Erschienen in:
16.09.2017
Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model
verfasst von:
Vicki S. Helgeson, Abigail Kunz Vaughn, Howard Seltman, Trevor Orchard, Dorothy Becker, Ingrid Libman
Erschienen in:
Journal of Behavioral Medicine
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Ausgabe 2/2018
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Abstract
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.