A multicomponent motivational intervention to improve adherence among adolescents with poorly controlled type 1 diabetes: A pilot study

Catherine Stanger, Stacy R. Ryan, Leanna M. Delhey, Kathryn Thrailkill, Zhongze Li, Zhigang Li, Alan J. Budney

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)629-637
Number of pages9
JournalJournal of Pediatric Psychology
Volume38
Issue number6
DOIs
StatePublished - Jul 1 2013

Keywords

  • cognitive behavior therapy
  • contingency management
  • motivational interviewing
  • type 1 diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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