Cited by 101Diabetes Management and EducationDiabetes Management and ResearchTelemedicine and Telehealth Implementation

Seeing is believing: using skype to improve diabetes outcomes in youth

Harris, Michael A., Freeman, Kurt A., Duke, Danny C.·2015·Diabetes Care

Abstract

OBJECTIVE: The objective of this study was to compare the relative effectiveness of two modes of delivering Behavioral Family Systems Therapy for Diabetes (BFST-D) to improve adherence and glycemic control among adolescents with type 1 diabetes with suboptimal glycemic control (HbA(1c) ≥9.0% [≥74.9 mmol/mol]): face to face in clinic (Clinic) and Internet videoconferencing (Skype) conditions. RESEARCH DESIGN AND METHODS: Adolescents aged 12 to 18 years and at least one adult caregiver were randomized to receive BFST-D via the Clinic or Skype condition. Participants completed up to 10 therapy sessions within a 12-week period. Changes in youth- and parent-reported adherence and glycemic control were compared before and after the intervention and at follow-up assessment. RESULTS: Using an intent-to-treat analytic approach, no significant between-group differences were identified between the before, after, and follow-up assessments. Groups were collapsed to examine the overall effects of BFST-D on adherence and glycemic control. Results identified that statistically significant improvements in adherence and glycemic control occurred from before to after the intervention; improvements were maintained at 3-month follow-up. CONCLUSIONS: Delivery of BFST-D via Internet-based videoconferencing is viable for addressing nonadherence and suboptimal glycemic control in adolescents with type 1 diabetes, potentially reducing important barriers to care for youth and families.

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Crossref · 10.2337/dc14-2469

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Authors
Harris, M. A., Freeman, K. A., & Duke, D. C.
Affiliations
Oregon Health & Science University (US)
Corresponding author
Harris, Michael A.
Venue
Diabetes Care
Published
2015-06-01
Volume
38
Issue
8
Pages
1427-1434
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2120439510
Cited by
101
References
41
Citations by year
2025: 10 · 2024: 5 · 2023: 9 · 2022: 11 · 2021: 11 · 2020: 11 · 2019: 10 · 2018: 9 · 2017: 11 · 2016: 9 · 2015: 5
FWCI
9.86
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
American Diabetes Association (1-10-CT-21)
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 › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
type 1 diabetes, adolescents, videoconferencing, telemedicine, medication adherence, glycemic control, HbA1c, family therapy, online intervention, barriers to care
MeSH terms
Adolescent, Adult, Behavior Therapy, Blood Glucose, Child, Diabetes Mellitus, Type 1, Family Therapy, Female, Humans, Male, Caregivers, Videoconferencing

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