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Pediatr Diabetes. 2019 Aug 1. doi: 10.1111/pedi.12901. [Epub ahead of print]

"Let's talk about it" The role of parental communication in adolescents' motivation to adhere to treatment recommendations for type 1 diabetes.

Author information

1
University Hospital Leuven, Leuven, Belgium.
2
KU Leuven, Leuven, Belgium.
3
Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts.
4
Ghent University, Ghent, Belgium.
5
VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
6
UNIBS, University of the Free State, Bloemfontein, South Africa.

Abstract

OBJECTIVE:

Grounded in Self-Determination Theory, this study examines the role of parental expectations and communication style (ie, in an autonomy-supportive vs controlling way) in the prediction of adolescent motivation (ie, internalization or defiance) to adhere to self-management for type 1 diabetes.

METHODS:

Structural Equation Modeling was used in a cross-sectional, multi-informant study of 129 adolescents (Mage = 14.43; 54.4% girls), 110 mothers, and 98 fathers. Adolescents reported on self-motivation, treatment adherence, and parental expectations and communication styles; parents reported on their own expectations, communication style, and perceptions of adolescent treatment adherence. Medical record review provided HbA1c values.

RESULTS:

Across adolescent and parent reports, parental communication of diabetes-specific expectations and an autonomy-supportive style of communicating expectations related positively to adolescents' internalization of diabetes self-management and negatively to defiance against diabetes self-management. In contrast, a controlling parental communication style showed the opposite patterns of associations. Higher adolescent defiance was related to poorer treatment adherence and worse glycemic control.

CONCLUSIONS:

Parental communication styles related to adolescent motivation, which in turn, related to adolescent treatment adherence and glycemic control. Future longitudinal research can address the long-term impact of both maternal and paternal communication styles on adolescent motivation to adhere to treatment and their subsequent glycemic control.

KEYWORDS:

adolescents; motivation; parental communication; type 1 diabetes

PMID:
31369191
DOI:
10.1111/pedi.12901

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