TY - JOUR
T1 - A multicomponent motivational intervention to improve adherence among adolescents with poorly controlled type 1 diabetes
T2 - A pilot study
AU - Stanger, Catherine
AU - Ryan, Stacy R.
AU - Delhey, Leanna M.
AU - Thrailkill, Kathryn
AU - Li, Zhongze
AU - Li, Zhigang
AU - Budney, Alan J.
PY - 2013/7
Y1 - 2013/7
N2 - Objective To adapt and pilot test a multicomponent motivational intervention that includes family-based contingency management (CM) for adolescents with poorly controlled type 1 diabetes. Methods A total of 17 adolescents, age 12-17 years (M = 14.8, SD = 1.5), with type 1 diabetes (duration M = 6.2 years, SD = 4.5) and mean HbA1c of 11.6% (SD = 2.5%) were enrolled. Adolescents and their parents received 14 weeks of motivational interviewing, clinic-based CM, and parent-directed CM that targeted increased blood glucose monitoring (BGM). Results Adolescents significantly increased their BGM (p <. 001) and showed significantly improved HbA1c levels (glycemic control) from pre-to posttreatment (p <. 0001). Conclusions The magnitude of improvements in the frequency of BGM and glycemic control in adolescents with type 1 diabetes is encouraging and will be tested in a randomized controlled trial.
AB - Objective To adapt and pilot test a multicomponent motivational intervention that includes family-based contingency management (CM) for adolescents with poorly controlled type 1 diabetes. Methods A total of 17 adolescents, age 12-17 years (M = 14.8, SD = 1.5), with type 1 diabetes (duration M = 6.2 years, SD = 4.5) and mean HbA1c of 11.6% (SD = 2.5%) were enrolled. Adolescents and their parents received 14 weeks of motivational interviewing, clinic-based CM, and parent-directed CM that targeted increased blood glucose monitoring (BGM). Results Adolescents significantly increased their BGM (p <. 001) and showed significantly improved HbA1c levels (glycemic control) from pre-to posttreatment (p <. 0001). Conclusions The magnitude of improvements in the frequency of BGM and glycemic control in adolescents with type 1 diabetes is encouraging and will be tested in a randomized controlled trial.
KW - cognitive behavior therapy
KW - contingency management
KW - motivational interviewing
KW - type 1 diabetes
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U2 - 10.1093/jpepsy/jst032
DO - 10.1093/jpepsy/jst032
M3 - Article
C2 - 23699750
AN - SCOPUS:84880345028
SN - 0146-8693
VL - 38
SP - 629
EP - 637
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 6
ER -