Motivational/solution-focused intervention improves HbA1c in adolescents with Type 1 XXXX : a pilot study.

@entity1 @entity6 @entity4051
AIMS: We piloted a motivational and solution-focused therapy group intervention to improve glycaemic control in young @entity1 11-17 years with poorly controlled Type 1 @entity6 (mean annual HbA1c >8.5%). METHODS: Seventy-seven subjects agreed to be assessed for a pilot non-randomized controlled trial. Subjects completed psychological questionnaires and were given feedback designed to encourage entry into the intervention. Twenty-one young @entity1 opted to enter the intervention groups (cases). Two intervention groups consisting of five to six subjects were conducted in each age band 10-13 years and 14-17 years. Twenty of those who did not opt to join the groups were randomly selected to act as controls. Cases and controls were well matched for age, HbA1c, duration of @entity6 and socio-economic status. RESULTS: The intervention produced a significant improvement of 1.5% in @entity4051 c in cases (P<0.05) at 4-6 months post intervention compared with no change in controls. This improvement was partly maintained at 7-12 months post intervention. CONCLUSIONS: These pilot data suggest that a motivational/solution-focused group intervention is promising in improving HbA1c in adolescents and should be investigated further in a randomized controlled trial.
