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Case Reports
. 2003 Jun;28(4):287-93; discussion 295-7.
doi: 10.1093/jpepsy/jsg017.

Case study: feasibility of multisystemic therapy as a treatment for urban adolescents with poorly controlled type 1 diabetes

Deborah A Ellis  1 , Sylvie Naar-King, Maureen Frey, Melisa Rowland, Nancy Greger
Affiliations
Case Reports

Case study: feasibility of multisystemic therapy as a treatment for urban adolescents with poorly controlled type 1 diabetes

Deborah A Ellis et al. J Pediatr Psychol. 2003 Jun.

Abstract

Objective: To determine the feasibility of using multisystemic therapy (MST), an intensive, home-based psychotherapy, to improve poor metabolic control among four adolescents with type 1 diabetes.

Method: A multiple baseline, repeated measures design was used. Blood glucose readings were obtained every 2 weeks during a baseline period, a 7-month intervention, and a month-long postintervention period. Glycosylated hemoglobin (GHb) was measured at baseline and follow-up and was contrasted between two participants who received MST and two participants who did not receive the intervention.

Results: Intervention participants showed improvements in health status, as well as fewer hospitalizations and emergency room visits.

Conclusions: Findings from this case study suggest that MST has the potential to improve treatment adherence and metabolic control among teens with poorly controlled type 1 diabetes.

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