Randomized, Controlled Trial of Behavior Therapy for Families of Adolescents With Insulin-Dependent Diabetes Mellitus

Abstract

BFST yielded some improvement in parent-adolescent relationships; its effects on diabetes outcomes depended on the adolescent's age and gender. Factors mediating the effectiveness of BFST must be clarified.

Family Conflict and Diabetes Management in Youth: Clinical Lessons From Child Development and Diabetes Research

“…The next most critical goal is the adaptation of established parenting education curricula, such as the Systematic Training for Effecting Parenting (STEP) program 23 and Raising an Emotionally Intelligent Child, 24 which are based on the concepts of parenting styles discussed earlier and into which could be integrated proven pediatric behavioral diabetes family-based interventions, such as Coping Skills Training, 25 Behavioral Family Systems Therapy, 26 and Family Teamwork. 27 For diabetes health care providers, the child development literature instructs us to help parents build, if necessary, a new parenting style specific to diabetes management.…”

Seeing Is Believing: Using Skype to Improve Diabetes Outcomes in Youth

“…BFST is a structured, manualized intervention that includes four primary components: problem-solving, communication skills, cognitive restructuring, and family systems interventions. BFST improves family communication and problem-solving when compared with standard medical care (11)(12)(13). A modified version, BFST for Diabetes (BFST-D), which specifically targets optimizing diabetes care, significantly improves glycemic control, treatment adherence, and diabetes-related family conflict among adolescents with type 1 diabetes (14,15).…”

Inadequate Coping Attitudes, Disordered Eating Behaviours and Eating Disorders in Type 1 Diabetic Patients

“…At 12 months, diabetes-specific family conflict was significantly improved compared to the control group. The experimental group showed improved treatment adherence compared with the control and education groups that both showed deteriorated adherence (Wysocki et al, 2000;Wysocki et al, 2001). When parental involvement decreases, which is frequent in early adolescence, the metabolic control tends to deteriorate.…”

“…It has been shown that family interventions decrease parent-child conflicts about diabetes and improve metabolic control (Grey et al, 2003;Wysocki et al, 2000;Wysocki et al, 2001). One study that includes 119 families of adolescents with type 1 diabetes mellitus, assessed the effectiveness of an experimental group receiving Behavioral-Family Systems Therapy compared to both education and support groups in reducing parent-adolescent conflict in diabetes management.…”