A randomized controlled trial of cognitive behaviour therapy to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes
Abstract
We evaluated a cognitive behaviour therapy-based programme to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes. A total of 147 adolescents aged 13-16 years were randomized to the intervention (n = 73) or standard care (n = 74). The primary outcome was glycaemic control at 3 and 12 months post randomization, and secondary measures were stress, self-efficacy and quality of life. Mixed-effects regression models were used to assess differences in means between groups at each time point. There was little evidence of differences in glycaemic control between groups. However, psychosocial wellbeing improved in the intervention group compared to the control group. Recommendations for future programmes are discussed. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12608000368336).
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The Whitu app was developed using evidence-based strategies including cognitive behavioral therapy and positive psychology techniques that have shown efficacy in adults and young people.
“Whitu: 7 Ways in 7 Days (Whitu is 7 in the New Zealand Māori language Te Reo) was developed using evidence-based strategies including cognitive behavioral therapy and positive psychology techniques that have shown efficacy in adults and young people (Merry et al., 2012; Serlachius et al., 2016; Schache et al., 2019; van Agteren et al., 2021).”
From Pilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic (2021) · cites this paper as Serlachius et al., 2016
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References 46 · Cited by 44
- Authors
- Serlachius, A. S., Scratch, S. E., Northam, E. A., Frydenberg, E., Lee, K. J., & Cameron, F. J.
- Affiliations
- Royal Children's Hospital (AU)
- Murdoch Children's Research Institute (AU)
- The University of Melbourne (AU)
- Corresponding author
- Serlachius, Anna S
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2014-09-10
- Volume
- 21
- Issue
- 6
- Pages
- 1157-1169
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2032840458
- Cited by
- 44
- References
- 46
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 8 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 3
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Funders
- Alfred Kordelinin Säätiö
- Australasian Paediatric Endocrine Group
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- cognitive behavioral therapy, type 1 diabetes, adolescents, glycemic control, psychosocial well-being, stress, self-efficacy, quality of life, diabetes self-management
- MeSH terms
- Adolescent, Australia, Blood Glucose, Diabetes Mellitus, Type 1, Humans, Male, Personal Satisfaction, Quality of Life, Cognitive Behavioral Therapy, Self Efficacy
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