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OBJECTIVE	To evaluate the efficacy of two office-based treatments designed to prevent deterioration in glycemic control in young adolescents with type 1 diabetes in a randomized clinical trial .
OBJECTIVE	An individualized , more intensive family teamwork Coping skills program was compared with a diabetes Education treatment .
METHODS	A baseline assessment was followed by four brief treatment sessions and immediate posttesting over the course of 1.5 years .
METHODS	Families of 226 early adolescents ( ages 11-14 ) were randomized to receive either individualized coping skills education or diabetes education as adjunctive treatment to quarterly medical appointments .
METHODS	Continued follow-up occurred at 3.5-month intervals for a long-term follow-up of up to 3 years .
METHODS	A post hoc Usual Care group facilitated comparisons of glycemic control .
RESULTS	Growth curve analysis showed that both treatment groups successfully prevented deterioration in adolescent disease care and simultaneously improved adolescent and parent quality of life that included indicators of more effective communication and reduced adherence barriers-without a concomitant increase in diabetes-related or general family conflict .
RESULTS	However , contrary to expectation , the Education group was more efficacious than the Coping group in improvement of disease adherence and glycemic control over a 3-year follow-up .
CONCLUSIONS	Low-intensity office-based quarterly treatment can maintain or improve disease care adherence in early adolescence when provided to adolescent/parent dyads .
CONCLUSIONS	Better outcomes are achieved when treatment goals and techniques match the needs of the targeted population .

