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Adolescent and Parent Motivation for Change Affects Psychotherapy Outcomes Among Youth With Poorly Controlled Diabetes
- Source :
- Journal of Pediatric Psychology. 37:75-84
- Publication Year :
- 2011
- Publisher :
- Oxford University Press (OUP), 2011.
-
Abstract
- Objectives Investigate effect of baseline motivation for change on treatment fidelity, therapeutic alliance, treatment dose, and treatment outcome in a randomized controlled trial of family therapy for youth with poorly controlled diabetes. Methods Seventy-four adolescents and caregivers completed measures of motivation for change. Measures of fidelity, alliance, dose, and youth health status were collected. Structural equation modeling was used to test the direct and indirect effects of motivation on treatment outcomes. Results Parent motivation was significantly related to alliance and fidelity. Only alliance was significantly related to posttreatment metabolic control. In adolescent models, only motivation was significantly related to alliance. In both models, motivation had a significant indirect effect on metabolic control through alliance. Conclusions Findings demonstrate the importance of parent and youth initial motivational status and treatment alliance to treatment outcome among youth with poorly controlled diabetes. Additional research on treatment techniques that promote motivation for change is needed.
- Subjects :
- Adult
Male
Parents
Family therapy
Psychotherapist
Adolescent
media_common.quotation_subject
Fidelity
Structural equation modeling
Developmental psychology
law.invention
Randomized controlled trial
Behavior Therapy
law
Diabetes mellitus
Diabetes Mellitus
Developmental and Educational Psychology
medicine
Humans
media_common
Motivation
Middle Aged
medicine.disease
Test (assessment)
Treatment Outcome
Alliance
Metabolic control analysis
Pediatrics, Perinatology and Child Health
Special Section: Intervention
Family Therapy
Female
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 1465735X and 01468693
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Psychology
- Accession number :
- edsair.doi.dedup.....24e6715eb0f4e90a71cf23ef28481d7e