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Sander_Group-Based_psyd diss_2012.pdf (464.52 MB)

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Group-based, Family-focused Intervention for Family Conflict and Treatment Adherence In Adolescents with Type I Diabetes: A Feasibility and Efficacy Study

Sander, Emily Paige
http://rave.ohiolink.edu/etdc/view?acc_num=xavier1401308861

Abstract Details

2012, Doctor of Psychology (Psy.D.), Xavier University, Psychology.
Inadequate adherence to type 1 diabetes treatment regimens has been associated with poor glycemic control and may result in serious short- and long-term health complications. As a group, adolescents have inferior adherence to both children and adults. Diabetes-specific family conflict has been identified as a barrier to adolescent treatment adherence. This study presents the results from a randomized, controlled trial of a multi-family group intervention targeting diabetes-specific family conflict and treatment adherence for adolescents with diabetes and their families. Nineteen adolescents (11 female) with type 1 diabetes and existing psychological distress (aged 13-17) and at least one caregiver participated. Group sessions were conducted weekly for ten, 60-90 minute treatment sessions. The feasibility, acceptability, and effects of the intervention were evaluated. Results indicate that youths in the intervention condition experienced significant reduction in diabetes-specific family conflict as compared to wait-list controls. Youths across the entire sample experienced significant improvements in treatment adherence from pre- to post- intervention as evidence by caregiver and adolescent ratings of treatment adherence. Moderate to large treatment effects were reported. Difficulties with recruitment were encountered, affecting feasibility; potential solutions are discussed.
Janet R. Schultz, Ph.D., ABPP (Committee Chair)
Koery K. Hood, Ph.D. (Committee Co-Chair)
Marisa E. Hilliard, Ph.D. (Committee Member)
W. Michael Nelson III, Ph.D., ABPP (Committee Member)
237 p.
Clinical Psychology
diabetes in adolescence; family crises

Recommended Citations

Citations

  • Sander, E. P. (2012). Group-based, Family-focused Intervention for Family Conflict and Treatment Adherence In Adolescents with Type I Diabetes: A Feasibility and Efficacy Study [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1401308861

    APA Style (7th edition)

  • Sander, Emily. Group-based, Family-focused Intervention for Family Conflict and Treatment Adherence In Adolescents with Type I Diabetes: A Feasibility and Efficacy Study. 2012. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier1401308861.

    MLA Style (8th edition)

  • Sander, Emily. "Group-based, Family-focused Intervention for Family Conflict and Treatment Adherence In Adolescents with Type I Diabetes: A Feasibility and Efficacy Study." Doctoral dissertation, Xavier University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1401308861

    Chicago Manual of Style (17th edition)

xavier1401308861
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© 2012, all rights reserved.
This open access ETD is published by Xavier University Psychology and OhioLINK.