Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy.

Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Research Abstract Details 

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Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Abstract Text:

Deborah A Ellis,Sylvie Naar-King,Thomas Templin,Maureen A Frey,Phillippe B Cunningham,

The purpose of the study was to assess whether therapist treatment fidelity was a predictor of treatment outcome in a randomized clinical trial of multisystemic therapy with 10- to 16-year-old youths with chronically poorly controlled Type I diabetes (N = 40). Treatment fidelity was assessed by objective ratings of therapy sessions and questionnaires completed by caregivers and by therapists. Relationships between fidelity measures were assessed. Structural equation modeling (SEM) was used to test whether high fidelity would lead to improved regimen adherence and to improved metabolic control outcomes via regimen adherence. Objective ratings of treatment fidelity were significantly related to therapist-reported but not to caregiver-reported treatment fidelity. SEM results supported a completely mediated pathway between treatment fidelity and metabolic control, with regimen adherence mediating the relationship. Results suggest that conducting complex behavioral interventions with a high degree of fidelity can improve treatment outcomes among youths with chronic illnesses.

Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Publishing Authors By Initials

DA Ellis,S Naar-King,T Templin,MA Frey,PB Cunningham,

For similar diagnosis: prognosis: treatment outcome: treatment failure research abstracts see: diagnosis: prognosis: treatment outcome: treatment failure research

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Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of family psychology : JFP : journal of th

VOLUME: 21

Page Numbers: 363-71

Journal Abbreviation:

ISSN: 0893-3200

DAY: 3

MONTH: Sep

YEAR: 2007

Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8802265

Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Keywords Mesh Terms:

KEYWORDS: Treatment Failure

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Information

Substance Name: Hypoglycemic Agents

Registry Number: 0

Grant and Affiliation Information for Improving health outcomes among youth with poorly controlled type I diabetes: the role of treatment fidelity in a randomized clinical trial of multisystemic therapy.

AFFILIATION: Department of Psychiatry and Behaviorial Neurosciences, Wayne State University. dellis@med.wayne.edu

Country: United States

AGENCY: United States NIDDK

GRANT: R01 DK59067

ACRONYM: DK

MEDLINETA: J Fam Psychol

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