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Erschienen in: Annals of Behavioral Medicine 2/2012

01.10.2012 | Original Article

Multisystemic Therapy Compared to Telephone Support for Youth with Poorly Controlled Diabetes: Findings from a Randomized Controlled Trial

verfasst von: Deborah A. Ellis, Ph.D., Sylvie Naar-King, Ph.D., Xinguang Chen, M.D., Ph.D., Kathleen Moltz, M.D., Phillippe B. Cunningham, Ph.D., April Idalski-Carcone, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2012

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Abstract

Background

Few interventions have effectively improved health outcomes among youth with diabetes in chronic poor metabolic control.

Purpose

This study aims to determine whether multisystemic therapy (MST), an intensive, home-based, tailored family treatment, was superior to weekly telephone support for improving regimen adherence and metabolic control among adolescents with chronic poor metabolic control.

Methods

A randomized controlled trial was conducted with 146 adolescents with types 1 or 2 diabetes. Data were collected at baseline, 7 months (treatment termination), and 12 months (6 months follow-up).

Results

Adolescents receiving MST had significantly improved metabolic control at 7 (1.01 % decrease) and 12 months (0.74 % decrease) compared to adolescents in telephone support. Parents of adolescents receiving MST reported significant improvements in adolescent adherence. However, adolescent-reported adherence was unchanged.

Conclusions

MST improved health outcomes among adolescents with chronic poor metabolic control when compared to telephone support. Home-based approaches may provide a viable means to improve access to behavioral interventions for such youth.
Literatur
1.
Zurück zum Zitat Burdick J, Chase HP, Slover RH, et al. Missed insulin meal boluses and elevated hemoglobin A1c levels in children receiving insulin pump therapy. Pediatrics. 2004; 113: e221–224.PubMedCrossRef Burdick J, Chase HP, Slover RH, et al. Missed insulin meal boluses and elevated hemoglobin A1c levels in children receiving insulin pump therapy. Pediatrics. 2004; 113: e221–224.PubMedCrossRef
2.
Zurück zum Zitat Helgeson VS, Siminerio L, Escobar O, Becker D. Predictors of metabolic control among adolescents with diabetes: A 4-year longitudinal study. J Pediatr Psychol. 2009; 34: 254–270.PubMedCrossRef Helgeson VS, Siminerio L, Escobar O, Becker D. Predictors of metabolic control among adolescents with diabetes: A 4-year longitudinal study. J Pediatr Psychol. 2009; 34: 254–270.PubMedCrossRef
3.
Zurück zum Zitat Seiffge-Krenke I, Stemmler M. Coping with everyday stress and links to medical and psychosocial adaptation in diabetic adolescents. J Adolesc Heal. 2003; 33: 180–188.CrossRef Seiffge-Krenke I, Stemmler M. Coping with everyday stress and links to medical and psychosocial adaptation in diabetic adolescents. J Adolesc Heal. 2003; 33: 180–188.CrossRef
4.
Zurück zum Zitat Menzin J, Langley-Hawthorne C, Friedman M, Boulanger L, Cavanaugh R. Potential short-term economic benefits of improved glycemic control: A managed care perspective. Diabetes Care. 2001; 24: 51–55.PubMedCrossRef Menzin J, Langley-Hawthorne C, Friedman M, Boulanger L, Cavanaugh R. Potential short-term economic benefits of improved glycemic control: A managed care perspective. Diabetes Care. 2001; 24: 51–55.PubMedCrossRef
5.
Zurück zum Zitat Menzin J, Korn JR, Cohen J, et al. Relationship between glycemic control and diabetes-related hospital costs in patients with type 1 and type 2 diabetes mellitus. J Manag Care Pharm. 2010; 16: 264–275.PubMed Menzin J, Korn JR, Cohen J, et al. Relationship between glycemic control and diabetes-related hospital costs in patients with type 1 and type 2 diabetes mellitus. J Manag Care Pharm. 2010; 16: 264–275.PubMed
6.
Zurück zum Zitat Grey M, Boland EA, Davidson M, Li J, Tamborlane WV. Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. J Pediatr. 2000; 137: 107–113.PubMedCrossRef Grey M, Boland EA, Davidson M, Li J, Tamborlane WV. Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. J Pediatr. 2000; 137: 107–113.PubMedCrossRef
7.
Zurück zum Zitat Anderson BJ, Brackett J, Ho J, Laffel LM. An office-based intervention to maintain parent–adolescent teamwork in diabetes management. Impact on parent involvement, family conflict, and subsequent glycemic control. Diabetes Care. 1999; 22: 713–721PubMedCrossRef Anderson BJ, Brackett J, Ho J, Laffel LM. An office-based intervention to maintain parent–adolescent teamwork in diabetes management. Impact on parent involvement, family conflict, and subsequent glycemic control. Diabetes Care. 1999; 22: 713–721PubMedCrossRef
8.
Zurück zum Zitat Laffel LMB, Vangsness L, Connell A, et al.. Impact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr. 2003; 142: 409–416.PubMedCrossRef Laffel LMB, Vangsness L, Connell A, et al.. Impact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr. 2003; 142: 409–416.PubMedCrossRef
9.
Zurück zum Zitat Nansel TR, Iannotti RJ, Simons-Morton BG, et al. Long-Term Maintenance of Treatment Outcomes: Diabetes Personal Trainer Intervention for Youth With Type 1 Diabetes. Diabetes Care. 2009; 32: 807–809.PubMedCrossRef Nansel TR, Iannotti RJ, Simons-Morton BG, et al. Long-Term Maintenance of Treatment Outcomes: Diabetes Personal Trainer Intervention for Youth With Type 1 Diabetes. Diabetes Care. 2009; 32: 807–809.PubMedCrossRef
10.
Zurück zum Zitat Channon SJ, Huws-Thomas MV, Rollnick S, et al. A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care. 2007; 30: 1390–1395.PubMedCrossRef Channon SJ, Huws-Thomas MV, Rollnick S, et al. A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care. 2007; 30: 1390–1395.PubMedCrossRef
11.
Zurück zum Zitat Svoren BM, Butler D, Levine BS, Anderson BJ, Laffel LM. Reducing acute adverse outcomes in youths with type 1 diabetes: A randomized, controlled trial. Pediatrics. 2003; 112: 914–922.PubMedCrossRef Svoren BM, Butler D, Levine BS, Anderson BJ, Laffel LM. Reducing acute adverse outcomes in youths with type 1 diabetes: A randomized, controlled trial. Pediatrics. 2003; 112: 914–922.PubMedCrossRef
12.
Zurück zum Zitat Delamater AM, Jacobson AM, Anderson B, et al. Psychosocial therapies in diabetes: Report of the psychosocial therapies working group. Diabetes Care. 2001; 24: 1286–1292.PubMedCrossRef Delamater AM, Jacobson AM, Anderson B, et al. Psychosocial therapies in diabetes: Report of the psychosocial therapies working group. Diabetes Care. 2001; 24: 1286–1292.PubMedCrossRef
13.
Zurück zum Zitat Wysocki T, Harris MA, Buckloh LM, et al. Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control. J Pediatr Psychol. 2006; 31: 928–938.PubMedCrossRef Wysocki T, Harris MA, Buckloh LM, et al. Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control. J Pediatr Psychol. 2006; 31: 928–938.PubMedCrossRef
14.
Zurück zum Zitat Wysocki T, Harris MA, Buckloh LM, et al. Randomized trial of behavioral family systems therapy for diabetes: Maintenance of effects on diabetes outcomes in adolescents. Diabetes Care. 2007; 30: 555–560.PubMedCrossRef Wysocki T, Harris MA, Buckloh LM, et al. Randomized trial of behavioral family systems therapy for diabetes: Maintenance of effects on diabetes outcomes in adolescents. Diabetes Care. 2007; 30: 555–560.PubMedCrossRef
15.
Zurück zum Zitat Urbach SL, LaFranchi S, Lambert L, et al. Predictors of glucose control in children and adolescents with type 1 diabetes mellitus. Pediatr Diabetes. 2005; 6: 69–74.PubMedCrossRef Urbach SL, LaFranchi S, Lambert L, et al. Predictors of glucose control in children and adolescents with type 1 diabetes mellitus. Pediatr Diabetes. 2005; 6: 69–74.PubMedCrossRef
16.
Zurück zum Zitat Tershakovec AM, Kuppler K. Ethnicity, insurance type, and follow-up in a pediatric weight management program. Obes Res. 2003; 11: 17–20.PubMedCrossRef Tershakovec AM, Kuppler K. Ethnicity, insurance type, and follow-up in a pediatric weight management program. Obes Res. 2003; 11: 17–20.PubMedCrossRef
17.
Zurück zum Zitat Henggeler SW. Efficacy studies to large-scale transport: The development and validation of multisystemic therapy programs. Ann Rev Clin Psychol. 2011; 7: 351–81.PubMedCrossRef Henggeler SW. Efficacy studies to large-scale transport: The development and validation of multisystemic therapy programs. Ann Rev Clin Psychol. 2011; 7: 351–81.PubMedCrossRef
18.
Zurück zum Zitat Naar-King S, Podolski CL, Ellis DA, Frey MA. Social ecological model of illness management in high risk youth with type 1 diabetes. J Consult Clin Psychol. 2006; 74: 785–789.PubMedCrossRef Naar-King S, Podolski CL, Ellis DA, Frey MA. Social ecological model of illness management in high risk youth with type 1 diabetes. J Consult Clin Psychol. 2006; 74: 785–789.PubMedCrossRef
19.
Zurück zum Zitat Ellis DA, Templin T, Naar-King S, et al. Multisystemic therapy for adolescents with poorly controlled type I diabetes: Stability of treatment effects in a randomized controlled trial. J Consult Clin Psychol. 2007; 75: 168–174.PubMedCrossRef Ellis DA, Templin T, Naar-King S, et al. Multisystemic therapy for adolescents with poorly controlled type I diabetes: Stability of treatment effects in a randomized controlled trial. J Consult Clin Psychol. 2007; 75: 168–174.PubMedCrossRef
20.
Zurück zum Zitat Ellis DA, Frey MA, Naar-King S, et al. The effects of multisystemic therapy on diabetes stress in adolescents with chronically poorly controlled type I diabetes: Findings from a randomized controlled trial. Pediatrics. 2005; 116: e826–e832.PubMedCrossRef Ellis DA, Frey MA, Naar-King S, et al. The effects of multisystemic therapy on diabetes stress in adolescents with chronically poorly controlled type I diabetes: Findings from a randomized controlled trial. Pediatrics. 2005; 116: e826–e832.PubMedCrossRef
21.
Zurück zum Zitat Ellis DA, Yopp J, Templin T, et al. Family mediators and moderators of treatment outcomes among youths with poorly controlled type 1 diabetes: Results from a randomized controlled trial. J Pediatr Psychol. 2007; 32: 194–205.PubMedCrossRef Ellis DA, Yopp J, Templin T, et al. Family mediators and moderators of treatment outcomes among youths with poorly controlled type 1 diabetes: Results from a randomized controlled trial. J Pediatr Psychol. 2007; 32: 194–205.PubMedCrossRef
22.
Zurück zum Zitat Silverstein J, Klingensmith G, Copeland K, et al. (2005). Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care. 2005; 28: 186–212.CrossRef Silverstein J, Klingensmith G, Copeland K, et al. (2005). Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care. 2005; 28: 186–212.CrossRef
23.
Zurück zum Zitat Henggeler SW, Schoenwald SK, Borduin CM: Multisystemic therapy for antisocial behavior in children and adolescents (second edition). New York: The Guilford Press, 2009. Henggeler SW, Schoenwald SK, Borduin CM: Multisystemic therapy for antisocial behavior in children and adolescents (second edition). New York: The Guilford Press, 2009.
24.
Zurück zum Zitat Ellis DA, Frey MA, Naar-King S, et al. Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control: A randomized controlled trial. Diabetes Care. 2005; 28: 1604–1610.PubMedCrossRef Ellis DA, Frey MA, Naar-King S, et al. Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control: A randomized controlled trial. Diabetes Care. 2005; 28: 1604–1610.PubMedCrossRef
25.
Zurück zum Zitat Ellis DA, Naar-King S, Cunningham PB, Secord E. Use of multisystemic therapy to improve antiretroviral adherence and health outcomes in HIV-infected pediatric patients: Evaluation of a pilot program. AIDS Patient Care STDs. 2006; 20: 112–121.PubMedCrossRef Ellis DA, Naar-King S, Cunningham PB, Secord E. Use of multisystemic therapy to improve antiretroviral adherence and health outcomes in HIV-infected pediatric patients: Evaluation of a pilot program. AIDS Patient Care STDs. 2006; 20: 112–121.PubMedCrossRef
26.
Zurück zum Zitat Naar-King S, Ellis D, Kolmodin K, Cunningham P, Secord E. Feasibility of adapting multisystemic therapy to improve illness management behaviors and reduce asthma morbidity in high risk African American youth: A case series. J Child Fam Stud. 2009; 18: 564–573.CrossRef Naar-King S, Ellis D, Kolmodin K, Cunningham P, Secord E. Feasibility of adapting multisystemic therapy to improve illness management behaviors and reduce asthma morbidity in high risk African American youth: A case series. J Child Fam Stud. 2009; 18: 564–573.CrossRef
27.
Zurück zum Zitat Henggeler SW, Halliday-Boykins CA, Cunningham PB, et al. Juvenile drug court: Enhancing outcomes by integrating evidence-based treatments. J Consult Clin Psychol. 2006; 74: 42.PubMedCrossRef Henggeler SW, Halliday-Boykins CA, Cunningham PB, et al. Juvenile drug court: Enhancing outcomes by integrating evidence-based treatments. J Consult Clin Psychol. 2006; 74: 42.PubMedCrossRef
28.
Zurück zum Zitat Ellis DA, Naar-King S, Templin T, Frey MA, Cunningham PB. Improving health outcomes among youth with poorly controlled type 1 diabetes: The role of treatment fidelity in a randomized clinical trial of multisystemic therapy. J Fam Psychol. 2007; 21: 363–371.PubMedCrossRef Ellis DA, Naar-King S, Templin T, Frey MA, Cunningham PB. Improving health outcomes among youth with poorly controlled type 1 diabetes: The role of treatment fidelity in a randomized clinical trial of multisystemic therapy. J Fam Psychol. 2007; 21: 363–371.PubMedCrossRef
29.
Zurück zum Zitat Safer DL, Hugo EM. Designing a control for a behavioral group therapy. Behav Ther. 2006; 37: 120–130.PubMedCrossRef Safer DL, Hugo EM. Designing a control for a behavioral group therapy. Behav Ther. 2006; 37: 120–130.PubMedCrossRef
30.
Zurück zum Zitat Frey MA, Ellis DA, Naar-King S, Greger N. Diabetes management of adolescents in poor metabolic control. Diabetes Educ. 2004; 30: 647–657.PubMedCrossRef Frey MA, Ellis DA, Naar-King S, Greger N. Diabetes management of adolescents in poor metabolic control. Diabetes Educ. 2004; 30: 647–657.PubMedCrossRef
31.
Zurück zum Zitat Frey MA, Denyes MJ. Health and illness self-care in adolescents with IDDM: A test of Orem's theory. Adv Nurs Sci. 1989; 12: 67–75. Frey MA, Denyes MJ. Health and illness self-care in adolescents with IDDM: A test of Orem's theory. Adv Nurs Sci. 1989; 12: 67–75.
32.
Zurück zum Zitat Schilling LS, Grey M, Knafl K: A review of measures of self-management of type 1 diabetes by youth and their parents. Diabetes Educ. 2002; 28: 796–808.PubMedCrossRef Schilling LS, Grey M, Knafl K: A review of measures of self-management of type 1 diabetes by youth and their parents. Diabetes Educ. 2002; 28: 796–808.PubMedCrossRef
33.
Zurück zum Zitat Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group. Retinopathy and nephropathy in patients with type 1 diabetes four years after a trial of intensive therapy. N Engl J Med. 2000, 342: 381–389.CrossRef Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group. Retinopathy and nephropathy in patients with type 1 diabetes four years after a trial of intensive therapy. N Engl J Med. 2000, 342: 381–389.CrossRef
34.
Zurück zum Zitat White NH, Cleary PA, Dahms W, Goldstein D, Malone J, Tamborlane WV, Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) Research Group (2001) Beneficial effects of intensive therapy of diabetes during adolescence: Outcomes after the conclusion of the Diabetes Control and Complications Trial (DCCT). J Pediatr 139: 804–812.CrossRef White NH, Cleary PA, Dahms W, Goldstein D, Malone J, Tamborlane WV, Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) Research Group (2001) Beneficial effects of intensive therapy of diabetes during adolescence: Outcomes after the conclusion of the Diabetes Control and Complications Trial (DCCT). J Pediatr 139: 804–812.CrossRef
35.
Zurück zum Zitat Nunn E, King B, Smart C, Anderson D. A randomized controlled trial of telephone calls to young patients with poorly controlled type 1 diabetes. Pediatr Diabetes. 2006; 7: 254–259.PubMedCrossRef Nunn E, King B, Smart C, Anderson D. A randomized controlled trial of telephone calls to young patients with poorly controlled type 1 diabetes. Pediatr Diabetes. 2006; 7: 254–259.PubMedCrossRef
36.
Zurück zum Zitat Martin CL, Albers J, Herman WH, et al. Neuropathy among the diabetes control and complications trial cohort 8 years after trial completion. Diabetes Care. 2006; 29: 340–344.PubMedCrossRef Martin CL, Albers J, Herman WH, et al. Neuropathy among the diabetes control and complications trial cohort 8 years after trial completion. Diabetes Care. 2006; 29: 340–344.PubMedCrossRef
37.
Zurück zum Zitat Ellis D, Naar-King S, Templin T, et al. Multisystemic therapy for adolescents with poorly controlled type 1 diabetes: Reduced diabetic ketoacidosis admissions and related costs over 24 months. Diabetes Care. 2008; 31: 1746–1747.PubMedCrossRef Ellis D, Naar-King S, Templin T, et al. Multisystemic therapy for adolescents with poorly controlled type 1 diabetes: Reduced diabetic ketoacidosis admissions and related costs over 24 months. Diabetes Care. 2008; 31: 1746–1747.PubMedCrossRef
Metadaten
Titel
Multisystemic Therapy Compared to Telephone Support for Youth with Poorly Controlled Diabetes: Findings from a Randomized Controlled Trial
verfasst von
Deborah A. Ellis, Ph.D.
Sylvie Naar-King, Ph.D.
Xinguang Chen, M.D., Ph.D.
Kathleen Moltz, M.D.
Phillippe B. Cunningham, Ph.D.
April Idalski-Carcone, Ph.D.
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2012
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9378-1

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