Jennifer M Rohan1, Bin Huang2, Jennifer Shroff Pendley3, Alan Delamater4, Lawrence Dolan5, Grafton Reeves6, Dennis Drotar7. 1. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, University of Cincinnati, Jennifer.Rohan@childrens.harvard.edu. 2. Division of Epidemiology and Biostatistics, Cincinnati Children's Hospital Medical Center. 3. Division of Behavioral Health, Alfred I. duPont Hospital for Children, Wilmington, DE. 4. Department of Pediatrics, University of Miami. 5. Division of Endocrinology, Cincinnati Children's Hospital Medical Center, and. 6. Division of Pediatric Endocrinology, Alfred I. duPont Hospital for Children. 7. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, University of Cincinnati.
Abstract
OBJECTIVES: This research examined whether individual and family-level factors during the transition from late childhood to early adolescence protected individuals from an increased risk of poor glycemic control across time, which is a predictor of future diabetes-related complications (i.e., health resilience). METHODS: This longitudinal, multisite study included 239 patients with type 1 diabetes and their caregivers. Glycemic control was based on hemoglobin A1c. Individual and family-level factors included: demographic variables, youth behavioral regulation, adherence (frequency of blood glucose monitoring), diabetes self-management, level of parental support for diabetes autonomy, level of youth mastery and responsibility for diabetes management, and diabetes-related family conflict. RESULTS: Longitudinal mixed-effects logistic regression indicated that testing blood glucose more frequently, better self-management, and less diabetes-related family conflict were indicators of health resilience. CONCLUSIONS: Multiple individual and family-level factors predicted risk for future health complications. Future research should develop interventions targeting specific individual and family-level factors to sustain glycemic control within recommended targets, which reduces the risk of developing future health complications during the transition to adolescence and adulthood.
OBJECTIVES: This research examined whether individual and family-level factors during the transition from late childhood to early adolescence protected individuals from an increased risk of poor glycemic control across time, which is a predictor of future diabetes-related complications (i.e., health resilience). METHODS: This longitudinal, multisite study included 239 patients with type 1 diabetes and their caregivers. Glycemic control was based on hemoglobin A1c. Individual and family-level factors included: demographic variables, youth behavioral regulation, adherence (frequency of blood glucose monitoring), diabetes self-management, level of parental support for diabetes autonomy, level of youth mastery and responsibility for diabetes management, and diabetes-related family conflict. RESULTS: Longitudinal mixed-effects logistic regression indicated that testing blood glucose more frequently, better self-management, and less diabetes-related family conflict were indicators of health resilience. CONCLUSIONS: Multiple individual and family-level factors predicted risk for future health complications. Future research should develop interventions targeting specific individual and family-level factors to sustain glycemic control within recommended targets, which reduces the risk of developing future health complications during the transition to adolescence and adulthood.
Authors: Marisa E Hilliard; Jennifer M Rohan; Joseph R Rausch; Alan Delamater; Jennifer Shroff Pendley; Dennis Drotar Journal: J Pediatr Psychol Date: 2013-09-06
Authors: Megan M Miller; Jennifer M Rohan; Alan Delamater; Jennifer Shroff-Pendley; Lawrence M Dolan; Grafton Reeves; Dennis Drotar Journal: J Pediatr Psychol Date: 2012-09-30
Authors: Pamela S King; Cynthia A Berg; Jonathan Butner; Linda M Drew; Carol Foster; David Donaldson; Mary Murray; Michael Swinyard; Deborah J Wiebe Journal: J Adolesc Health Date: 2011-12-03 Impact factor: 5.012
Authors: Yelena P Wu; Joseph Rausch; Jennifer M Rohan; Korey K Hood; Jennifer S Pendley; Alan Delamater; Dennis Drotar Journal: Health Psychol Date: 2014-01-27 Impact factor: 4.267
Authors: Jennifer M Rohan; Joseph R Rausch; Jennifer Shroff Pendley; Alan M Delamater; Lawrence Dolan; Grafton Reeves; Dennis Drotar Journal: Health Psychol Date: 2013-11-25 Impact factor: 4.267
Authors: Joseph R Rausch; Korey K Hood; Alan Delamater; Jennifer Shroff Pendley; Jennifer M Rohan; Grafton Reeves; Lawrence Dolan; Dennis Drotar Journal: Diabetes Care Date: 2012-04-03 Impact factor: 19.112
Authors: Marisa E Hilliard; Viena T Cao; Sahar S Eshtehardi; Charles G Minard; Rana Saber; Debbe Thompson; Lefkothea P Karaviti; Barbara J Anderson Journal: Diabetes Technol Ther Date: 2020-05-22 Impact factor: 6.118
Authors: Marisa E Hilliard; Virginia Hagger; Christel Hendrieckx; Barbara J Anderson; Steven Trawley; Michelle M Jack; Frans Pouwer; Timothy Skinner; Jane Speight Journal: Diabetes Care Date: 2017-04-26 Impact factor: 19.112
Authors: Jenna B Shapiro; Fred B Bryant; Grayson N Holmbeck; Korey K Hood; Jill Weissberg-Benchell Journal: Health Psychol Date: 2021-05 Impact factor: 4.267