المؤلفون: Baker, Ashley C, Wiebe, Deborah J, Kelly, Caitlin S, Munion, Ascher, Butner, Jonathan E, Swinyard, Michael T, Murray, Mary, Berg, Cynthia A

المصدر: Journal of Behavioral Medicine. 42(5)

مصطلحات موضوعية: Social and Personality Psychology, Psychology, Behavioral and Social Science, Autoimmune Disease, Prevention, Clinical Research, Diabetes, Pediatric, 7.1 Individual care needs, Management of diseases and conditions, Metabolic and endocrine, Good Health and Well Being, Adolescent, Adult, Communication, Diabetes Mellitus, Type 1, Disease Management, Female, Glycated Hemoglobin, Humans, Male, Models, Structural, Mother-Child Relations, Patient-Centered Care, Self Care, Self Efficacy, Transition to Adult Care, Treatment Adherence and Compliance, Young Adult, Patient-centered communication, Type 1 diabetes, Transition to adult care, Early emerging adulthood, Self-efficacy, Diabetes management, Medical and Health Sciences, Psychology and Cognitive Sciences, Clinical Psychology, Public health, Social and personality psychology

الوصف: Early emerging adulthood (ages 18-25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals' high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/3z06f2dpTest

المؤلفون: Berg, Cynthia A, Wiebe, Deborah J, Lee Tracy, Eunjin, Kelly, Caitlin S, Mello, Daniel, Turner, Sara L, Butner, Jonathan E, Munion, Ascher K, Mansfield, Jessica H, White, Perrin C, Murray, Mary, Suchy, Yana

المصدر: Journal of Pediatric Psychology. 44(8)

مصطلحات موضوعية: Prevention, Diabetes, Metabolic and endocrine, Adolescent, Adult, Cognitive Dysfunction, Diabetes Mellitus, Type 1, Executive Function, Female, Follow-Up Studies, Humans, Male, Parenting, Parents, Patient Compliance, Young Adult, diabetes, family functioning, longitudinal research, neuropsychology, parents, Psychology, Developmental & Child Psychology

الوصف: ObjectiveTo examine (a) changes in parental involvement across early emerging adulthood, (b) whether yearly fluctuations in parental involvement were associated with adherence and glycated hemoglobin (HbA1c) over time, and (c) whether higher involvement was more beneficial for those with poorer executive function (EF).MethodsA total of 228 high school seniors (M age = 17.76) with type 1 diabetes reported on mothers' and fathers' acceptance, knowledge of diabetes activities, disclosure to mothers and fathers regarding diabetes, and adherence at four yearly time points. At baseline, participants completed performance-based measures of EF. HbA1c was collected from assay kits.ResultsGrowth curve models revealed significant declines in disclosure to fathers and mothers' and fathers' knowledge of diabetes activities; no changes were found in mothers' or fathers' acceptance nor disclosure to mothers. Multilevel models indicated significant between-person effects for nearly all aspects of parental involvement with more acceptance, knowledge, and disclosure associated with better HbA1c and adherence. Within-person effects for disclosure to fathers, and mothers' and fathers' knowledge indicated that in years when emerging adults perceived higher amounts of these types of involvement (compared with their own average), HbA1c was lower. Within-person effects were found for acceptance to mothers, disclosure to mothers and fathers, and mothers' diabetes knowledge for adherence. Disclosure to fathers and mothers' knowledge of diabetes activities were especially beneficial for HbA1c for those with poorer EF performance.ConclusionsParental involvement in diabetes management remains important during the high-risk time of emerging adulthood, especially for those with poorer EF.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/70k0j48tTest

المؤلفون: Kelly, Caitlin S, Berg, Cynthia A, Ramsey, Meagan A, Baker, Ashley C, Donaldson, David L, Swinyard, Michael T, Lindsay, Rob, Murray, Mary, Wiebe, Deborah J

المصدر: Children's Health Care. 47(3)

مصطلحات موضوعية: Psychology, Clinical and Health Psychology, Applied and Developmental Psychology, Clinical Research, Diabetes, 7.1 Individual care needs, Management of diseases and conditions, Metabolic and endocrine, Good Health and Well Being, Public Health and Health Services, Developmental & Child Psychology, Applied and developmental psychology, Clinical and health psychology

الوصف: The study examined how 'transition readiness' skills develop from relationship processes with parents, friends, and healthcare providers. During their senior year of high school and one year later, participants (N = 217) with type 1 diabetes completed measures of transition readiness skills (Self-Management; Self-Advocacy), adherence, HbA1c, and relationships with providers (patient-centered communication), parents (monitoring/knowledge), and friends (knowledge/helpfulness) surrounding diabetes. Self-Management skills increased across time. Higher friend knowledge/helpfulness during emerging adulthood was associated with increased Self-Management skills. Adherence improved when relationships with providers and friends matched transition readiness skills, indicating that these relationships may facilitate transition skills in early emerging adulthood.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/2vv1t009Test

المؤلفون: Berg, Cynthia A, Wiebe, Deborah J, Suchy, Yana, Hughes, Amy E, Anderson, Jessica H, Godbey, Elida I, Butner, Jonathan, Tucker, Christy, Franchow, Emilie I, Pihlaskari, Andrea K, King, Pamela S, Murray, Mary A, White, Perrin C

المصدر: Journal of Pediatric Psychology. 39(9)

مصطلحات موضوعية: Diabetes, Behavioral and Social Science, Clinical Research, Pediatric, Metabolic and endocrine, Adolescent, Adolescent Behavior, Blood Glucose, Blood Glucose Self-Monitoring, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin A, Humans, Individuality, Male, Patient Compliance, Self Care, Self Concept, Self-Control, Glycated Hemoglobin, adherence, adolescents, diabetes, executive function, self-regulation, Psychology, Developmental & Child Psychology

الوصف: ObjectiveTo examine whether individual differences and intraindividual (within-person day-to-day) fluctuations in late adolescents' self-regulation were associated with daily adherence to the type 1 diabetes regimen. Methods 110 school seniors (M age = 17.78 years) and their mothers assessed adolescents' skills underlying self-regulation (executive function, attention, self-control, behavioral inhibition and activation, emotion regulation) and adherence, with glycosylated hemoglobin from medical records. Teens completed daily diaries reporting self-regulation failures surrounding monitoring blood glucose, adherence, and number of blood glucose checks each day for 14 days. Results Hierarchical Linear Models indicated that better daily adherence was associated with teen and mother reports of better self-regulation skills and teens' reports of fewer daily self-regulation failures. Daily adherence was unrelated to temperamental differences in behavioral inhibition and activation. Conclusions Results indicate that both individual and intraindividual differences in self-regulation contribute to daily adherence highlighting the importance of daily self-regulatory challenges to adherence.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/9fc1s68sTest