This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (10) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Cook, S. Articles by Briars, R. Search for Related Content PubMed PubMed Citation Articles by Cook, S. Articles by Briars, R. Pubmed/NCBI databases Medline Plus Health Information Child Mental Health Diabetes Type 1 Teen Development Teen Mental Health Social Bookmarking                         What's this?

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

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.

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


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				F. Hill-Briggs and L. Gemmell Problem Solving in Diabetes Self-management and Control: A Systematic Review of the Literature The Diabetes Educator, November 1, 2007; 33(6): 1032 - 1050. [Abstract] [Full Text] [PDF]

				E. B. Fisher, C. T. Thorpe, B. M. DeVellis, and R. F. DeVellis Healthy Coping, Negative Emotions, and Diabetes Management: A Systematic Review and Appraisal The Diabetes Educator, November 1, 2007; 33(6): 1080 - 1103. [Abstract] [Full Text] [PDF]

				R. M. Anderson Is It Ethical to Assign Medically Underserved African Americans to a Usual-Care Control Group in Community-Based Intervention Research? Diabetes Care, July 1, 2005; 28(7): 1817 - 1820. [Full Text] [PDF]

				S. Cook, M. C. Solomon, and C. A. Berry Nutrient Intake of Adolescents With Diabetes The Diabetes Educator, May 1, 2002; 28(3): 382 - 388. [PDF]