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Ann Behav Med. 2012 Oct;44(2):207-15. doi: 10.1007/s12160-012-9378-1.

Multisystemic therapy compared to telephone support for youth with poorly controlled diabetes: findings from a randomized controlled trial.

Author information

1
Carman and Ann Adams Department of Pediatrics, Wayne State University, Detroit, MI, USA. dellis@med.wayne.edu

Abstract

BACKGROUND:

Few interventions have effectively improved health outcomes among youth with diabetes in chronic poor metabolic control.

PURPOSE:

This study aims to determine whether multisystemic therapy (MST), an intensive, home-based, tailored family treatment, was superior to weekly telephone support for improving regimen adherence and metabolic control among adolescents with chronic poor metabolic control.

METHODS:

A randomized controlled trial was conducted with 146 adolescents with types 1 or 2 diabetes. Data were collected at baseline, 7 months (treatment termination), and 12 months (6 months follow-up).

RESULTS:

Adolescents receiving MST had significantly improved metabolic control at 7 (1.01 % decrease) and 12 months (0.74 % decrease) compared to adolescents in telephone support. Parents of adolescents receiving MST reported significant improvements in adolescent adherence. However, adolescent-reported adherence was unchanged.

CONCLUSIONS:

MST improved health outcomes among adolescents with chronic poor metabolic control when compared to telephone support. Home-based approaches may provide a viable means to improve access to behavioral interventions for such youth.

PMID:
22644587
PMCID:
PMC3443313
DOI:
10.1007/s12160-012-9378-1
[Indexed for MEDLINE]
Free PMC Article

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