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Journal of Pediatric Psychology Advance Access published online on March 5, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp009
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Family Therapy for Adolescents with Poorly Controlled Diabetes: Initial Test of Clinical Significance

Michael A. Harris1, Kurt A. Freeman1 and Megan Beers2

1Department of Pediatrics/CDRC, Oregon Health & Science University and 2CDRC/LEND Training Program, Oregon Health & Science University

All correspondence concerning this article should be addressed to Michael A. Harris, PhD, Department of Pediatrics/CDRC, Oregon Health & Science University, 707 SW Gaines Road, Portland, OR 97239. E-mail: harrismi{at}ohsu.edu


  Abstract

Objective We examined a structured family therapy approach in promoting clinically meaningful improvements in parent–adolescent conflict in adolescents with poorly controlled diabetes. Method Eighteen adolescents with poorly controlled diabetes and their parent(s) participated in 10 sessions of home-based Behavioral Family Systems Therapy (BFST). Outcome comparisons were made using a sample of adolescents with poorly controlled diabetes (n = 40) from a previous study. Clinically significant improvements were determined by calculating SD differences between treatment and comparison groups on measures of diabetes-related and general parent–adolescent conflict. Results Home-based BFST produced change in diabetes-related family conflict ranging from 1/3 to 1/2 SD and general family conflict ranging from 1/3 to 3/4 SD. Conclusions BFST produced change in family conflict, a variable shown through previous research to relate to treatment adherence in adolescents with diabetes. The test of clinical significance represents an example of a method useful for pediatric research.

Received May 15, 2008; revision received January 27, 2009; accepted January 28, 2009


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