10.1184/R1/6617414.v1
Vicki Helgeson
Vicki
Helgeson
Kerry A. Reynolds
Kerry A.
Reynolds
Linda Siminerio
Linda
Siminerio
Oscar Escobar
Oscar
Escobar
Dorothy Becker
Dorothy
Becker
Parent and adolescent distribution of responsibility for diabetes self-care: links to health outcomes.
Carnegie Mellon University
2008
Adolescent
Child
Diabetes Mellitus
Type 1
Female
Hemoglobin A
Glycosylated
Humans
Illness Behavior
Injections
Subcutaneous
Insulin
Insulin Infusion Systems
Life Style
Longitudinal Studies
Male
Parent-Child Relations
Parenting
Patient Compliance
Questionnaires
Self Care
Self Efficacy
Stress
Psychological
2008-06-01 00:00:00
Journal contribution
https://kilthub.cmu.edu/articles/journal_contribution/Parent_and_adolescent_distribution_of_responsibility_for_diabetes_self-care_links_to_health_outcomes_/6617414
<p>OBJECTIVE: To examine the relation of adolescent and parent responsibility distribution for diabetes self-care to psychological and physical health.</p>
<p>METHODS: We interviewed children (mean age 12 years) annually for 3 years and asked parents to complete a questionnaire. Both reported how diabetes self-care was distributed in the family. Amount of responsibility held by the child only, the parent only, and shared between child and parent was calculated. Psychological distress, competence, and diabetes outcomes were assessed at each wave.</p>
<p>RESULTS: In both cross-sectional and longitudinal (lagged) analyses, multilevel modeling showed that shared responsibility was consistently associated with better psychological health, good self-care behavior, and good metabolic control, whereas child and parent responsibility were not. In some cases, links of shared responsibility to health outcomes were stronger among older adolescents.</p>
<p>CONCLUSIONS: These findings highlight the importance of shared responsibility for diabetes self-care through early to middle adolescence.</p>