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.
Although child age did not moderate the relation between the other family functioning factors and metabolic control in this research, previous studies clearly document developmental changes
in diabetes management responsibility (e.g., the shift of responsibilities from the parent to the adolescent; Anderson & Laffel, 1997).
Not exact matches
More specifically,
in families where no one assumes
responsibility for
diabetes management, children were
in worse metabolic control, a finding that is consistent with that of Anderson et al. (1990).
When parents do not take
responsibility for
diabetes management themselves or can not agree with the child regarding who has
responsibility for each specific regimen components, it seems intuitive that children may be
in worse metabolic control.
During the transition into adolescence, a developmental period marked by significant decline
in diabetes outcomes, the primary
responsibility for
diabetes management shifts from parent to child (Wiebe et al., 2014).
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
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 parents and children negotiate
responsibilities in diabetes management, and as these
responsibilities change over time, it is likely that parent - adolescent conflict will develop.
Multisystemic therapy decreases parental overestimation of adolescent
responsibility for type 1
diabetes management in urban youth