期刊
BEHAVIOR THERAPY
卷 39, 期 1, 页码 33-46出版社
ELSEVIER INC
DOI: 10.1016/j.beth.2007.04.001
关键词
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资金
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [K24DK067128, R01DK043802, P30DK056341, P60DK020579] Funding Source: NIH RePORTER
- NCRR NIH HHS [RR00036] Funding Source: Medline
- NIDDK NIH HHS [P30 DK056341-08, P30 DK056341-07, P30 DK056341, 1 R01-DK43802, P60 DK20579, K24 DK67128] Funding Source: Medline
We report a randomized trial of a revised Behavioral Family Systems Therapy for Diabetes (BFST-D) intervention. Families of 104 adolescents with diabetes were randomized to standard care (SC) or to 6 months of an educational support group (ES) or BFST-D. Family communication and problem-solving skills were assessed at 0, 6, 12, and 18 months by independent rating of videotaped family problem-solving discussions. BFST-D improved individual communication of adolescents and mothers, but not fathers. BFST-D significantly improved quality of family interaction compared to SC (10 of 12 comparisons) and ES (6 of 12 comparisons). Changes in family communication were differentially associated with changes in glycemic control, adherence, and family conflict. BFST-D improved family communication and problem solving relative to SC and modestly relative to ES.
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