A multicomponent motivational intervention to improve adherence among adolescents with poorly controlled type 1 diabetes: a pilot study.
J Pediatr Psychol
; 38(6): 629-37, 2013 Jul.
Article
in En
| MEDLINE
| ID: mdl-23699750
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Glucose Self-Monitoring
/
Diabetes Mellitus, Type 1
/
Medication Adherence
/
Motivational Interviewing
/
Hypoglycemic Agents
Type of study:
Clinical_trials
/
Qualitative_research
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Pediatr Psychol
Year:
2013
Document type:
Article
Affiliation country:
Estados Unidos