Multisystemic therapy for adolescents with poorly controlled type 1 diabetes: reduced diabetic ketoacidosis admissions and related costs over 24 months.

Abstract:

OBJECTIVE:The study aim was to determine if multisystemic therapy (MST), an intensive home-based psychotherapy, could reduce hospital admissions for diabetic ketoacidosis (DKA) in youth with poorly controlled type 1 diabetes over 24 months. Potential cost savings from reductions in admissions were also evaluated. RESEARCH DESIGN AND METHODS:A total of 127 youth were randomly assigned to MST or control groups and also received standard medical care. RESULTS:Youth who received MST had significantly fewer hospital admissions than control subjects (chi(2) = 11.77, 4 d.f., n = 127; P = 0.019). MST-treated youth had significantly fewer admissions versus their baseline rate at 6-month (P = 0.004), 12-month (P = 0.021), 18-month (P = 0.046), and 24-month follow-up (P = 0.034). Cost to provide MST was 6,934 USD per youth; however, substantial cost offsets occurred from reductions in DKA admissions. CONCLUSIONS:The study demonstrates the value of intensive behavioral interventions for high-risk youth with diabetes for reducing one of the most serious consequences of medication noncompliance.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Ellis D,Naar-King S,Templin T,Frey M,Cunningham P,Sheidow A,Cakan N,Idalski A

doi

10.2337/dc07-2094

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

1746-7

issue

9

eissn

0149-5992

issn

1935-5548

pii

dc07-2094

journal_volume

31

pub_type

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