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Diabetes Educ. 2003 Mar-Apr;29(2):283-91.

Adolescents' behavioral autonomy related to diabetes management and adolescent activities/rules.

Author information

  • 1Indiana University School of Nursing, 1111 Middle Drive, NU 451, Indianapolis, IN 46202, USA. kathanna@iupui.edu

Abstract

PURPOSE:

The purpose of this preliminary study was to describe and explore the behavioral autonomy (both independent functioning and decision making) of adolescents with type 1 diabetes.

METHODS:

A sample of 34 adolescents with type 1 diabetes completed checklists on independent functioning and decision making for daily and nondaily diabetes management as well as typical adolescent activities/rules.

RESULTS:

Independent functioning in daily diabetes management was greater for older adolescents. Independent functioning and decision making for daily diabetes management, nondaily diabetes management, and typical adolescent activities/rules were strongly correlated. Independent decision making, but not independent functioning for daily diabetes management, was significantly correlated to metabolic control.

CONCLUSIONS:

The strong relationship between independent decision making and functioning suggests that both aspects are important parts of behavioral autonomy to be assessed by healthcare professionals working with adolescents with type 1 diabetes. Healthcare professionals should encourage parental involvement that facilitates adolescents' independent decision making, which was related to better metabolic control in this study.

PMID:
12728755
[PubMed - indexed for MEDLINE]
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