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Journal of Pediatric Psychology Advance Access originally published online on March 3, 2005
Journal of Pediatric Psychology 2005 30(8):683-688; doi:10.1093/jpepsy/jsi055
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Brief Report: In-Home Family Therapy for Adolescents with Poorly Controlled Diabetes: Failure to Maintain Benefits at 6-Month Follow-Up

Michael A. Harris, PhD, Brandonn S. Harris, BS and Deborah Mertlich, MSW

Washington University School of Medicine

All correspondence concerning this article should be addressed to Michael A. Harris, Patient Oriented Research Unit, Campus Box 8208, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, Missouri 63110. E-mail: harris_ma{at}kids.wustl.edu.

Objective To examine 6-month follow-up data on the effectiveness of in-home Behavioral Family Systems Therapy (BFST) for adolescents with poorly controlled diabetes, using a pilot and feasibility study. Methods Eighteen adolescents with poorly controlled diabetes received ten 90-min sessions of in-home BFST. Diabetes-related functioning, general family functioning, and health status were assessed at baseline, immediately following treatment and 6-months after the treatment. Results Although the initial posttreatment follow-up evaluation indicated decreases in general family conflict, diabetes-related family conflict, and behavior problems, evaluation at a 6-month follow-up (N = 17) demonstrated that initial posttreatment improvements were no longer present for any of the variables assessed. Metabolic control remained unchanged from baseline to initial posttreatment as well as at 6-month follow-up. Conclusions A plausible explanation for this finding is that participating families were experiencing distress that required longer-term treatment for enduring results, beyond what was employed in this study. Further research is necessary before in-home BFST can be considered an effective psychosocial intervention for adolescents with poorly controlled diabetes.

Key words: family therapy; adolescents; diabetes.


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