Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2012 Oct;44(2):207-15.
doi: 10.1007/s12160-012-9378-1.

Multisystemic therapy compared to telephone support for youth with poorly controlled diabetes: findings from a randomized controlled trial

Deborah A Ellis  1 , Sylvie Naar-King, Xinguang Chen, Kathleen Moltz, Phillippe B Cunningham, April Idalski-Carcone
Affiliations
Randomized Controlled Trial

Multisystemic therapy compared to telephone support for youth with poorly controlled diabetes: findings from a randomized controlled trial

Deborah A Ellis et al. Ann Behav Med. 2012 Oct.

Abstract

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

Purpose: 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.

Methods: 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).

Results: 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.

Conclusions: 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.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Statement

Three of the authors are board members of Evidence Based Services, which has a licensing agreement with MST Services, LLC, for dissemination of multisystemic therapy treatment technology. There are no other potential author conflicts of interest.

Figures

Figure 1
Figure 1
CONSORT diagram showing flow of participants through the study
Figure 2
Figure 2
Changes in hemoglobin A1c (HbA1c) from baseline to seven months (treatment termination) and twelve months (six months post-treatment).
Figure 3
Figure 3
Changes in parent-reported regimen adherence on the Diabetes Management Scale from baseline to seven months (treatment termination) and twelve months (six months post-treatment).
See this image and copyright information in PMC

References

    1. Burdick J, Chase HP, Slover RH, et al. Missed insulin meal boluses and elevated hemoglobin A1c levels in children receiving insulin pump therapy. Pediatrics. 2004;113:e221–224. - PubMed
    1. Helgeson VS, Siminerio L, Escobar O, Becker D. Predictors of metabolic control among adolescents with diabetes: A 4-Year longitudinal study. J Pediatr Psychol. 2009;34:254–270. - PMC - PubMed
    1. Seiffge-Krenke I, Stemmler M. Coping with everyday stress and links to medical and psychosocial adaptation in diabetic adolescents. Journal of Adolescent Health. 2003;33:180–188. - PubMed
    1. Menzin J, Langley-Hawthorne C, Friedman M, Boulanger L, Cavanaugh R. Potential short-term economic benefits of improved glycemic control: A managed care perspective. Diabetes Care. 2001;24:51–55. - PubMed
    1. Menzin J, Korn JR, Cohen J, et al. Relationship between glycemic control and diabetes-related hospital costs in patients with type 1 and type 2 diabetes mellitus. Journal of Managed Care Pharmacy. 2010;16:264–275. - PMC - PubMed

Publication types

MeSH terms