Sofie Prikken1, Koen Raymaekers2, Leen Oris3, Jessica Rassart3, Ilse Weets4, Philip Moons5, Koen Luyckx6. 1. KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels, Belgium. Electronic address: sofie.prikken@kuleuven.be. 2. KU Leuven, Leuven, Belgium. 3. KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels, Belgium. 4. Free University Brussels / University Hospital Brussels, Brussels, Belgium. 5. KU Leuven, Leuven, Belgium; University of Gothenburg, Gothenburg, Sweden. 6. KU Leuven, Leuven, Belgium; UNIBS, University of the Free State, Bloemfontein, South Africa.
Abstract
AIMS: A family approach was applied to examine youth, maternal, and paternal control perceptions in relation to type 1 diabetes outcomes in adolescents and emerging adults. Mean levels of personal and treatment control were compared among patients and parents. Their associations with diabetes outcomes were examined as well. METHODS: The sample included 330 patient-mother-father triads. Patients' (48% male) mean age was 18.25 years (SD = 2.98). All respondents reported on their control perceptions and youth treatment adherence. Physicians provided HbA1c-values. RESULTS: Paired-samples t-tests revealed higher personal control in patients compared to parents. Regression analyses examined if control perceptions predicted treatment adherence and HbA1c. Main effects for patient and maternal personal control and two-way interactions showed the best outcomes when both patients and mothers reported high personal control. Main effects of patient, maternal, and paternal treatment control and three-way interaction terms revealed better outcomes in case of high treatment control in patients and at least one parent, while the poorest outcomes were observed in case of low treatment control in all respondents. CONCLUSIONS: The findings highlight the importance of parental control perceptions on top of patients' own perceptions. A family perspective on illness perceptions and their associations with diabetes outcomes is encouraged.
AIMS: A family approach was applied to examine youth, maternal, and paternal control perceptions in relation to type 1 diabetes outcomes in adolescents and emerging adults. Mean levels of personal and treatment control were compared among patients and parents. Their associations with diabetes outcomes were examined as well. METHODS: The sample included 330 patient-mother-father triads. Patients' (48% male) mean age was 18.25 years (SD = 2.98). All respondents reported on their control perceptions and youth treatment adherence. Physicians provided HbA1c-values. RESULTS: Paired-samples t-tests revealed higher personal control in patients compared to parents. Regression analyses examined if control perceptions predicted treatment adherence and HbA1c. Main effects for patient and maternal personal control and two-way interactions showed the best outcomes when both patients and mothers reported high personal control. Main effects of patient, maternal, and paternal treatment control and three-way interaction terms revealed better outcomes in case of high treatment control in patients and at least one parent, while the poorest outcomes were observed in case of low treatment control in all respondents. CONCLUSIONS: The findings highlight the importance of parental control perceptions on top of patients' own perceptions. A family perspective on illness perceptions and their associations with diabetes outcomes is encouraged.
Authors: Eveline R Goethals; Sarah S Jaser; Chris Verhaak; Sofie Prikken; Kristina Casteels; Koen Luyckx; Alan M Delamater Journal: Diabetes Res Clin Pract Date: 2020-04-20 Impact factor: 5.602