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Gepubliceerd in:

07-03-2021

Diabetes-specific friend support in emerging adults with type 1 diabetes: Does satisfaction with support matter?

Auteurs: Koen Raymaekers, Vicki S. Helgeson, Sofie Prikken, Janne Vanhalst, Philip Moons, Eva Goossens, Cynthia A. Berg, Koen Luyckx

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2021

Abstract

Youth with type 1 diabetes (T1D) must adhere to a complex treatment regimen to prevent health complications. Friends may provide diabetes-specific support to help youth manage diabetes, but evidence on whether youth benefit from diabetes-specific friend support is inconclusive. The present study first investigated whether satisfaction with friend support was linked to psychological distress and diabetes management. Second, it was investigated whether self-esteem mediated these relations. To this end, 324 Dutch-speaking emerging adults (17–28 years) with T1D completed questionnaires on diabetes-specific friend support, self-esteem, diabetes-specific distress, depressive symptoms, and self-care. HbA1c values were obtained from patients’ physicians. Receiving diabetes-specific support from friends was associated with more diabetes-specific distress, but not for youth who were satisfied with the received support. Diabetes-specific friend support was not associated with other outcomes. Self-esteem did not mediate these relations. These results suggest that associations between diabetes-specific friend support and diabetes management are limited and that support satisfaction should be taken into consideration when examining the role of friend support for youth with T1D.

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In the registered analysis plan we opted for listwise deletion to handle missing data in the preliminary analyses, but changed this to multiple imputation for the actual paper. This did not affect the inclusion of control variables in the structural equation models.

A small addendum was made to the registered analysis plan in that the variances and covariances of exogenous variables were estimated freely, rather than the ‘lavaan’ default to fix them at their sample values. This appeared necessary for estimating mediation and moderation effects within the SEM framework and did not alter the path coefficients.

In the reduced sample (excluding 17 year olds), there also was a significant interaction effect between support satisfaction and frequency in predicting diabetes-specific distress (β = -.102, p = .003). In addition, support satisfaction negatively predicted HbA1c (β = -.187, p = .040) and depressive symptoms (β = -.142, p = .048).

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Titel: Diabetes-specific friend support in emerging adults with type 1 diabetes: Does satisfaction with support matter?
Auteurs: Koen Raymaekers
Vicki S. Helgeson
Sofie Prikken
Janne Vanhalst
Philip Moons
Eva Goossens
Cynthia A. Berg
Koen Luyckx
Publicatiedatum: 07-03-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00211-3

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