Type 1 Diabetes Clinical Trial
Official title:
Adherence to IDDM Regimen in Urban Youth
The protocol is a randomized clinical trial providing Multisystemic Therapy (MST), an intensive home-based family psychotherapy intervention, to a group of urban adolescents with poorly controlled Type 1 diabetes and their families.
Substantial data exists to demonstrate that improving metabolic control in persons with Type
1 diabetes mellitus (T1DM) can delay the onset of diabetes complications and reverse some
existing complications as well. Unfortunately, those adolescents with T1DM who are at
highest risk for diabetes complications are often the most resistant to hospital based care
and traditional education/ supportive interventions. They are also faced with multiple
barriers to improved metabolic control, which may include lack of knowledge about diabetes,
family disorganization and disengagement, high levels of stress and an unhealthy lifestyle.
Multisystemic Therapy (MST), a flexible and home-based therapeutic intervention originally
designed for use with mental health populations, seems to be a promising approach to
providing diabetic adolescents with the ability to engage in consistent and attentive
illness management.
The study recruited a sample of 127 adolescents in poor metabolic control and randomly
assigned them to either the treatment intervention, MST plus standard medical care, or
standard medical care alone. Families randomized to MST received intensive, home-based
family therapy for approximately six months. Families completed data collection at baseline
and then again at 7, 12 18 and 24 months after study entry.
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