Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control
Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control
复制标题
DOI：
10.1093/jpepsy/jsj098
复制
发表时间：
2006-10-01
影响因子：
3.6
通讯作者：
White, Neil H.
中科院分区：
文献类型：
--
作者：
Wysocki, Tim;Harris, Michael A.;White, Neil H.
背景青少年糖尿病患者的行为家庭系统疗法(BFST)改善了家庭关系和沟通，但对依从性和代谢控制的影响较小。我们评估了修订后的干预措施，BFST治疗糖尿病(BFST-D)。方法104个家庭被随机分为标准护理组(SC)、12个教育支持组(ES)和BFST-D，为期6个月。在基线和治疗后测量家庭关系、依从性、糖化血红蛋白(HbA1c)和卫生保健利用情况。结果与SC和ES相比，BFST-D显著改善了家庭冲突和依从性，特别是在基线HbA1c和Gt；=9.0%的人群中。在基线HbA1c和Gt；=9.0%的患者中，BFST-D和ES较SC显著改善HbA1c。结论经修订的干预措施(BFST-D)显著改善了家庭冲突和治疗依从性，而ES和BFST-D均显著降低HbA1c，尤其是在代谢控制较差的青少年中。BFST-D的临床翻译有待进一步研究。
Background Behavioral family systems therapy (BFST) for adolescents with diabetes has improved family relationships and communication, but effects on adherence and metabolic control were weak. We evaluated a revised intervention, BFST for diabetes (BFST-D). Methods One hundred and four families were randomized to standard care (SC) or to 12 sessions of either an educational support group (ES) or a BFST-D over 6 months. Family relationships, adherence, glycosylated hemoglobin (HbA1c), and health care utilization were measured at baseline and after treatment. Results BFST-D significantly improved family conflict and adherence compared to SC and ES, especially among those with baseline HbA1c >= 9.0%. BFST-D and ES significantly improved HbA1c compared to SC among those with baseline HbA1c >= 9.0%. Conclusions The revised intervention (BFST-D) improved family conflict and treatment adherence significantly, while both ES and BFST-D reduced HbA1c significantly, particularly among adolescents with poor metabolic control. Clinical translation of BFST-D requires further study.