Development of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes.

Jaser SS, Patel N, Linsky R, Whittemore R
J Pediatr Health Care. 2014 28 (6): 478-85

PMID: 24786582 · PMCID: PMC4273905 · DOI:10.1016/j.pedhc.2014.02.008

INTRODUCTION - Novel interventions are needed to improve adherence to treatment in adolescents with type 1 diabetes. In this article, we describe the development, feasibility, and acceptability of a positive psychology intervention for this population.

METHOD - Adolescents and their parents (n = 39) were randomly assigned to either a positive psychology intervention or an attention control group. Quantitative and qualitative data were collected on feasibility and acceptability. Descriptive and content analysis methods were used.

RESULTS - Recruitment was successful, participation and satisfaction were high in both groups, and retention was excellent over 6 months. In the positive psychology group, adolescents and their parents noted benefits related to increased positive communication and thinking more about diabetes care. We also identified challenges to implementation.

DISCUSSION - Although more research is indicated, a positive psychology framework emphasizing positive emotions and strengths, rather than problems, may be beneficial to adolescents living with a complex chronic illness.

Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

MeSH Terms (20)

Adolescent Blood Glucose Self-Monitoring Diabetes Mellitus, Type 1 Feasibility Studies Female Follow-Up Studies Humans Hypoglycemic Agents Male Medication Adherence Motivation Parents Patient Acceptance of Health Care Patient Satisfaction Pilot Projects Program Development Psychotherapy Self Care Surveys and Questionnaires Treatment Outcome

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