학술논문

Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model.
Document Type
Article
Source
Journal of Behavioral Medicine. Apr2018, Vol. 41 Issue 2, p186-194. 9p. 2 Diagrams, 3 Charts.
Subject
*TYPE 1 diabetes
*CHILD behavior
*INTERVIEWING
*PARENT-child relationships
*MATHEMATICAL models of psychology
*HEALTH self-care
*PSYCHOLOGICAL stress
*STRUCTURAL equation modeling
*PARENT attitudes
*CROSS-sectional method
*HEALTH literacy
*GLYCEMIC control
*PSYCHOLOGY
Language
ISSN
0160-7715
Abstract
The study goal was to examine the links of parent knowledge of children’s behavior to diabetes outcomes and to test a mediational model that focused on psychological distress and self-care behavior. We recruited 132 adolescents (average age 12) and followed them to average age 23. At age 23 (n = 107), we conducted in-person interviews with these emerging adults to measure parent knowledge, psychological distress, self-care behavior and glycemic control. We used structural equation modeling to test our hypotheses with these cross-sectional data. Higher levels of parent knowledge were linked to better glycemic control, and this path was mediated by reduced psychological distress and enhanced self-care behavior. Parents remain an important influence in the lives of emerging adults with type 1 diabetes. When emerging adults have a relationship with their parents in which they share general information, psychological distress may be reduced which then facilitates self-care and, ultimately, glycemic control. [ABSTRACT FROM AUTHOR]