Family and Youth Factors Associated With Health Beliefs and Health Outcomes in Youth With Type 1 Diabetes

To examine the association of family organization with metabolic control in adolescents with type 1 diabetes through the mechanisms of family self-efficacy for diabetes and disease management. Data from the baseline assessment of a longitudinal RCT were used, wherein 257 adolescent-parent dyads (ado...

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Bibliographic Details
Published in:Journal of pediatric psychology 2012-10, Vol.37 (9), p.980-989
Main Authors: HERGE, Whitney M, STREISAND, Randi, RUSAN CHEN, HOLMES, Clarissa, KUMAR, Anil, RACE MACKEY, Eleanor
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child clinical studies
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Diabetes. Impaired glucose tolerance
Disease Management
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Family - psychology
Female
Health Knowledge, Attitudes, Practice
Humans
Longitudinal Studies
Male
Medical sciences
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Care - psychology
Self Efficacy
Social Support
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Summary:To examine the association of family organization with metabolic control in adolescents with type 1 diabetes through the mechanisms of family self-efficacy for diabetes and disease management. Data from the baseline assessment of a longitudinal RCT were used, wherein 257 adolescent-parent dyads (adolescents aged 11-14) each completed the family organization subscale of the Family Environment Scale, the self-efficacy for Diabetes Self-Management Scale, the Diabetes Behavior Rating Scale, and 2 24-hr diabetes interviews. Structural equation modeling showed greater family organization was associated indirectly with better disease management behaviors via greater family self-efficacy (β = .38, p < .001). Greater self-efficacy was indirectly associated with better metabolic control via better disease management both concurrently (β = -.37, p < .001) and prospectively (β = -.26, p < .001). The full model indicates more family organization is indirectly associated with better metabolic control concurrently and prospectively through greater self-efficacy and better disease management (β = -.13, p < .001). Understanding the mechanisms by which family organization is associated with metabolic control provides insight into possible avenues of prevention/intervention for better diabetes management.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jss067