title: Randomized, controlled trial of Behavioral Family Systems Therapy for Diabetes: maintenance and generalization of effects on parent-adolescent communication.
abstract: 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.
authors.affiliation: Center for Pediatric Psychology Research, Nemours Children's Clinic, 807 Children's Way, Jacksonville, FL 32207, USA. twysocki@nemours.org
authors.forename: Tim
authors.initials: T
authors.lastname: Wysocki
authors.forename: Michael A
authors.initials: MA
authors.lastname: Harris
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Buckloh
authors.forename: Deborah
authors.initials: D
authors.lastname: Mertlich
authors.forename: Amanda Sobel
authors.initials: AS
authors.lastname: Lochrie
authors.forename: Alexandra
authors.initials: A
authors.lastname: Taylor
authors.forename: Michelle
authors.initials: M
authors.lastname: Sadler
authors.forename: Neil H
authors.initials: NH
authors.lastname: White
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology* / Q000628:therapy; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D011340:Problem Solving; D000297:Psychology, Adolescent; D012657:Self-Help Groups; D016896:Treatment Outcome