number of pages	11
Journal	Journal of pediatric psychology
Volume	31
Issue number	9
DOIs	https://doi.org/10.1093/jpepsy/jsj098
State	Published - Oct 2006
Externally published	Yes

Keywords

Adolescence
Diabetes
Family therapy

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology

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10.1093/jpepsy/jsj098

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

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.",

keywords = "Adolescence, Diabetes, Family therapy",

author = "Tim Wysocki and Harris, {Michael A.} and Buckloh, {Lisa M.} and Deborah Mertlich and Lochrie, {Amanda Sobel} and Alexandra Taylor and Michelle Sadler and Nelly Mauras and White, {Neil H.}",

note = "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.",

year = "2006",

month = oct,

doi = "10.1093/jpepsy/jsj098",

language = "English (US)",

volume = "31",

pages = "928--938",

journal = "Journal of pediatric psychology",

issn = "0146-8693",

publisher = "Oxford University Press",

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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

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

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