title: A randomized controlled trial of cognitive behaviour therapy to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes.
abstract: We evaluated a cognitive behaviour therapy-based programme to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes. A total of 147 adolescents aged 13-16 years were randomized to the intervention (n = 73) or standard care (n = 74). The primary outcome was glycaemic control at 3 and 12 months post randomization, and secondary measures were stress, self-efficacy and quality of life. Mixed-effects regression models were used to assess differences in means between groups at each time point. There was little evidence of differences in glycaemic control between groups. However, psychosocial wellbeing improved in the intervention group compared to the control group. Recommendations for future programmes are discussed. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12608000368336).
authors.affiliation: Royal Children's Hospital, Australia Murdoch Childrens Research Institute, Australia anna.serlachius@mcri.edu.au.
authors.forename: Anna S
authors.initials: AS
authors.lastname: Serlachius
authors.affiliation: Murdoch Childrens Research Institute, Australia.
authors.forename: Shannon E
authors.initials: SE
authors.lastname: Scratch
authors.affiliation: Murdoch Childrens Research Institute, Australia The University of Melbourne, Australia.
authors.forename: Elisabeth A
authors.initials: EA
authors.lastname: Northam
authors.affiliation: The University of Melbourne, Australia.
authors.forename: Erica
authors.initials: E
authors.lastname: Frydenberg
authors.affiliation: Royal Children's Hospital, Australia Murdoch Childrens Research Institute, Australia The University of Melbourne, Australia.
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Lee
authors.affiliation: Royal Children's Hospital, Australia Murdoch Childrens Research Institute, Australia The University of Melbourne, Australia.
authors.forename: Fergus J
authors.initials: FJ
authors.lastname: Cameron
mesh_terms: D000293:Adolescent; D001315:Australia; D001786:Blood Glucose / Q000032:analysis*; D015928:Cognitive Behavioral Therapy; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D006801:Humans; D008297:Male; D010549:Personal Satisfaction; D011788:Quality of Life; D020377:Self Efficacy
chemical_list: D001786:Blood Glucose
keywords: adolescents; cognitive behaviour therapy; psychosocial intervention; randomized controlled trial; type 1 diabetes