PMID- 16401678
OWN - NLM
STAT- MEDLINE
DCOM- 20061031
LR  - 20220330
IS  - 0146-8693 (Print)
IS  - 0146-8693 (Linking)
VI  - 31
IP  - 9
DP  - 2006 Oct
TI  - Effects of behavioral family systems therapy for diabetes on adolescents' family 
      relationships, treatment adherence, and metabolic control.
PG  - 928-38
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 > or = 9.0%. BFST-D and ES significantly improved HbA1c compared 
      to SC among those with baseline HbA1c > or = 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.
FAU - Wysocki, Tim
AU  - Wysocki T
AD  - Center for Pediatric Psychology Research, Nemours Children's Clinic, 807 
      Children's Way, Jacksonville, Florida 32207, USA. twysocki@nemours.org
FAU - Harris, Michael A
AU  - Harris MA
FAU - Buckloh, Lisa M
AU  - Buckloh LM
FAU - Mertlich, Deborah
AU  - Mertlich D
FAU - Lochrie, Amanda Sobel
AU  - Lochrie AS
FAU - Taylor, Alexandra
AU  - Taylor A
FAU - Sadler, Michelle
AU  - Sadler M
FAU - Mauras, Nelly
AU  - Mauras N
FAU - White, Neil H
AU  - White NH
LA  - eng
GR  - 1-R01-DK43802/DK/NIDDK NIH HHS/United States
GR  - P60-DK20579/DK/NIDDK NIH HHS/United States
GR  - RR00036/RR/NCRR NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20060109
PL  - United States
TA  - J Pediatr Psychol
JT  - Journal of pediatric psychology
JID - 7801773
RN  - 0 (Hypoglycemic Agents)
SB  - IM
CIN - J Pediatr Psychol. 2006 Oct;31(9):939-44. PMID: 16510771
MH  - Adolescent
MH  - Child
MH  - Diabetes Mellitus, Type 1/*drug therapy
MH  - *Family
MH  - Family Relations
MH  - Female
MH  - Humans
MH  - Hypoglycemic Agents/*therapeutic use
MH  - Male
MH  - Parent-Child Relations
MH  - *Patient Compliance
MH  - *Self Care
MH  - Surveys and Questionnaires
EDAT- 2006/01/13 09:00
MHDA- 2006/11/01 09:00
CRDT- 2006/01/13 09:00
PHST- 2006/01/13 09:00 [pubmed]
PHST- 2006/11/01 09:00 [medline]
PHST- 2006/01/13 09:00 [entrez]
AID - jsj098 [pii]
AID - 10.1093/jpepsy/jsj098 [doi]
PST - ppublish
SO  - J Pediatr Psychol. 2006 Oct;31(9):928-38. doi: 10.1093/jpepsy/jsj098. Epub 2006 
      Jan 9.