Seeing is believing: using skype to improve diabetes outcomes in youth
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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Health behavior change approaches may be delivered via digital health tools.
“These approaches may be delivered via digital health tools (309,313,315).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [315]
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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
- Publisher
- American Diabetes Association
- 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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