Deborah J. Wiebe, Chong Man Chow, Debra L. Palmer, Jonathan Butner, Jorie M. Butler, Peter Osborn, Cynthia A. Berg; Developmental Processes Associated With Longitudinal Declines in Parental Responsibility and Adherence to Type 1
Diabetes Management Across Adolescence, Journal of Pediatric Psychology, Volume 39, Issue 5, 1 June 2014, Pages 532 — 541, https://doi.org/10.1093/jpepsy/jsu006
Gender difference in adherence to type 1
diabetes management across adolescence: The mediating role of depression
Not exact matches
Provide health education services and classes
across the spectrum of weight
management, smoking cessation, nutrition, behavior change, stress
management and
diabetes management
Provided both inpatient and outpatient
diabetes education and
management for type 1, type 2 and gestational
diabetes across the age spectrum
Implemented Do Well Be Well, Cooking Well with
Diabetes Self -
Management, Walk
Across Texas, Family Physical Activity Program, BOUNCE for Girls, Parent and Toddler Program, as well as various other corporate wellness programs.
Results:
Across the lifespan, positive personal characteristics such as self - efficacy, self - esteem, and adaptive coping were associated with
diabetes management and glycemic control.
Adolescent disclosure to and secrecy from parents were uniquely associated with
diabetes management and depressive symptoms independent of parental knowledge
across ethnic groups; maternal reports of knowledge about her adolescent's
diabetes care activities were associated with
diabetes management independent of adolescent disclosure and secrecy.
It is important to investigate factors that contribute to better
diabetes management during adolescence because patterns of mismanagement established in adolescence often extend into adulthood (Bryden et al., 2001), and the resulting poor glycemic control has serious and costly complications across the lifespan (Diabetes Control and Complications Trial [DCCT]
diabetes management during adolescence because patterns of mismanagement established in adolescence often extend into adulthood (Bryden et al., 2001), and the resulting poor glycemic control has serious and costly complications
across the lifespan (
Diabetes Control and Complications Trial [DCCT]
Diabetes Control and Complications Trial [DCCT], 1993).
Second, the present study investigated whether there were differential relations of parental acceptance and
diabetes conflict to adolescent
diabetes management (metabolic control and adherence) and depressive symptoms
across ethnicities.
It remains unclear whether (a) there are ethnic differences in levels of parental acceptance and
diabetes conflict and (b) whether acceptance and conflict show similar associations with
diabetes management and psychological adjustment
across Latinos and Caucasians.
Results
Across ethnic groups, adolescent - reported mother and father acceptance were associated with better
diabetes management, whereas mother - reported conflict was associated with poorer
diabetes management and more depressive symptoms.
There has been little work examining both positive (e.g., acceptance) and negative (e.g., conflict) aspects of parent — adolescent relationship quality in a single study, so this study contributes to our understanding of how these processes affect adolescent
diabetes management and depressive symptoms
across different domains of the relationship with both mothers and fathers.
The hypothesis that the effect of CPI on outcomes may be greater for older youth or for youth who have a greater level of responsibility for
diabetes management was not supported, indicating that the association of CPI with
diabetes adherence and quality of life is equally associated
across the ages and levels of youth responsibility present in this sample.
As such, the assessment of parent collaborative involvement as applicable to varying levels of parent responsibility is particularly relevant
across the transition in
diabetes management responsibility that occurs
across preadolescence and adolescence.