RESULTS	After 18 months , youth who completed both programs had lower HbA1c ( P = 0.04 ) ; higher QOL ( P = 0.02 ) , social acceptance ( P = 0.01 ) , and self-efficacy ( P = 0.03 ) and lower perceived stress ( P = 0.02 ) and diabetes family conflict ( P = 0.02 ) compared with those who completed only one program .\