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J Pediatr Psychol. 2011 Apr;36(3):329-39. doi: 10.1093/jpepsy/jsq088. Epub 2010 Oct 5.

Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors.

Author information

1
Department of Psychology, University of Utah, 380 S. 1530 E., Salt Lake City, UT 84112, USA. cynthia.berg@psych.utah.edu

Abstract

OBJECTIVE:

To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence.

METHODS:

A total of 252 young adolescents (M age = 12.49 years, SD = 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records.

RESULTS:

SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control.

CONCLUSIONS:

Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy.

PMID:
20926405
PMCID:
PMC3062285
DOI:
10.1093/jpepsy/jsq088
[Indexed for MEDLINE]
Free PMC Article

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