(HealthDay News) — Adolescents with poor glycemic control of their type 1 diabetes can benefit from therapy delivered either via face to face sessions or videoconferencing, according to a study published in Diabetes Care.

Michael A. Harris, PhD, from the Harold Schnitzer Diabetes Health Center in Portland, Oregon, and colleagues assessed how the method of delivery of Behavioral Family Systems Therapy-Diabetes (BFST-D) affected outcomes among adolescents with type 1 diabetes with suboptimal glycemic control (HbA1c of at least 9.0%).

Teens (aged 12 to 18 years) and at least one adult caregiver were randomly assigned to receive BFST-D face to face in clinic or via Skype videoconferencing.

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Results revealed no significant between-group differences before or after BFST-D or at follow-up assessments. Collapsing the groups to assess the overall effects of BFST-D revealed that statistically significant improvements in adherence and glycemic control occurred from before to after the intervention. 

Adherence improvements were maintained at 3-month follow-up.

“Delivery of BFST-D via Internet-based videoconferencing is viable for addressing nonadherence and suboptimal glycemic control in adolescents with type 1 diabetes, potentially reducing important barriers to care for youth and families,” the researchers wrote.


  1. Harris MA et al. Diabetes Care. 2015;doi:10.2337/dc14-2469.