2009
DOI: 10.1093/jpepsy/jsp045
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Adherence and Glycemic Control among Hispanic Youth with Type 1 Diabetes: Role of Family Involvement and Acculturation

Abstract: Family support for diabetes is important for adherence among Hispanic youth with T1D. Research should examine aspects of recent immigration that contribute to better adherence and the impact of supportive interventions on diabetes care.

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Cited by 75 publications
(81 citation statements)
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References 34 publications
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“…[63] Future research in pediatric diabetes should investigate possible paradigms that could improve aspects of a child's problem solving abilities related to diabetes in a clinically feasible manner. Other research has suggested that executive functioning may relate less to adherence in younger youth with diabetes, [63] but this may result from the increased involvement from parents in younger children, which improves glycemic control, [64] [65] and therefore future research should investigate the relationship between parental executive functioning and younger children's glycemic control. Parents do play an obviously beneficial role in how a youth manages their diabetes, such as monitoring their adherence to treatment recommendations, [66] however, parents can also negatively impact their child's prognosis as the result of parental accommodation.…”
Section: The Challenges Of Type 1 Diabetesmentioning
confidence: 99%
“…[63] Future research in pediatric diabetes should investigate possible paradigms that could improve aspects of a child's problem solving abilities related to diabetes in a clinically feasible manner. Other research has suggested that executive functioning may relate less to adherence in younger youth with diabetes, [63] but this may result from the increased involvement from parents in younger children, which improves glycemic control, [64] [65] and therefore future research should investigate the relationship between parental executive functioning and younger children's glycemic control. Parents do play an obviously beneficial role in how a youth manages their diabetes, such as monitoring their adherence to treatment recommendations, [66] however, parents can also negatively impact their child's prognosis as the result of parental accommodation.…”
Section: The Challenges Of Type 1 Diabetesmentioning
confidence: 99%
“…Less acculturated (measured by recent generational status) Hispanic adolescent T1D youth participated less in their own diabetes care but their strong family support facilitated adherence to diabetes-related responsibilities, ultimately achieving better glycemic control than other groups (103). Conversely, Hispanic-American youth with more independent responsibility and less family support for their diabetes management appeared to be less adherent (103). It could be speculated that the Hispanic value of "familismo" may promote family involvement, or a sense of obligation toward authority (in this case, health providers), improving adherence to diabetes management (103).…”
Section: Acculturation Family Functioning and Mental Healthmentioning
confidence: 99%
“…However, "familismo" may also cause delays in medical decision making, as family must be consulted first (104). Importantly, although family involvement in diabetes care is important for glycemic control (105,106), the benefit of encouraging adolescent autonomy and independence during transition to diabetes self-care has also been demonstrated (103,107).…”
Section: Acculturation Family Functioning and Mental Healthmentioning
confidence: 99%
“…13 Researchers examined the relationship between adherence and a number of family structure variables, including maternal employment status, while controlling for the influence of youth age, pubertal status, SES, duration of diabetes diagnosis, gender, and ethnicity. They found no differences in self-care adherence for the family structure variables.…”
Section: Familymentioning
confidence: 99%
“…12 Therefore, the transfer of this care needs to be conducted in a way that supports the youth's autonomy, without decreasing one's adherence. 13,14 There is also evidence that increased positive family communication as well as high levels of diabetes knowledge are helpful in minimizing parent-youth verbal conflict regarding diabetes care. 15 …”
mentioning
confidence: 99%