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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi055
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Journal of Pediatric Psychology © 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
Received August 15, 2003
Revised November 17, 2004
Accepted March 11, 2004

Brief Report

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

Michael A. Harris PhD1*, Brandonn S. Harris BS1, and Deborah Mertlich MSW1

1 Washington University School of Medicine

* To whom correspondence should be addressed.
Michael A. Harris, E-mail: harris_ma{at}kids.wustl.edu.


  Abstract

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.

Keywords: family therapy; adolescents; diabetes.
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