Annals of Behavioral Medicine

, Volume 44, Issue 2, pp 207–215 | Cite as

Multisystemic Therapy Compared to Telephone Support for Youth with Poorly Controlled Diabetes: Findings from a Randomized Controlled Trial

  • Deborah A. Ellis
  • Sylvie Naar-King
  • Xinguang Chen
  • Kathleen Moltz
  • Phillippe B. Cunningham
  • April Idalski-Carcone
Original Article



Few interventions have effectively improved health outcomes among youth with diabetes in chronic poor metabolic control.


This study aims to determine whether multisystemic therapy (MST), an intensive, home-based, tailored family treatment, was superior to weekly telephone support for improving regimen adherence and metabolic control among adolescents with chronic poor metabolic control.


A randomized controlled trial was conducted with 146 adolescents with types 1 or 2 diabetes. Data were collected at baseline, 7 months (treatment termination), and 12 months (6 months follow-up).


Adolescents receiving MST had significantly improved metabolic control at 7 (1.01 % decrease) and 12 months (0.74 % decrease) compared to adolescents in telephone support. Parents of adolescents receiving MST reported significant improvements in adolescent adherence. However, adolescent-reported adherence was unchanged.


MST improved health outcomes among adolescents with chronic poor metabolic control when compared to telephone support. Home-based approaches may provide a viable means to improve access to behavioral interventions for such youth.


Adherence Youth Diabetes Family treatment 


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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Deborah A. Ellis
    • 1
    • 3
  • Sylvie Naar-King
    • 1
  • Xinguang Chen
    • 1
  • Kathleen Moltz
    • 1
  • Phillippe B. Cunningham
    • 2
  • April Idalski-Carcone
    • 1
  1. 1.Carman and Ann Adams Department of PediatricsWayne State UniversityDetroitUSA
  2. 2.Department of PsychiatryMedical University of South CarolinaCharlestonUSA
  3. 3.Pediatric Prevention Research CenterOld Hutzel Hospital W534DetroitUSA

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