OBJECTIVE: To analyze associations between factor scores for caregiver responsibility for direct and indirect diabetes management tasks with glycemic control and blood glucose monitoring (BGM) frequency. METHODS: Two hundred and sixty one adolescents with type 1 diabetes and their caregivers completed the Diabetes Family Responsibility Questionnaire (DFRQ). Data on diabetes management (e.g., BGM frequency) and glycemic control (e.g., A1c values) were obtained. RESULTS: Confirmatory factor analysis of the DFRQ revealed two factors-direct and indirect management tasks. Multivariate analyses demonstrated that adolescent perception of greater responsibility sharing with caregivers on direct management tasks was significantly associated with higher BGM frequency. CONCLUSIONS: Adolescents who perceive greater caregiver responsibility, particularly around direct management tasks, engage in better diabetes management. Implications of these findings include designing interventions that encourage and sustain caregiver responsibility through adolescence and make explicit the contribution of caregivers.
OBJECTIVE: To analyze associations between factor scores for caregiver responsibility for direct and indirect diabetes management tasks with glycemic control and blood glucose monitoring (BGM) frequency. METHODS: Two hundred and sixty one adolescents with type 1 diabetes and their caregivers completed the Diabetes Family Responsibility Questionnaire (DFRQ). Data on diabetes management (e.g., BGM frequency) and glycemic control (e.g., A1c values) were obtained. RESULTS: Confirmatory factor analysis of the DFRQ revealed two factors-direct and indirect management tasks. Multivariate analyses demonstrated that adolescent perception of greater responsibility sharing with caregivers on direct management tasks was significantly associated with higher BGM frequency. CONCLUSIONS: Adolescents who perceive greater caregiver responsibility, particularly around direct management tasks, engage in better diabetes management. Implications of these findings include designing interventions that encourage and sustain caregiver responsibility through adolescence and make explicit the contribution of caregivers.
Authors: M A Harris; T Wysocki; M Sadler; K Wilkinson; L M Harvey; L M Buckloh; N Mauras; N H White Journal: Diabetes Care Date: 2000-09 Impact factor: 19.112
Authors: Suzanne B Johnson; Janet Silverstein; Arlan Rosenbloom; Randy Carter; Walter Cunningham Journal: Health Psychol Date: 1986 Impact factor: 4.267
Authors: K M Hanna; M T Weaver; T E Stump; L A Dimeglio; A R Miller; S Crowder; J D Fortenberry Journal: Child Care Health Dev Date: 2011-10-21 Impact factor: 2.508
Authors: Deborah J Wiebe; Chong Man Chow; Debra L Palmer; Jonathan Butner; Jorie M Butler; Peter Osborn; Cynthia A Berg Journal: J Pediatr Psychol Date: 2014-03-06