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ERIC Number: EJ811148
Record Type: Journal
Publication Date: 2008-Sep
Pages: 18
Abstractor: As Provided
Reference Count: 43
ISSN: ISSN-1045-3830
Using Behavioral Interventions to Assist Children with Type 1 Diabetes Manage Blood Glucose Levels
Lasecki, Kim; Olympia, Daniel; Clark, Elaine; Jenson, William; Heathfield, Lora Tuesday
School Psychology Quarterly, v23 n3 p389-406 Sep 2008
Treatment and management of chronic disease processes on children occurs across multiple settings, placing demands for consultation and expertise on school personnel, including school psychologists. One such chronic condition in children is type I diabetes. Children with type I insulin dependent diabetes mellitus exhibit high rates of noncompliance to treatment, which can lead to a variety of medical problems. This study examined the effectiveness of a specific behavioral intervention using behavioral consultation (BC) and conjoint behavioral consultation (CBC) to reduce uncontrolled blood glucose levels in medically at-risk children. An intermittent reward procedure was utilized to reinforce individualized target behaviors associated with treatment noncompliance. Specific target behaviors were individually established for six patients ages 8-12 through behavioral consultation interviews. Each child was randomly assigned to a reward + BC or reward + CBC condition. Results of the study showed that all participants improved; with slightly greater gains shown in the CBC condition. Follow-up data for 3 of the 4 participants completing the study showed improved compliance and mental health status. Treatment acceptability date indicate the intervention was viewed positively by parents and school based nurses. (Contains 2 tables and 3 figures.)
American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Evaluative
Education Level: Elementary Education; Elementary Secondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A