Depleted parental psychological resources as mediators of the association of income with adherence and metabolic control.

Drew, Linda M.; Berg, Cynthia A.; King, Pamela S.; Verdant, Claudia; Griffith, Katrina; Butler, Jorie; Wiebe, Deborah J.

doi:10.1037/a0025259

Cited by 32 publications

(38 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, there is the possibility that IQ is simply a proxy for other factors, such as socio-economic status (SES; Taylor, Frier, Gold, &Deary, 2003), which itself is an important predictor of diabetes care. For example, children with type 1 diabetes from lower SES households have poorer glycemic control, more hospitalizations, and more hypoglycemic episodes (Drew, Berg, King, Verdant, Butler, Griffiths, & Wiebe, 2011). However, studies investigating the roles of both IQ and factors related to SES found that IQ is a unique correlate of health outcomes and disease knowledge.…”

Section: Discussionmentioning

confidence: 99%

The relation of questionnaire and performance-based measures of executive functioning with Type 1 diabetes outcomes among late adolescents.

Suchy¹,

Turner²,

Queen³

et al. 2016

Health Psychology

Self Cite

View full text Add to dashboard Cite

Objective Successfully managing type 1diabetes involves adherence to a complex daily medical regimen, requiring self-regulatory skills that rely on neurocognitive processes known as executive functioning (EF). Adolescents with poorer rated EF abilities display poorer diabetes outcomes. The purpose of this study was to examine the relationship of EF questionnaire and performance measures with adherence and glycemic control, after controlling for IQ and general questionnaire response style. Methods Adolescents with type 1 diabetes (M age=17.74, SD=.38 years) and their mothers (N = 196) completed a self/mother-report questionnaire assessing adolescents’ ratings of EF abilities (BRIEF). Adolescents also completed performance-based tests of EF (D-KEFS) and and intellectual functioning (WAIS-IV Vocabulary). Adherence was indexed via 2 self-report inventories and the number of daily blood glucose checks, and glycemic control via HbA1c obtained from assay kits. Results Self/mother-reports of EF ability were associated with self/mother-reported adherence. Both questionnaire and performance-based measures of EF were associated with glycemic control. However, once IQ was taken into consideration, performance-based EF was no longer associated with glycemic control, IQ independently shared variance with glycemic control. Conclusions Our findings suggest that self-reports of EF may be useful in identifying late adolescents who need assistance in managing diabetes in daily life. The finding that performance-based EF measures were not related to glycemic control independent of underlying intellectual capacity raises questions about the specific role of EF in diabetes outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

The relation of questionnaire and performance-based measures of executive functioning with Type 1 diabetes outcomes among late adolescents.

Suchy¹,

Turner²,

Queen³

et al. 2016

Health Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…In one study, for example, the relationship between low income and glycemic control was explained by lower levels of parental acceptance [63]. Parents of minority youth have also demonstrated lower levels of monitoring than parents of white youth [22].…”

Section: Factors Affecting Parental Involvementmentioning

confidence: 99%

Good Cop, Bad Cop: Quality of Parental Involvement in Type 1 Diabetes Management in Youth

et al. 2014

View full text Add to dashboard Cite

Sustained parental involvement in diabetes management has been generally advised to counteract the deteriorating adherence and glycemic control often seen during adolescence, yet until recently, little attention has been given to the optimal amount, type, and quality of parental involvement to promote the best health outcomes for adolescents with type 1 diabetes (T1D). This review synthesizes research regarding the involvement of caregivers—primarily mothers and fathers—of youth with T1D, with a focus on biopsychosocial outcomes. The recent literature on parental involvement in diabetes management highlights a shift in focus from not only amount but also the types (e.g., monitoring, problem-solving) and quality (e.g., warm, critical) of involvement in both mothers and fathers. We provide recommendations for ways that both parents can remain involved to facilitate greater collaboration in shared direct and indirect responsibility for diabetes care and improve outcomes in youth with T1D.

show abstract

“…In a sample of 81 adolescents with T1D and their parents, Botello-Harbaum and colleagues [13] found that over a 12-month period, parental responsiveness continued to promote greater self-reported quality of life in their child. On the other hand, Drew et al [14] showed depleted family resources – emotional as well as financial – were associated with poorer metabolic control among 252 adolescents with T1D. Maintaining the daily routines necessary for diabetes management was less successful in families with lower parental acceptance (communication of love, warmth, acceptance) and higher levels of parental depressive symptoms, especially when there was the added stress of low family income.…”

Section: Introductionmentioning

confidence: 99%

Adolescents with Type 1 Diabetes: parental perceptions of child health and family functioning and their relationship to adolescent metabolic control

Moore

Hackworth

Hamilton

et al. 2013

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundAdolescents with Type 1 diabetes (T1D) show less effective metabolic control than other age groups, partly because of biological changes beyond their control and partly because in this period of developmental transition, psychosocial factors can militate against young people upholding their lifestyle and medical regimens. Parents have an important role to play in supporting adolescents to self-manage their disease, but resultant family tensions can be high. In this study, we aimed to assess family functioning and adolescent behaviour/ adjustment and examine the relationships between these parent-reported variables and adolescent metabolic control (HbA1c), self-reported health and diabetes self-care.MethodA sample of 76 parents of Australian adolescents with T1D completed the Child Health Questionnaire –Parent form. Their adolescent child with T1D provided their HbA1c level from their most recent clinic visit, their self-reported general health, and completed a measure of diabetes self-care.ResultsParent-reported family conflict was high, as was disease impact on family dynamics and parental stress. Higher HbA1c (poorer metabolic control) and less adequate adolescent self-care were associated with lower levels of family functioning, more adolescent behavioural difficulties and poorer adolescent mental health.ConclusionsThe implication of these findings was discussed in relation to needs for information and support among Australian families with an adolescent with T1D, acknowledging the important dimension of family functioning and relationships in adolescent chronic disease management.

show abstract

Depleted parental psychological resources as mediators of the association of income with adherence and metabolic control.

Cited by 32 publications

References 45 publications

The relation of questionnaire and performance-based measures of executive functioning with Type 1 diabetes outcomes among late adolescents.

The relation of questionnaire and performance-based measures of executive functioning with Type 1 diabetes outcomes among late adolescents.

Good Cop, Bad Cop: Quality of Parental Involvement in Type 1 Diabetes Management in Youth

Adolescents with Type 1 Diabetes: parental perceptions of child health and family functioning and their relationship to adolescent metabolic control

Contact Info

Product

Resources

About