Jason Van Allen1, Ric G Steele2, Michael B Nelson3, James Peugh4, Anna Egan5, Mark Clements6, Susana R Patton7. 1. Clinical Psychology Program, Department of Psychological Sciences, Texas Tech University, jasonmvanallen@gmail.com. 2. Clinical Child Psychology Program, University of Kansas. 3. Department of Pediatrics, University of Utah School of Medicine. 4. Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center. 5. Division of Developmental and Behavioral Sciences, Children's Mercy Kansas City. 6. Division of Endocrinology and Diabetes, Department of Pediatrics, Children's Mercy Kansas City, and. 7. Department of Pediatrics, University of Kansas Medical Center.
Abstract
OBJECTIVES: To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period. METHODS: A total of 110 participants (aged 10-16 years) completed study measures at Time 1, and 81 completed measures at Time 2. Analyses examined hope and optimism as predictors of change in health outcomes, and examined SMBG as a mediator of the relationship between hope and optimism, and HbA1c. RESULTS: Change in hope, but not optimism, was associated with change in SMBG and HbA1c. Change in SMBG mediated the relationship between change in hope and HbA1c, but not between optimism and HbA1c. CONCLUSIONS: It may be beneficial to assess hope in pediatric T1DM patients to identify youths who may be at risk for poor diabetes management, and to test the benefit of hope-based intervention efforts in clinical studies.
OBJECTIVES: To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period. METHODS: A total of 110 participants (aged 10-16 years) completed study measures at Time 1, and 81 completed measures at Time 2. Analyses examined hope and optimism as predictors of change in health outcomes, and examined SMBG as a mediator of the relationship between hope and optimism, and HbA1c. RESULTS: Change in hope, but not optimism, was associated with change in SMBG and HbA1c. Change in SMBG mediated the relationship between change in hope and HbA1c, but not between optimism and HbA1c. CONCLUSIONS: It may be beneficial to assess hope in pediatric T1DM patients to identify youths who may be at risk for poor diabetes management, and to test the benefit of hope-based intervention efforts in clinical studies.
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