Access Type

Open Access Thesis

Date of Award

January 2012

Degree Type


Degree Name




First Advisor

Annmarie Cano


The purpose of this study was to examine the extent to which changes in parenting behaviors, in particular monitoring diabetes care completion and providing emotional support to the youth, improve health care status within participants in a Multisystemic psychotherapeutic intervention (MST). RM-ANOVAs were used to determine the relationship of parental involvement in the treatment and telephone support group over time. Change score correlations were used to examine changes in parental involvement relationship to changes in diabetes care behaviors. All participants in the study increased in parental monitoring over time, with no differences between the MST group and the telephone support group. Changes in types of parental monitoring were related to changes in adherence. Emotional support showed no change and was not related to diabetes outcomes. This research suggests parental involvement alone does not change diabetes behaviors but may be an important contributor and should be studied further to understand how to assist youth with diabetes.