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24.01.2019

Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care

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

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2019

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Abstract

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.

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Titel: Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care
verfasst von: Ashley C. Baker
Deborah J. Wiebe
Caitlin S. Kelly
Ascher Munion
Jonathan E. Butner
Michael T. Swinyard
Mary Murray
Cynthia A. Berg
Publikationsdatum: 24.01.2019
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 5/2019
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00012-9

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Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care

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