Multisystemic Therapy Improves the Patient-Provider Relationship in Families of Adolescents with Poorly Controlled Insulin Dependent Diabetes
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The purpose of this study was to determine if multisystemic therapy (MST), an intensive, home and community-based family treatment, significantly improved patient-provider relationships in families where youth had chronic poor glycemic control. One hundred forty-six adolescents with type 1 or 2 diabetes in chronic poor glycemic control (HbA1c ≥8 %) and their primary caregivers were randomly assigned to MST or a telephone support condition. Caregiver perceptions of their relationship with the diabetes multidisciplinary medical team were assessed at baseline and treatment termination with the Measure of Process of Care-20. At treatment termination, MST families reported significant improvement on the Coordinated and Comprehensive Care scale and marginally significant improvement on the Respectful and Supportive Care scale. Improvements on the Enabling and Partnership and Providing Specific Information scales were not significant. Results suggest MST improves the ability of the families and the diabetes treatment providers to work together.
KeywordsFamily therapy Health care services Diabetes Randomized controlled trial
The authors would like to acknowledge the National Institute of Diabetes, Digestive, and Kidney Diseases’ support of this research (Grant Number R01 DK59067, Deborah Ellis, PI) and Yuanjing Ren for her assistance with preparation of data for use in the analyses.
Conflict of interest
Author Phillippe B, Cunningham is a board member of Evidence Based Services, which has a licensing agreement with MST Services, LLC, for dissemination of Multisystemic Therapy treatment technology. Authors April Idalski Carcone, Xinguang Chen, Deborah A. Ellis, Sylvie Naar and Kathleen Moltz declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent Statement
All procedures performed with human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Research assistants obtained informed consent and assent via home-based consent procedures.
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