Journal of Pediatric Psychology 14(2) pp. 259-275, 1989
© 1989 Society of Pediatric Psychology
research-article |
Diabetes in Adolescence: Effects of Multifamily Group Intervention and Parent Simulation of Diabetes1
University of Miami
2All correspondence should be sent to Wendy Satin, 1500 NW 12th Avenue, Suite 900, Diabetes Unit, University of Miami School of Medicine, Miami, Florida 33136.
Insulin-dependent diabetes mellitus (IDDM) is a complex, chronic disease that is difficult to control during adolescence. This study evaluated the effects of a 6-week, family-oriented, group intervention on adolescents' metabolic control and psychosocial and family functioning. Thirty-two families were randomly assigned to one of three groups: multifamily (MF), multi-family plus parent simulation of diabetes (MF+S), and control (C). Outcome measures included glycosylated hemoglobin (Hb Al); perceptions of diabetes; estimates of youngsters' self-care; and family functioning. Adolescents in the MF+S group displayed significant decrements in Hb Al, and adolescents in both intervention groups reported more positive perceptions of a "teen-ager with diabetes" at posttreatment, relative to controls. Adolescents participating in smaller family groups demonstrated clinically significant improvements in Hb Al that were maintained at 6-month follow-up. Parent reports suggested that adolescents in the intervention groups improved their diabetes care. Findings support the use of multifamily groups plus parent simulation of diabetes as an intervention strategy for adolescents with IDDM.
Key words: diabetes; adolescence; family interventions; simulation of diabetes.
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