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. 2013 Jul;38(6):629-37.
doi: 10.1093/jpepsy/jst032. Epub 2013 May 22.

A Multicomponent Motivational Intervention to Improve Adherence Among Adolescents With Poorly Controlled Type 1 Diabetes: A Pilot Study

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A Multicomponent Motivational Intervention to Improve Adherence Among Adolescents With Poorly Controlled Type 1 Diabetes: A Pilot Study

Catherine Stanger et al. J Pediatr Psychol. .
Free PMC article

Abstract

Objective: To adapt and pilot test a multicomponent motivational intervention that includes family-based contingency management (CM) for adolescents with poorly controlled type 1 diabetes.

Methods: A total of 17 adolescents, age 12-17 years (M = 14.8, SD = 1.5), with type 1 diabetes (duration M = 6.2 years, SD = 4.5) and mean HbA1c of 11.6% (SD = 2.5%) were enrolled. Adolescents and their parents received 14 weeks of motivational interviewing, clinic-based CM, and parent-directed CM that targeted increased blood glucose monitoring (BGM).

Results: Adolescents significantly increased their BGM (p < .001) and showed significantly improved HbA1c levels (glycemic control) from pre-to posttreatment (p < .0001).

Conclusions: The magnitude of improvements in the frequency of BGM and glycemic control in adolescents with type 1 diabetes is encouraging and will be tested in a randomized controlled trial.

Keywords: cognitive behavior therapy; contingency management; motivational interviewing; type 1 diabetes.

Figures

Figure 1<i>.</i>
Figure 1.
Mean number of blood glucose monitoring (BGM) times per day and mean number of days per week with ≥6 times per day across the 14 treatment weeks. Note: N = 15; one participant moved away unexpectedly in week 9 of treatment and did not have access to a computer. This participant’s 9 week data were used in calculating the means displayed for weeks 10–14.

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