Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes

Maintenance and Generalization of Effects on Parent-Adolescent Communication

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

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)33-46
Number of pages14
JournalBehavior Therapy
Volume39
Issue number1
DOIs
StatePublished - Mar 2008
Externally publishedYes

Fingerprint

Family Therapy
Randomized Controlled Trials
Communication
Maintenance
Self-Help Groups
Family Conflict
Standard of Care
Fathers
Generalization (Psychology)
Mothers

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes : Maintenance and Generalization of Effects on Parent-Adolescent Communication. / Wysocki, Tim; Harris, Michael; Buckloh, Lisa M.; Mertlich, Deborah; Lochrie, Amanda Sobel; Taylor, Alexandra; Sadler, Michelle; White, Neil H.

In: Behavior Therapy, Vol. 39, No. 1, 03.2008, p. 33-46.

Research output: Contribution to journalArticle

Wysocki, Tim ; Harris, Michael ; Buckloh, Lisa M. ; Mertlich, Deborah ; Lochrie, Amanda Sobel ; Taylor, Alexandra ; Sadler, Michelle ; White, Neil H. / Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes : Maintenance and Generalization of Effects on Parent-Adolescent Communication. In: Behavior Therapy. 2008 ; Vol. 39, No. 1. pp. 33-46.
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