A Longitudinal Analysis of Adherence and Health Status in Childhood Diabetes
| Autor: | Michael Kelly, Suzanne Bennett Johnson, John C. Henretta, Walter R. Cunningham, Adrian Tomer, Janet H. Silverstein |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Calorie Health Status Childhood diabetes Disease Models Psychological Structural equation modeling Internal medicine Diabetes mellitus Developmental and Educational Psychology Humans Medicine Longitudinal Studies Child Glycemic business.industry Sick Role medicine.disease Lipids Diabetes Mellitus Type 1 Endocrinology El Niño Metabolic control analysis Pediatrics Perinatology and Child Health Patient Compliance Female business |
| Zdroj: | Journal of Pediatric Psychology. 17:537-553 |
| ISSN: | 1465-735X 0146-8693 |
| DOI: | 10.1093/jpepsy/17.5.537 |
| Popis: | Applied structural equation modeling to a longitudinal data set of 193 youngsters with insulin-dependent diabetes mellitus assessed on two occasions, an average of 1.65 years apart. Six adherence constructs, Injection, Exercise, Diet Type, Testing-Eating Frequency, Calories Consumed, and Concentrated Sweets, were quantified from 24-hr recall interviews conducted with mother and child. Glycemic control was indexed by glycosylated hemoglobin (HA1C); lipid metabolism was indexed by fasting triglyceride levels (TRIG). The relationship of each adherence construct to metabolic control was tested separately. Patient age and disease duration served as exogenous variables in all models. Testing-Eating Frequency was associated with HA1C and Injection was associated with TRIG; in both cases better adherence was associated with better metabolic control. However, the standardized regression weights and variance accounted for were small. Patient age was a predictor of both adherence and metabolic control; older youngsters were less adherent and were in worse metabolic control. Inspection of models for younger versus older children suggested that age-homogeneous models improved prediction, but adherence and metabolic control linkages remained weak. Suggestions for refining the model are provided. |
| Databáze: | OpenAIRE |
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