Does Self-Efficacy Mediate the Link Between Impulse Control and Diabetes Adherence?
| العنوان: | Does Self-Efficacy Mediate the Link Between Impulse Control and Diabetes Adherence? |
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| المؤلفون: | Victoria A. Miller, Karol Silva |
| المصدر: | J Pediatr Psychol |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Parents, Adolescent, Medication Adherence, Self-Control, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Diabetes mellitus, Developmental and Educational Psychology, medicine, Humans, 0501 psychology and cognitive sciences, Child, Competence (human resources), Multilevel mediation, Self-efficacy, Type 1 diabetes, business.industry, 05 social sciences, Multilevel model, medicine.disease, Self Efficacy, Impulse control, Diabetes Mellitus, Type 1, Impulsive Behavior, Pediatrics, Perinatology and Child Health, Cohort, business, 030217 neurology & neurosurgery, Regular Articles, 050104 developmental & child psychology, Clinical psychology |
| الوصف: | Objective The goal of this study was to test the hypothesis that diabetes self-efficacy mediates the relationship between impulse control and type 1 diabetes (T1D) management from ages 8 to 18 years, using multilevel modeling. Methods Participants included 117 youth with T1D and their parents. Youth (aged 8–16 years at baseline) and parents were assessed 5 times over 2 years. Using a cohort sequential design, we first estimated the growth trajectory of adherence from age 8 to 18 years, then specified a multilevel mediation model using impulse control as the main predictor, diabetes self-efficacy as the mediator, and changes in adherence (both within- and between-individuals) as the outcome. Results According to youth-reported adherence only, self-efficacy partially mediated the within-person effect of impulse control on adherence. On occasions when youth reported increases in impulse control, they tended to report higher adherence, and this was, in part, due to increases in youths’ perceived self-efficacy. Self-efficacy accounted for approximately 21% of the within-person relationship between impulse control and youth-reported adherence. There was no association between impulse control and adherence between-individuals. Impulse control and self-efficacy were not related to parent-reported adherence. Conclusion Environments that enrich youth with confidence in their own diabetes-related abilities may benefit self-care behaviors in youth with T1D, but such increases in youths’ perceived competence do not fully account for, or override, the behavioral benefits of impulse control. Efforts to improve adherence in youth with T1D will benefit from consideration of both impulse control and self-efficacy. |
| تدمد: | 1465-735X 0146-8693 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79586d4602230ee2ca8d13f918f34706Test https://doi.org/10.1093/jpepsy/jsaa007Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....79586d4602230ee2ca8d13f918f34706 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1465735X 01468693 |
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