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J Pediatr Psychol. 2013 Jul;38(6):629-37. doi: 10.1093/jpepsy/jst032. Epub 2013 May 22.

A multicomponent motivational intervention to improve adherence among adolescents with poorly controlled type 1 diabetes: a pilot study.

Author information

1
Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA. Catherine.stanger@dartmouth.edu

Abstract

OBJECTIVE:

To adapt and pilot test a multicomponent motivational intervention that includes family-based contingency management (CM) for adolescents with poorly controlled type 1 diabetes.

METHODS:

A total of 17 adolescents, age 12-17 years (M = 14.8, SD = 1.5), with type 1 diabetes (duration M = 6.2 years, SD = 4.5) and mean HbA1c of 11.6% (SD = 2.5%) were enrolled. Adolescents and their parents received 14 weeks of motivational interviewing, clinic-based CM, and parent-directed CM that targeted increased blood glucose monitoring (BGM).

RESULTS:

Adolescents significantly increased their BGM (p < .001) and showed significantly improved HbA1c levels (glycemic control) from pre-to posttreatment (p < .0001).

CONCLUSIONS:

The magnitude of improvements in the frequency of BGM and glycemic control in adolescents with type 1 diabetes is encouraging and will be tested in a randomized controlled trial.

KEYWORDS:

cognitive behavior therapy; contingency management; motivational interviewing; type 1 diabetes

PMID:
23699750
PMCID:
PMC3701130
DOI:
10.1093/jpepsy/jst032
[Indexed for MEDLINE]
Free PMC Article
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