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The Diabetes Educator, Vol. 28, No. 1, 115-124 (2002)
DOI: 10.1177/014572170202800113

Increasing Problem Solving in Adolescents With Type 1 Diabetes: The Choices Diabetes Program

Sandy Cook, PhD

The University of Chicago, Biological Science Learning Center, 924 E. 57th Street, Suite 104, Chicago, IL 60637 scook{at}bsd.uchicago.edu

Kevan Herold, MD

Columbia University, New York

Deborah V. Edidin, MD

Northwestern University, Chicago, Illinois

Rosemary Briars, ND, APN, CDE

The University of Chicago, La Rabida Children's Hospital, Illinois

The purpose of this pilot study was to test the hypothesis that adolescents with type 1 diabetes can learn to become better problem solvers in diabetes self-care and thereby improve their metabolic control.

METHODS

Fifty-three adolescents aged 13 to 17 with type 1 diabetes were randomly assigned to either a 6-week problem-solving diabetes education program or to a control group (usual care). Al C levels were obtained as well as assessments of problem solving, frequency of behavior, level of responsibility, and 24-hour behavior recall at baseline and 6 months.

RESULTS

The experimental group participants showed significantly improved problem-solving test scores and Al C values from baseline to 6 months, changes not evident in the control group. At 6 months, the experimental group participants were doing blood glucose testing more often than those in the control group. However, there was no significant difference in problem-solving test scores or Al C values.

CONCLUSIONS

This 6-week intervention for adolescents with diabetes resulted in better problem-solving skills, more frequent blood glucose testing, and improved Al C values. The results suggest that a diabetes problem-solving program for adolescents can be effective in improving metabolic control.


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