Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model

Autor: Howard Seltman, Trevor J. Orchard, Abigail Kunz Vaughn, Ingrid Libman, Vicki S. Helgeson, Dorothy J. Becker
Rok vydání: 2017
Předmět:
Zdroj: Journal of Behavioral Medicine. 41:186-194
ISSN: 1573-3521
0160-7715
Popis: The study goal was to examine the links of parent knowledge of children’s behavior to diabetes outcomes and to test a mediational model that focused on psychological distress and self-care behavior. We recruited 132 adolescents (average age 12) and followed them to average age 23. At age 23 (n = 107), we conducted in-person interviews with these emerging adults to measure parent knowledge, psychological distress, self-care behavior and glycemic control. We used structural equation modeling to test our hypotheses with these cross-sectional data. Higher levels of parent knowledge were linked to better glycemic control, and this path was mediated by reduced psychological distress and enhanced self-care behavior. Parents remain an important influence in the lives of emerging adults with type 1 diabetes. When emerging adults have a relationship with their parents in which they share general information, psychological distress may be reduced which then facilitates self-care and, ultimately, glycemic control.
Databáze: OpenAIRE