OBJECTIVE: We examined a structured family therapy approach in promoting clinically meaningful improvements in parent-adolescent conflict in adolescents with poorly controlled diabetes. METHOD:Eighteen adolescents with poorly controlled diabetes and their parent(s) participated in 10 sessions of home-based Behavioral Family Systems Therapy (BFST). Outcome comparisons were made using a sample of adolescents with poorly controlled diabetes (n = 40) from a previous study. Clinically significant improvements were determined by calculating SD differences between treatment and comparison groups on measures of diabetes-related and general parent-adolescent conflict. RESULTS: Home-based BFST produced change in diabetes-related family conflict ranging from 1/3 to 1/2 SD and general family conflict ranging from 1/3 to 3/4 SD. CONCLUSIONS:BFST produced change in family conflict, a variable shown through previous research to relate to treatment adherence in adolescents with diabetes. The test of clinical significance represents an example of a method useful for pediatric research.
RCT Entities:
OBJECTIVE: We examined a structured family therapy approach in promoting clinically meaningful improvements in parent-adolescent conflict in adolescents with poorly controlled diabetes. METHOD: Eighteen adolescents with poorly controlled diabetes and their parent(s) participated in 10 sessions of home-based Behavioral Family Systems Therapy (BFST). Outcome comparisons were made using a sample of adolescents with poorly controlled diabetes (n = 40) from a previous study. Clinically significant improvements were determined by calculating SD differences between treatment and comparison groups on measures of diabetes-related and general parent-adolescent conflict. RESULTS: Home-based BFST produced change in diabetes-related family conflict ranging from 1/3 to 1/2 SD and general family conflict ranging from 1/3 to 3/4 SD. CONCLUSIONS: BFST produced change in family conflict, a variable shown through previous research to relate to treatment adherence in adolescents with diabetes. The test of clinical significance represents an example of a method useful for pediatric research.
Authors: S T Hauser; A M Jacobson; P Lavori; J I Wolfsdorf; R D Herskowitz; J E Milley; R Bliss; D Wertlieb; J Stein Journal: J Pediatr Psychol Date: 1990-08
Authors: David M Nathan; Judith Kuenen; Rikke Borg; Hui Zheng; David Schoenfeld; Robert J Heine Journal: Diabetes Care Date: 2008-06-07 Impact factor: 19.112
Authors: Stephanie S Filigno; Erin E Brannon; Leigh Ann Chamberlin; Stephanie M Sullivan; Kimberly A Barnett; Scott W Powers Journal: J Cyst Fibros Date: 2011-11-22 Impact factor: 5.482
Authors: David V Wagner; Samantha Barry; Lena Teplitsky; Annan Sheffield; Maggie Stoeckel; Jimmie D Ogden; Elizabeth Karkula; Alexandra Hartman; Danny C Duke; Kim Spiro; Michael A Harris Journal: J Diabetes Sci Technol Date: 2016-06-28