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Diabetes Educ. 2014 Sep-Oct;40(5):659-67. doi: 10.1177/0145721714535990. Epub 2014 May 27.

Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes.

Author information

1
Department of Pediatrics, Vanderbilt University, Nashville, Tennessee, USA (Prof Jaser, Ms Patel)
2
Center for Health Services Research, Vanderbilt University, Nashville, Tennesse, USA (Dr Rothman)
3
Department of Biostatistics, Vanderbilt University, Nashville, Tennesse, USA (Dr Choi)
4
Yale University, New Haven, Connecticut, USA (Dr Whittemore)

Abstract

PURPOSE:

The purpose of the current study was to pilot-test a positive psychology intervention to improve adherence to diabetes management in adolescents with type 1 diabetes.

METHODS:

A total of 39 adolescents (ages, 13-17 years) with type 1 diabetes and their caregivers were randomized to a positive psychology intervention (n = 20) or an attention control (education) intervention (n = 19). The intervention condition used positive psychology exercises (eg, gratitude, self-affirmation), small gifts, and parent affirmations to boost positive affect. Outcomes included frequency of blood glucose monitoring, quality of life, and glycemic control.

RESULTS:

No main effects for treatment were observed at the 6-month follow-up. However, there was a significant association between adolescents' levels of positive affect and measures of adherence, including self-report and meter downloads of glucose monitoring.

CONCLUSIONS:

The results from the current study support the assertion that positive affect in the context of diabetes education is an important factor to consider in adolescents with type 1 diabetes.

PMID:
24867917
PMCID:
PMC4283584
DOI:
10.1177/0145721714535990
[Indexed for MEDLINE]
Free PMC Article

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