Self-Management Training With Families of Insulin-Dependent Diabetic Children:

In a control group design with a multiple baseline across behaviors component, insulin dependent diabetic children and their parents were trained in self-managment. Parents and children conducted behavior change projects related to diabetes health care and a metabolic measure of diabetes control was obtained. When compared with control subjects, self-managment subjects reported a large decline in diabetes related family conflict and an increase in compliance with the medical regimen. These changes were maintained at six month follow-up. Both experimental and control subjects exhibited signficant improvements on the metabolic measure of diabetes control. Implications of these findings are discussed.