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]
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: Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors.
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  Data: <searchLink fieldCode="AR" term="%22Berg+CA%22">Berg CA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22King+PS%22">King PS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Butler+JM%22">Butler JM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pham+P%22">Pham P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Palmer+D%22">Palmer D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiebe+DJ%22">Wiebe DJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berg%2C+Cynthia+A%22">Berg, Cynthia A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22King%2C+Pamela+S%22">King, Pamela S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Butler%2C+Jorie+M%22">Butler, Jorie M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pham%2C+Phung%22">Pham, Phung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Palmer%2C+Debra%22">Palmer, Debra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiebe%2C+Deborah+J%22">Wiebe, Deborah J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Apr2011, Vol. 36 Issue 3, p329-339. 11p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <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]
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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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        Value: 10.1093/jpepsy/jsq088
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