The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.
Effects of Behavioral Family Systems Therapy for Diabetes on Adolescents’ Family Relationships, Treatment Adherence, and Metabolic Control
Abstract
BACKGROUND: Behavioral family systems therapy (BFST) for adolescents with diabetes has improved family relationships and communication, but effects on adherence and metabolic control were weak. We evaluated a revised intervention, BFST for diabetes (BFST-D). METHODS: One hundred and four families were randomized to standard care (SC) or to 12 sessions of either an educational support group (ES) or a BFST-D over 6 months. Family relationships, adherence, glycosylated hemoglobin (HbA1c), and health care utilization were measured at baseline and after treatment. RESULTS: BFST-D significantly improved family conflict and adherence compared to SC and ES, especially among those with baseline HbA1c > or = 9.0%. BFST-D and ES significantly improved HbA1c compared to SC among those with baseline HbA1c > or = 9.0%. CONCLUSIONS: The revised intervention (BFST-D) improved family conflict and treatment adherence significantly, while both ES and BFST-D reduced HbA1c significantly, particularly among adolescents with poor metabolic control. Clinical translation of BFST-D requires further study.
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“Teaching family members effective problem-solving and conflict-resolution skills can improve diabetes management and facilitate better glycemic management, with the potential to reduce diabetes distress (92).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [92]
In the citing paper
“behavioral family interventions to promote collaborative family diabetes management in early adolescence (354,355)”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [355]
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“Teaching family members effective problem-solving and conflict-resolution skills can improve diabetes management and facilitate better glycemic control, with the potential to reduce diabetes distress and improve quality of life (102,105,106).”
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Metadata
- Authors
- Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., Sadler, M., Mauras, N., & White, N. H.
- Affiliations
- Nemours Children’s Clinic (US)
- Washington University in St. Louis (US)
- Corresponding author
- Wysocki, Tim
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-07-27
- Volume
- 31
- Issue
- 9
- Pages
- 928-938
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2135960588
- Cited by
- 299
- References
- 43
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 11 · 2023: 9 · 2022: 4 · 2021: 12 · 2020: 16 · 2019: 17 · 2018: 14 · 2017: 18 · 2016: 16 · 2015: 25 · 2014: 21 · 2013: 21 · 2012: 21
- FWCI
- 6.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p60dk020579-35, 5r01dk043802-09)
- National Institute of Diabetes and Digestive and Kidney Diseases (P60-DK20579, 1-R01-DK43802)
- National Center for Research Resources (RR.00036)
- NIH Clinical Center
- 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 › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- adolescent diabetes, family relationships, family conflict, medication adherence, glycemic control, HbA1c, health care utilization, family therapy
- MeSH terms
- Adolescent, Child, Diabetes Mellitus, Type 1, Family, Family Relations, Female, Humans, Hypoglycemic Agents, Male, Parent-Child Relations, Patient Compliance, Surveys and Questionnaires, Self Care
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