Yelena P Wu1, Joseph Rausch2, Jennifer M Rohan2, Korey K Hood3, Jennifer S Pendley4, Alan Delamater5, Dennis Drotar1. 1. Center for Treatment Adherence and Self-Management. 2. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center. 3. Madison Clinic for Pediatric Diabetes, Division of Endocrinology, Department of Pediatrics, University of California. 4. Division of Behavioral Health, Alfred I. duPont Hospital for Children. 5. Department of Pediatrics, University of Miami.
Abstract
OBJECTIVE: Adolescence poses a number of special challenges for youth and their families managing the Type 1 diabetes medical regimen. Little is known on how family and youth factors and management of the regimen change over the course of early adolescence and predict adherence to the regimen during this developmental period. METHODS: Youth with Type 1 diabetes (n = 239) and their maternal caregivers completed measures of diabetes-specific autonomy support, diabetes-related family conflict, regimen responsibility, and blood glucose monitoring frequency (BGMF) at 4 timepoints over a 3-year period. RESULTS: Autonomy support and BGMF significantly decreased over time and responsibility for the diabetes regimen shifted from the caregiver toward youth over time. Significant changes in perceived family conflict over time differed depending on the reporter. Baseline BGMF, changes in caregiver autonomy support, and changes in responsibility for the regimen significantly predicted changes in BGMF over time. CONCLUSIONS: This study documents changes in autonomy support, youth responsibility for the diabetes regimen, and BGMF during the transition into early adolescence. Higher levels of caregiver autonomy support preserve BGMF during a developmental period in which BGMF typically deteriorates.
OBJECTIVE: Adolescence poses a number of special challenges for youth and their families managing the Type 1 diabetes medical regimen. Little is known on how family and youth factors and management of the regimen change over the course of early adolescence and predict adherence to the regimen during this developmental period. METHODS: Youth with Type 1 diabetes (n = 239) and their maternal caregivers completed measures of diabetes-specific autonomy support, diabetes-related family conflict, regimen responsibility, and blood glucose monitoring frequency (BGMF) at 4 timepoints over a 3-year period. RESULTS: Autonomy support and BGMF significantly decreased over time and responsibility for the diabetes regimen shifted from the caregiver toward youth over time. Significant changes in perceived family conflict over time differed depending on the reporter. Baseline BGMF, changes in caregiver autonomy support, and changes in responsibility for the regimen significantly predicted changes in BGMF over time. CONCLUSIONS: This study documents changes in autonomy support, youth responsibility for the diabetes regimen, and BGMF during the transition into early adolescence. Higher levels of caregiver autonomy support preserve BGMF during a developmental period in which BGMF typically deteriorates.
Authors: Yelena P Wu; David D Stenehjem; Lauri A Linder; Bin Yu; Bridget Grahmann Parsons; Ryan Mooney; Mark N Fluchel Journal: J Pediatr Oncol Nurs Date: 2017-11-30 Impact factor: 1.636
Authors: Meg C Nicholl; Jessica M Valenzuela; Keith Lit; Christian DeLucia; Amanda M Shoulberg; Jennifer M Rohan; Jennifer Shroff Pendley; Lawrence Dolan; Alan M Delamater Journal: J Pediatr Psychol Date: 2019-07-01
Authors: Jennifer M Rohan; Bin Huang; Jennifer Shroff Pendley; Alan Delamater; Lawrence Dolan; Grafton Reeves; Dennis Drotar Journal: J Pediatr Psychol Date: 2015-07-07
Authors: Krista S Viau; Jessica L Jones; Maureen A Murtaugh; Lisa H Gren; Joseph B Stanford; Deborah A Bilder Journal: Mol Genet Metab Rep Date: 2016-01-18