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01-06-2013

Diabetes management and glycemic control in youth with type 1 diabetes: test of a predictive model

Auteurs: Dennis Drotar, Richard Ittenbach, Jennifer M. Rohan, Resmi Gupta, Jennifer Shroff Pendley, Alan Delamater

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2013

Abstract

The objective of this study was to test a comprehensive model of biologic (pubertal status), family (communication and conflict), and psychological influences (behavioral autonomy) on diabetes management and glycemic control in a sample of youth (N = 226) with type 1 diabetes recruited during late childhood/early adolescence (ages 9–11 years). The study design was a prospective, multisite, multi-method study involving prediction of diabetes management and glycemic control 1 year post-baseline. The primary outcome measures included diabetes management behaviors based on the Diabetes Self-Management Profile (DSMP) administered separately to mothers and youth and glycemic control measured by glycated hemoglobin (HbA1c) obtained by blood samples and analyzed by a central laboratory to ensure standardization. Our hypothesized predictive model received partial support based on structural equation modeling analyses. Family conflict predicted less adequate glycemic control 1 year later (p < 0.05). Higher conflict predicted less adequate diabetes management and less adequate glycemic control. More advanced pubertal status also predicted less adequate glycemic control, but behavioral autonomy did not. Family conflict is an important, potentially clinically significant influence on glycemic control that should be considered in primary and secondary prevention in the management of type 1 diabetes in youth.

vorige artikel Lifestyle and the risk of diabetes mellitus in a Japanese population

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Titel: Diabetes management and glycemic control in youth with type 1 diabetes: test of a predictive model
Auteurs: Dennis Drotar
Richard Ittenbach
Jennifer M. Rohan
Resmi Gupta
Jennifer Shroff Pendley
Alan Delamater
Publicatiedatum: 01-06-2013
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2013
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9426-0

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