Elizabeth A Mann1, Alex T Binder2, Henry N Young3, Megan A Moreno2, Elizabeth D Cox4. 1. Department of Pediatrics, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA. Electronic address: eprange@wisc.edu. 2. Department of Pediatrics, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA. 3. Department of Clinical and Administrative Pharmacy, University of Georgia, Athens, GA, USA. 4. Department of Pediatrics, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA; Department of Population Health Sciences, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA.
Abstract
AIMS: Identify the prevalence of health psychology use in children with type 1 diabetes (T1D) and evaluate how individual and contextual characteristics are associated with use. METHODS: Children ages 8-16 years with T1D and their parents were recruited from two tertiary diabetes clinics. Cross-sectional data included parent and adolescent surveys and hemoglobin A1c. Parents self-reported the child's use of health psychology in the last year along with individual factors (e.g., predisposing factors including demographics, enabling factors including health insurance type, evaluated need including mental health diagnoses and perceived need including self-management barriers). Association of health psychology use with individual (e.g., demographics, enabling factors, evaluated and perceived need) and contextual (e.g., clinical site) characteristics was evaluated using logistic regression. RESULTS: Of 363 eligible participants, 267 (74%) participated. Health psychology use was reported by only 8.2% (n = 22) of participants and was significantly associated with evaluated need factor of mental health diagnosis (OR 5.8; p < 0.001) and perceived need factor of parent-reported self-management barriers. Use was not associated with other individual or contextual factors. CONCLUSIONS: Though infrequent, health psychology use was positively associated with mental health diagnoses and self-management barriers.
AIMS: Identify the prevalence of health psychology use in children with type 1 diabetes (T1D) and evaluate how individual and contextual characteristics are associated with use. METHODS: Children ages 8-16 years with T1D and their parents were recruited from two tertiary diabetes clinics. Cross-sectional data included parent and adolescent surveys and hemoglobin A1c. Parents self-reported the child's use of health psychology in the last year along with individual factors (e.g., predisposing factors including demographics, enabling factors including health insurance type, evaluated need including mental health diagnoses and perceived need including self-management barriers). Association of health psychology use with individual (e.g., demographics, enabling factors, evaluated and perceived need) and contextual (e.g., clinical site) characteristics was evaluated using logistic regression. RESULTS: Of 363 eligible participants, 267 (74%) participated. Health psychology use was reported by only 8.2% (n = 22) of participants and was significantly associated with evaluated need factor of mental health diagnosis (OR 5.8; p < 0.001) and perceived need factor of parent-reported self-management barriers. Use was not associated with other individual or contextual factors. CONCLUSIONS: Though infrequent, health psychology use was positively associated with mental health diagnoses and self-management barriers.
Authors: Elizabeth D Cox; Katie A Fritz; Kristofer W Hansen; Roger L Brown; Victoria Rajamanickam; Kaelyn E Wiles; Bryan H Fate; Henry N Young; Megan A Moreno Journal: Diabetes Res Clin Pract Date: 2014-01-18 Impact factor: 5.602
Authors: Carrie M Bernstein; Melissa S Stockwell; Mary Pat Gallagher; Susan L Rosenthal; Karen Soren Journal: Clin Pediatr (Phila) Date: 2012-09-17 Impact factor: 1.168
Authors: Jamie R Wood; Kellee M Miller; David M Maahs; Roy W Beck; Linda A DiMeglio; Ingrid M Libman; Maryanne Quinn; William V Tamborlane; Stephanie E Woerner Journal: Diabetes Care Date: 2013-01-22 Impact factor: 19.112
Authors: Rosanna Fiallo-Scharer; Mari Palta; Betty A Chewning; Victoria Rajamanickam; Tim Wysocki; Tosha B Wetterneck; Elizabeth D Cox Journal: Pediatr Diabetes Date: 2019-08-08 Impact factor: 4.866