This is a randomized, controlled pilot trial of Behavioral Family Systems Therapy for Teens with Type 2 Diabetes (BFST-DM2), an individual psychological intervention tailored to meet the needs of teens with type 2 diabetes. It is hypothesized that this behavioral family intervention will be feasible to implement with teens with type 2 diabetes and will have positive effects on treatment adherence, health outcomes like weight status and metabolic control, and psychological outcomes.
No linked publications found in PubMed
Inclusion Criteria: * Diagnosed with type 2 diabetes mellitus for 6 months or more * Age-adjusted Body Mass Index at or above the 85th percentile (considered overweight) * Established diabetes care in Nemours Children's Clinic system or diabetes care meets minimum criteria for current American Diabetes Association Standards. * Adolescent lives at home in the study geographical area (Jacksonville, FL)over the course of the study duration (one year). * One caregiver in the home is willing to participate in the family intervention. Exclusion Criteria: * Adolescent has another systemic chronic disease other than well-controlled asthma. * Genetic syndrome or disorder (other than diabetes) known to affect glucose tolerance. * Daily use of glucocorticoids or other medications known to affect glucose tolerance. * Teen is enrolled in special education for students who have autism or are mentally handicapped. * Adolescent is pregnant or planning to be pregnant within 1 year. * Teen resides in temporary foster care, group home, or juvenile detention center. * The family has an open case with an agency investigating child abuse or neglect. * Adolescent has been in an inpatient psychiatric facility or substance abuse treatment in the past 6 months.