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Diabetes Care, Vol 8, Issue 2 152-155, Copyright © 1985 by American Diabetes Association
Social learning intervention to promote metabolic control in type I diabetes mellitus: pilot experiment results
RM Kaplan, MW Chadwick and LE Schimmel
Patients with type I, or insulin-dependent, diabetes mellitus (IDDM) must
comply with a complex behavioral regimen to control their diabetes.
Compliance is often poor in teenage patients who are adversely influenced
by peers. During a diabetes summer school, we randomly assigned 21 IDDM
patients to one of two groups. One group participated in daily
social-learning exercises designed to improve social skills and the ability
to resist peer influence. The second group spent an equal amount of time
learning medical facts about diabetes care. Four months after the
intervention, hemoglobin A1 was significantly lower in the social skills
intervention group. A variety of variables were significantly correlated
with good metabolic control. These included self-reported compliance with a
diabetes regimen and attitudes toward self-care. Unexpectedly, variables
correlated with poor diabetes control included social problem-solving
ability and satisfaction with social support.

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Copyright © 1985 by the American Diabetes Association.
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