Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care.
Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals' high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with...
| Publicado en: | Journal of Behavioral Medicine Vol. 42; no. 5; pp. 831 - 842 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138415064&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138415064 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Oct2019 vid: 42 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 138415064 138415064 144028420 138415064 10.1007/s10865-019-00012-9 138415064 ppf: 831 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care. aug: au: Baker, Ashley C. Wiebe, Deborah J. Kelly, Caitlin S. Munion, Ascher Butner, Jonathan E. Swinyard, Michael T. Murray, Mary Berg, Cynthia A. affil: Psychological Sciences and Health Sciences Research Institute, University of California, Merced, 5200 N. Lake Rd SSM, 95343, Merced, CA, USA sug: subj: Transitional Care Diabetes Mellitus, Type 1 Therapy Disease Management Mother-Child Relations Patient Centered Care Diabetic Patients Psychosocial Factors Patient Compliance Glycemic Control Human Perception Structural Equation Modeling Age Factors Diabetes Mellitus, Type 1 Risk Factors Self-Efficacy Glycated Hemoglobin Blood Treatment Outcomes Schools, Secondary Male Female Adolescence Young Adult Adult Models, Structural Physician-Patient Relations Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals' high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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