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Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes.

Jaser SS, Patel N, Rothman RL, Choi L, Whittemore R
Diabetes Educ. 2014 40 (5): 659-67

PMID: 24867917 · PMCID: PMC4283584 · DOI:10.1177/0145721714535990

PURPOSE - The purpose of the current study was to pilot-test a positive psychology intervention to improve adherence to diabetes management in adolescents with type 1 diabetes.

METHODS - A total of 39 adolescents (ages, 13-17 years) with type 1 diabetes and their caregivers were randomized to a positive psychology intervention (n = 20) or an attention control (education) intervention (n = 19). The intervention condition used positive psychology exercises (eg, gratitude, self-affirmation), small gifts, and parent affirmations to boost positive affect. Outcomes included frequency of blood glucose monitoring, quality of life, and glycemic control.

RESULTS - No main effects for treatment were observed at the 6-month follow-up. However, there was a significant association between adolescents' levels of positive affect and measures of adherence, including self-report and meter downloads of glucose monitoring.

CONCLUSIONS - The results from the current study support the assertion that positive affect in the context of diabetes education is an important factor to consider in adolescents with type 1 diabetes.

© 2014 The Author(s).

MeSH Terms (20)

Adolescent Adolescent Behavior Affect Blood Glucose Blood Glucose Self-Monitoring Caregivers Cognitive Behavioral Therapy Diabetes Mellitus, Type 1 Directive Counseling Feasibility Studies Female Follow-Up Studies Humans Hypoglycemic Agents Male Medication Adherence Parents Pilot Projects Quality of Life Treatment Outcome

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