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Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors.

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Title: Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors.
Authors: Berg CA (AUTHOR), King PS (AUTHOR), Butler JM (AUTHOR), Pham P (AUTHOR), Palmer D (AUTHOR), Wiebe DJ (AUTHOR), Berg, Cynthia A (AUTHOR), King, Pamela S (AUTHOR), Butler, Jorie M (AUTHOR), Pham, Phung (AUTHOR), Palmer, Debra (AUTHOR), Wiebe, Deborah J (AUTHOR)
Source: Journal of Pediatric Psychology. Apr2011, Vol. 36 Issue 3, p329-339. 11p.
Abstract: Objective: To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence.Methods: A total of 252 young adolescents (M age = 12.49 years, SD = 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records.Results: SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control.Conclusions: Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:<bold>Objective: </bold>To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence.<bold>Methods: </bold>A total of 252 young adolescents (M age = 12.49 years, SD = 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records.<bold>Results: </bold>SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control.<bold>Conclusions: </bold>Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy. [ABSTRACT FROM AUTHOR]
ISSN:01468693
DOI:10.1093/jpepsy/jsq088