Multisystemic Therapy Improves the Patient-Provider Relationship in Families of Adolescents with Poorly Controlled Insulin Dependent Diabetes.
The purpose of this study was to determine if multisystemic therapy (MST), an intensive, home and community-based family treatment, significantly improved patient-provider relationships in families where youth had chronic poor glycemic control. One hundred forty-six adolescents with type 1 or 2 diabetes in chronic poor glycemic control (HbA1c ≥8 %) and their primary caregivers were randomly assigned to MST or a telephone support condition. Caregiver perceptions of their relationship with the diabetes multidisciplinary medical team were assessed at baseline and treatment termination with the Measure of Process of Care-20. At treatment termination, MST families reported significant improvement on the Coordinated and Comprehensive Care scale and marginally significant improvement on the Respectful and Supportive Care scale. Improvements on the Enabling and Partnership and Providing Specific Information scales were not significant. Results suggest MST improves the ability of the families and the diabetes treatment providers to work together.
Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA. acarcone@med.wayne.edu.
April Idalski
AI
Carcone
Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA.
Deborah A
DA
Ellis
Department of Epidemiology, College of Public Health & Health Professions and College of Medicine, University of Florida, Gainesville, FL, USA.
Xinguang
X
Chen
Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA.
Sylvie
S
Naar
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Phillippe B
PB
Cunningham
Division of Endocrinology, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA.
Kathleen
K
Moltz
D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003920:Diabetes Mellitus / Q000628:therapy*; D005190:Family / Q000523:psychology*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D011369:Professional-Patient Relations
Diabetes; Family therapy; Health care services; Randomized controlled trial