Carcone April Idalski, Ellis Deborah A, Chen Xinguang, Naar Sylvie, Cunningham Phillippe B, Moltz Kathleen
Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA.
Department of Epidemiology, College of Public Health & Health Professions and College of Medicine, University of Florida, Gainesville, FL, USA.
J Clin Psychol Med Settings. 2015 Sep;22(2-3):169-78. doi: 10.1007/s10880-015-9422-y.
The purpose of this study was to determine if multisystemic therapy (MST), an intensive, home and community-based family treatment, significantly improved patient-provider relationships in families where youth had chronic poor glycemic control. One hundred forty-six adolescents with type 1 or 2 diabetes in chronic poor glycemic control (HbA1c ≥8 %) and their primary caregivers were randomly assigned to MST or a telephone support condition. Caregiver perceptions of their relationship with the diabetes multidisciplinary medical team were assessed at baseline and treatment termination with the Measure of Process of Care-20. At treatment termination, MST families reported significant improvement on the Coordinated and Comprehensive Care scale and marginally significant improvement on the Respectful and Supportive Care scale. Improvements on the Enabling and Partnership and Providing Specific Information scales were not significant. Results suggest MST improves the ability of the families and the diabetes treatment providers to work together.
本研究的目的是确定多系统治疗（MST），一种强化的、基于家庭和社区的家庭治疗方法，是否能显著改善青少年血糖长期控制不佳的家庭中患者与提供者之间的关系。146名1型或2型糖尿病且血糖长期控制不佳（糖化血红蛋白≥8%）的青少年及其主要照顾者被随机分配至MST组或电话支持组。在基线和治疗结束时，使用护理过程量表-20评估照顾者对其与糖尿病多学科医疗团队关系的认知。治疗结束时，MST组家庭在协调和全面护理量表上报告有显著改善，在尊重和支持性护理量表上有微弱显著改善。在赋能与伙伴关系量表和提供具体信息量表上的改善不显著。结果表明，MST提高了家庭与糖尿病治疗提供者共同协作的能力。
