Multisystemic therapy improves the patient-provider relationship in families of adolescents with poorly controlled insulin dependent diabetes
Open accessAbstract
The purpose of this study was to determine if multisystemic therapy (MST), an intensive, home and community-based family treatment, significantly improved patient-provider relationships in families where youth had chronic poor glycemic control. One hundred forty-six adolescents with type 1 or 2 diabetes in chronic poor glycemic control (HbA1c ≥8 %) and their primary caregivers were randomly assigned to MST or a telephone support condition. Caregiver perceptions of their relationship with the diabetes multidisciplinary medical team were assessed at baseline and treatment termination with the Measure of Process of Care-20. At treatment termination, MST families reported significant improvement on the Coordinated and Comprehensive Care scale and marginally significant improvement on the Respectful and Supportive Care scale. Improvements on the Enabling and Partnership and Providing Specific Information scales were not significant. Results suggest MST improves the ability of the families and the diabetes treatment providers to work together.
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Internet-based DSMES services and telemedicine approaches are effective for diabetes prevention and management of type 2 diabetes.
“Internet-based DSMES services and telemedicine approaches for DM prevention and the management of T2D management have also been shown to be effective.1481–1484”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1484]
The Methods and Protocol describe a trial of home- and community-based multisystemic therapy versus telephone support for adolescents with poorly controlled diabetes. The copy does not address whether internet-based DSMES or telemedicine is effective for diabetes prevention or type 2 diabetes management; searches for those approaches found no such finding. (LLM, conf=0.76)
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- Ellis DA Frey MA Naar-King S Templin T Cunningham PB Cakan N Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control: A randomized controlled trial. Diabetes Care 2005c 28 7 1604 1610 15983308
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Ghotane, S., Hirve, R., Forman, J., Tan, D., Achercouk, Z., & Wolfe, I. (2024) · Archives of Disease in Childhood · doi:10.1136/archdischild-2024-326905 · Cited by 12 · see citing works
- Authors
- Carcone, A. I., Ellis, D. A., Chen, X., Naar, S., Cunningham, P. B., & Moltz, K.
- Affiliations
- Wayne State University (US)
- University of Florida Health (US)
- Medical University of South Carolina (US)
- Corresponding author
- Carcone, April Idalski
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2015-05-05
- Volume
- 22
- Issue
- 2-3
- Pages
- 169-178
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- PMC
- PMC4575822
- OpenAlex
- W2007669208
- Cited by
- 11
- References
- 29
- Citations by year
- 2024: 4 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2015: 1
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Diabetes Association
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK059067, R01 DK59067)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- multisystemic therapy, patient-provider relationship, family-based treatment, adolescents with diabetes, type 1 diabetes, type 2 diabetes, poor glycemic control, caregiver perceptions, telephone support
- MeSH terms
- Adolescent, Adult, Diabetes Mellitus, Family, Family Therapy, Female, Humans, Male, Patient Compliance, Professional-Patient Relations, Caregivers
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