Elizabeth R Pulgarón1, Lee M Sanders2, Anna Maria Patiño-Fernandez3, Diana Wile3, Janine Sanchez3, Russell L Rothman4, Alan M Delamater3. 1. Department of Clinical Pediatrics, University of Miami, Miller School of Medicine, Miami, USA. Electronic address: epulgaron@med.miami.edu. 2. Department of Pediatrics, Stanford University School of Medicine, Stanford, USA. 3. Department of Clinical Pediatrics, University of Miami, Miller School of Medicine, Miami, USA. 4. Center for Health Services Research, Vanderbilt University, Nashville, USA.
Abstract
OBJECTIVE: This cross sectional study examined the relationship between parental health literacy (HL), diabetes related numeracy, and parental perceived diabetes self-efficacy on glycemic control in a sample of young children with Type 1 DM. METHODS: Seventy primary caregivers of children (age 3-9 years) with Type 1 DM were recruited and surveyed at diabetes outpatient clinic visits. Patients' medical histories were obtained by medical chart review. RESULTS: Parental diabetes related numeracy (r=-.52, p<01), but not reading skills (r=-.25, p=NS) were inversely correlated with the child's glycemic control (HbA1c). Parental perceived diabetes self-efficacy was also negatively correlated to their child's HbA1c (r=-.47, p<01). When numeracy and parental perceived diabetes self-efficacy were included as predictors of HbA1c, the model was significant (F=12.93, p<.01) with both numeracy (β=-.46, p<.01) and parental perceived diabetes self-efficacy (β=-.36, p=.01) as significant predictors of HbA1c. CONCLUSIONS: Data from this study highlight the importance of considering the role of parental numeracy, in health outcomes for children with Type 1 DM. PRACTICE IMPLICATIONS: Practitioners should assess parental health literacy and consider intervention when needed.
OBJECTIVE: This cross sectional study examined the relationship between parental health literacy (HL), diabetes related numeracy, and parental perceived diabetes self-efficacy on glycemic control in a sample of young children with Type 1 DM. METHODS: Seventy primary caregivers of children (age 3-9 years) with Type 1 DM were recruited and surveyed at diabetesoutpatient clinic visits. Patients' medical histories were obtained by medical chart review. RESULTS: Parental diabetes related numeracy (r=-.52, p<01), but not reading skills (r=-.25, p=NS) were inversely correlated with the child's glycemic control (HbA1c). Parental perceived diabetes self-efficacy was also negatively correlated to their child's HbA1c (r=-.47, p<01). When numeracy and parental perceived diabetes self-efficacy were included as predictors of HbA1c, the model was significant (F=12.93, p<.01) with both numeracy (β=-.46, p<.01) and parental perceived diabetes self-efficacy (β=-.36, p=.01) as significant predictors of HbA1c. CONCLUSIONS: Data from this study highlight the importance of considering the role of parental numeracy, in health outcomes for children with Type 1 DM. PRACTICE IMPLICATIONS: Practitioners should assess parental health literacy and consider intervention when needed.
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