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 |
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Rok vydání: | 2017 |
Předmět: |
Adult
Blood Glucose Male Parents Parent knowledge Adolescent Control (management) 030209 endocrinology & metabolism Article Structural equation modeling Developmental psychology Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Humans 0501 psychology and cognitive sciences Child General Psychology Glycemic Type 1 diabetes 05 social sciences medicine.disease Test (assessment) Self Care Psychiatry and Mental health Health psychology Cross-Sectional Studies Diabetes Mellitus Type 1 Knowledge Female Psychology 050104 developmental & child psychology Clinical psychology |
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 |
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