title: Effectiveness of groups for adolescents with type 1 diabetes mellitus and their parents.
abstract: Peer- and family-based group therapies have been used as separate interventions to improve adjustment and self-management among youth with Type 1 diabetes mellitus. This study replicates a treatment protocol that combined these two types of diabetes management groups, while also using a wait-list control design methodology within an outpatient mental health clinic setting. General psychosocial and diabetes-related variables were assessed at baseline, immediately posttreatment, and 4 months posttreatment. Youths' medical information, including metabolic control values, was extracted from medical charts for the 6 months prior to baseline and 6 months after treatment ended. At 4 months posttreatment, parents and youth reported increased parent responsibility, and parents reported improved youth diabetes-specific quality of life. Although there were no statistically significant changes in hemoglobin A1c values and health care utilization frequency from 6 months prior to and 6 months posttreatment, other psychosocial changes (i.e., increases in parent responsibility and diabetes-specific quality of life) were documented. Therefore, this treatment was found to be a promising intervention for use in an outpatient clinical setting to aid in improving the psychosocial functioning of youth with Type 1 diabetes mellitus.
authors: Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
authors: Jessica C
authors: JC
authors: Kichler
authors: Astrida S
authors: AS
authors: Kaugars
authors: Patricia
authors: P
authors: Marik
authors: Laura
authors: L
authors: Nabors
authors: Ramin
authors: R
authors: Alemzadeh
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology; D006801:Humans; D008499:Medical Records; D015146:Midwestern United States; D017063:Outcome Assessment, Health Care; D010379:Peer Group; D012648:Self Care; D012944:Social Support; D011795:Surveys and Questionnaires
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