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?



randomised controlled trial.




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

GraphicFollow up period:

7 months.


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


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.


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 …

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