Latent classifications of parental involvement in diabetes management for youth with type 1 diabetes: A randomized clinical trial.
Objective: Understanding how parent–child relationships influence diabetes management in youth with type 1 diabetes is critical for minimizing the risk of short‐ and long‐term complications. We examined how classes of diabetes‐specific parenting behaviors are associated with disease management and w...
| Publicado en: | Pediatric Diabetes Vol. 23; no. 7; pp. 1133 - 1143 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2022
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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=159725596&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159725596 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1399543X FS2 jtl: Pediatric Diabetes issn: 1399543X maglogo: Y pubinfo: dt: Nov2022 vid: 23 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159725596 158580039 159725596 159725596 10.1111/pedi.13397 159725596 ppf: 1133 ppct: 10 formats: tig: atl: Latent classifications of parental involvement in diabetes management for youth with type 1 diabetes: A randomized clinical trial. aug: au: Temmen, Chelsie D. Lu, Ruijin Gee, Benjamin T. Chen, Zhen Nansel, Tonja R. affil: Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda Maryland,, USA sug: subj: Diabetes Mellitus, Type 1 Prevention and Control Disease Management In Adolescence Parental Role Parental Behavior Human Randomized Controlled Trials Random Assignment Child Adolescence Parent-Child Relations Parenting Structural Equation Modeling Glycemic Control Psychological Well-Being Child: 6-12 years Adolescent: 13-18 years ab: Objective: Understanding how parent–child relationships influence diabetes management in youth with type 1 diabetes is critical for minimizing the risk of short‐ and long‐term complications. We examined how classes of diabetes‐specific parenting behaviors are associated with disease management and well‐being for youth with type 1 diabetes. Research Design and Methods: The Family Management of Diabetes clinical trial tested the efficacy of a 2‐year behavioral intervention for families of youth with type 1 diabetes. Three hundred and ninety youth diagnosed with type 1 diabetes and their primary caregiver were recruited from four pediatric endocrinology centers in the US Classifications of parental involvement utilized baseline parent and youth reports of task involvement, collaborative involvement, and parent–youth conflict. Class differences in baseline glycemic control (HbA1c), regimen adherence, general and diabetes quality of life, and depressive symptoms, and 2‐year change in HbA1c were examined. Results: Latent profile analysis identified three classes: (1) high in task and collaborative involvement, low in conflict (Harmonious), (2) low in task involvement, collaborative involvement, and conflict (Indifferent), (3) high in task involvement and conflict, low in collaborative involvement (Inharmonious). The Harmonious group demonstrated the best adherence, glycemic control, and psychosocial well‐being. The Inharmonious and Indifferent groups had similar diabetes management, but youth from Inharmonious families showed poorer psychosocial well‐being. The intervention effect on glycemic control did not differ across the classes. Conclusions: The interplay of parental involvement and conflict resulted in distinct parenting classes that differed in disease management and well‐being. However, the classes benefitted similarly from the behavioral intervention. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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