rss
Evid Based Nurs 9:14 doi:10.1136/ebn.9.1.14
  • Treatment

Multisystemic therapy improved adherence to blood glucose testing in adolescents with type 1 diabetes


 
 Q Does multisystemic therapy increase adherence to blood glucose testing and insulin use, improve metabolic control, and reduce hospital use in adolescents with type 1 diabetes and chronically poor metabolic control?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}.*

GraphicBlinding:

blinded (assessor of reason for hospital visit, {data collectors, and data analysts}*).

GraphicFollow up period:

7 months.

GraphicSetting:

a diabetes clinic in a tertiary care children’s hospital in Detroit, Michigan, USA.

GraphicPatients:

127 English speaking adolescents who were 10–17 years of age (mean age 13 y, 51% girls, 63% African-American) and had type 1 diabetes for ⩾1 year (mean 5 y), an average HbA1c concentration ⩾8% in the previous year, and a most recent HbA1c concentration ⩾8%. Adolescents with moderate to severe mental retardation or psychosis were excluded.

GraphicIntervention:

64 adolescents were allocated to multisystemic therapy plus standard medical care (quarterly medical visits to a diabetes clinic, with care from a multidisciplinary team). Multisystemic therapy consisted …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article