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Randomized , controlled trial of Behavioral Family Systems Therapy for Diabetes : maintenance and generalization of effects on parent-adolescent communication . 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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Intervention_Psychological
Behavioral Family Systems Therapy
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Intervention_Psychological
Behavioral Family Systems Therapy for Diabetes ( BFST-D ) intervention
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Intervention_Educational
standard care ( SC ) or to 6 months of an educational support group ( ES ) or BFST-D.
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Intervention_Psychological
BFST-D
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Outcome_Mental
Family communication
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Outcome_Mental
problem-solving skills
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Outcome_Mental
communication of adolescents and mothers , but not fathers .
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Outcome_Mental
quality of family interaction
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Outcome_Physical
glycemic control
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Outcome_Mental
adherence
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Outcome_Mental
family conflict
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Outcome_Mental
family communication
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Outcome_Mental
problem solving
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Participant_Condition
Diabetes :
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Participant_Sample-size
104
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Participant_Age
adolescents
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Participant_Condition
diabetes