Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes: Maintenance and Generalization of Effects on Parent-Adolescent Communication

Tim Wysocki; Michael A. Harris; Lisa M. Buckloh; Deborah Mertlich; Amanda Sobel Lochrie; Alexandra Taylor; Michelle Sadler; Neil H. White

doi:10.1016/j.beth.2007.04.001

Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes: Maintenance and Generalization of Effects on Parent-Adolescent Communication

Tim Wysocki
, Michael A. Harris
, Lisa M. Buckloh
, Deborah Mertlich
, Amanda Sobel Lochrie
, Alexandra Taylor
, Michelle Sadler
, Neil H. White

Research output: Contribution to journal › Article › peer-review

168 Scopus citations

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.

Original language	English (US)
Pages (from-to)	33-46
Number of pages	14
Journal	Behavior Therapy
Volume	39
Issue number	1
DOIs	https://doi.org/10.1016/j.beth.2007.04.001
State	Published - Mar 2008
Externally published	Yes

Funding

This study was supported by NIH grants 1 RO1-DK43802 and K24 DK67128 to the first author; and NIH grants P60 DK20579 and RR00036 which support the Diabetes Research and Training Center and General Clinical Research Center, respectively, at the Washington University School of Medicine. William L. Clarke, M.D., and Linda Gonder-Frederick, Ph.D., served as members of the study advisory panel.

Funders	Funder number
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health	RR00036, K24 DK67128, P60 DK20579
National Institute of Diabetes and Digestive and Kidney Diseases	R01DK043802
Department of Neurosurgery Washington University School of Medicine St. Louis

ASJC Scopus subject areas

Clinical Psychology

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10.1016/j.beth.2007.04.001

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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.",

author = "Tim Wysocki and Harris, \{Michael A.\} and Buckloh, \{Lisa M.\} and Deborah Mertlich and Lochrie, \{Amanda Sobel\} and Alexandra Taylor and Michelle Sadler and White, \{Neil H.\}",

note = "Funding Information: This study was supported by NIH grants 1 RO1-DK43802 and K24 DK67128 to the first author; and NIH grants P60 DK20579 and RR00036 which support the Diabetes Research and Training Center and General Clinical Research Center, respectively, at the Washington University School of Medicine. William L. Clarke, M.D., and Linda Gonder-Frederick, Ph.D., served as members of the study advisory panel. ",

year = "2008",

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doi = "10.1016/j.beth.2007.04.001",

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AU - Harris, Michael A.

AU - Buckloh, Lisa M.

AU - Mertlich, Deborah

AU - Lochrie, Amanda Sobel

AU - Taylor, Alexandra

AU - Sadler, Michelle

AU - White, Neil H.

N1 - Funding Information: This study was supported by NIH grants 1 RO1-DK43802 and K24 DK67128 to the first author; and NIH grants P60 DK20579 and RR00036 which support the Diabetes Research and Training Center and General Clinical Research Center, respectively, at the Washington University School of Medicine. William L. Clarke, M.D., and Linda Gonder-Frederick, Ph.D., served as members of the study advisory panel.

PY - 2008/3

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N2 - 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.

AB - 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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Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes: Maintenance and Generalization of Effects on Parent-Adolescent Communication

Abstract

Funding

ASJC Scopus subject areas

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