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Youth Temperament Moderates Associations Between Parental Involvement and Pediatric Type 1 Diabetes Treatment Outcome.

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Title: Youth Temperament Moderates Associations Between Parental Involvement and Pediatric Type 1 Diabetes Treatment Outcome.
Authors: Yeo, Anna J1 (AUTHOR) ayeo@albany.edu, Halpern, Leslie F2 (AUTHOR), Lin, Betty1 (AUTHOR), Riddick, Linda3 (AUTHOR), Sima, Daniela3 (AUTHOR), Wohlfahrt, Kristine M3 (AUTHOR), Jones, Nancy3 (AUTHOR)
Source: Journal of Pediatric Psychology. Aug2022, Vol. 47 Issue 7, p795-803. 9p. 3 Charts, 1 Graph.
Subject Terms: *Parents, Ferrans & Powers Quality of Life Index, Type 1 diabetes, Treatment effectiveness, Temperament, Impact of Event Scale, Research funding
Abstract: Objective: Both youth self-regulation and quality of parental involvement have been associated with blood glucose levels (HbA1c) of youth with type 1 diabetes mellitus (T1DM). However, it is unclear whether and how youth and parental factors interact in their relation to youth HbA1c. The differential susceptibility hypothesis proposes that youth with high negative affectivity (NA) and low effortful control (EC) may be more susceptible to the deleterious impact of lower quality parenting behaviors but also reap greater benefit from higher quality parenting behaviors. This study investigated whether youth temperament would moderate the link between diabetes-specific parental assistance (e.g., checking blood sugar) or support (e.g., encouraging, praising) and HbA1c among youth with T1DM.Methods: Primary caregivers of youth with T1DM (N = 101; M age = 12.02, SD = 2.43) completed surveys on diabetes-specific parental involvement and youth temperament. Medical information (i.e., HbA1c) was obtained from chart review.Results: Multiple regression analyses indicated that youth NA and EC significantly interacted with parental assistance, but not support. Specifically, higher parental assistance was associated with higher HbA1c among youth with high NA or high EC. High assistance was only linked to lower HbA1c for youth with low NA.Conclusions: Results suggest that optimal levels of parental involvement related to better T1DM outcomes depend on youth's NA or EC. Consistent with the goodness-of-fit framework, when parenting approaches match youth's temperament, youth with T1DM may be better able to maintain lower HbA1c. Family interventions for pediatric T1DM management may take into consideration youth temperament. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Youth Temperament Moderates Associations Between Parental Involvement and Pediatric Type 1 Diabetes Treatment Outcome.
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  Data: <searchLink fieldCode="AR" term="%22Yeo%2C+Anna+J%22">Yeo, Anna J</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> ayeo@albany.edu</i><br /><searchLink fieldCode="AR" term="%22Halpern%2C+Leslie+F%22">Halpern, Leslie F</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lin%2C+Betty%22">Lin, Betty</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Riddick%2C+Linda%22">Riddick, Linda</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sima%2C+Daniela%22">Sima, Daniela</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wohlfahrt%2C+Kristine+M%22">Wohlfahrt, Kristine M</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Nancy%22">Jones, Nancy</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Aug2022, Vol. 47 Issue 7, p795-803. 9p. 3 Charts, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink><br /><searchLink fieldCode="DE" term="%22Ferrans+%26+Powers+Quality+of+Life+Index%22">Ferrans & Powers Quality of Life Index</searchLink><br /><searchLink fieldCode="DE" term="%22Type+1+diabetes%22">Type 1 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Temperament%22">Temperament</searchLink><br /><searchLink fieldCode="DE" term="%22Impact+of+Event+Scale%22">Impact of Event Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Objective: </bold>Both youth self-regulation and quality of parental involvement have been associated with blood glucose levels (HbA1c) of youth with type 1 diabetes mellitus (T1DM). However, it is unclear whether and how youth and parental factors interact in their relation to youth HbA1c. The differential susceptibility hypothesis proposes that youth with high negative affectivity (NA) and low effortful control (EC) may be more susceptible to the deleterious impact of lower quality parenting behaviors but also reap greater benefit from higher quality parenting behaviors. This study investigated whether youth temperament would moderate the link between diabetes-specific parental assistance (e.g., checking blood sugar) or support (e.g., encouraging, praising) and HbA1c among youth with T1DM.<bold>Methods: </bold>Primary caregivers of youth with T1DM (N = 101; M age = 12.02, SD = 2.43) completed surveys on diabetes-specific parental involvement and youth temperament. Medical information (i.e., HbA1c) was obtained from chart review.<bold>Results: </bold>Multiple regression analyses indicated that youth NA and EC significantly interacted with parental assistance, but not support. Specifically, higher parental assistance was associated with higher HbA1c among youth with high NA or high EC. High assistance was only linked to lower HbA1c for youth with low NA.<bold>Conclusions: </bold>Results suggest that optimal levels of parental involvement related to better T1DM outcomes depend on youth's NA or EC. Consistent with the goodness-of-fit framework, when parenting approaches match youth's temperament, youth with T1DM may be better able to maintain lower HbA1c. Family interventions for pediatric T1DM management may take into consideration youth temperament. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1093/jpepsy/jsac017
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 795
    Subjects:
      – SubjectFull: Parents
        Type: general
      – SubjectFull: Ferrans & Powers Quality of Life Index
        Type: general
      – SubjectFull: Type 1 diabetes
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Temperament
        Type: general
      – SubjectFull: Impact of Event Scale
        Type: general
      – SubjectFull: Research funding
        Type: general
    Titles:
      – TitleFull: Youth Temperament Moderates Associations Between Parental Involvement and Pediatric Type 1 Diabetes Treatment Outcome.
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            NameFull: Halpern, Leslie F
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              M: 08
              Text: Aug2022
              Type: published
              Y: 2022
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