Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 4/2022

11-01-2022 | Original Paper

Supervising Without Controlling: A New Authority intervention for Adolescents with Type 1 Diabetes

Auteurs: Yael Rothman-Kabir, Naama Gershy, Orit Pinhas-Hamiel, Haim Omer

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Adolescents with Type 1 Diabetes are at an elevated risk for reduced self-care and imbalanced blood sugar rates with long-term medical consequences. Despite the medical concern, there is a shortage of effective parenting-based interventions for this condition. This pilot study aimed to evaluate the applicability and effectiveness of a New Authority (NA) training for parents of adolescents with imbalanced Type 1 Diabetes. The NA approach teaches parents to improve their involvement and supervision, while reducing parental coercion and parent-child conflict. Thirty-six families of adolescents (age range 12–17) participated in a trial involving three Israeli ambulatory clinics. We collected outcome data from parents and adolescents at four time points: baseline, a 10-week waiting period (serving as control), end of the intervention, and a 10-week follow-up. Measures included glucose level, reported self-care, parental helplessness, parent-child conflict, and parental monitoring of adolescents’ illness-management behaviors. All enrolled families completed the treatment. A mixed models analysis of change across time and reporter indicated significant improvement, which was maintained at follow-up in adolescent self-care (F = 3.24), parental monitoring (F = 3.14), and parental helplessness (F = 10.76). Parents, but not youth, reported improvements in parent-child conflict (F = 6.71). Adolescents’ glucose levels increased during the waiting period, but declined after treatment, remaining stable at follow-up. The lack of dropout suggested high acceptability for parents. The study provides initial support to NA parent training’s efficacy in improving parental helplessness and monitoring, family relations, and medical care in adolescents with Type 1 Diabetes. Additional research involving a randomized clinical trial (RCT) is needed to further validate the effectiveness of the intervention.
Trial registration: ClinicalTrials.gov identifier: NCT02093676. Date of registration: March 21st, 2014.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
The manual is available upon request from yrcabir@gmail.com
 
Literatuur
go back to reference Berg, C. A., Butler, J. M., Osborn, P., King, G., Palmer, D. L., Butner, J., Murray, M., Lindsay, R., Donaldson, D., Foster, C., Swinyard, M., & Wiebe, D. J. (2008). Role of parental monitoring in understanding the benefits of parental acceptance on adolescent adherence and metabolic control of type 1 diabetes. Diabetes Care, 31(4), 678–683. https://doi.org/10.2337/dc07-1678.CrossRefPubMed Berg, C. A., Butler, J. M., Osborn, P., King, G., Palmer, D. L., Butner, J., Murray, M., Lindsay, R., Donaldson, D., Foster, C., Swinyard, M., & Wiebe, D. J. (2008). Role of parental monitoring in understanding the benefits of parental acceptance on adolescent adherence and metabolic control of type 1 diabetes. Diabetes Care, 31(4), 678–683. https://​doi.​org/​10.​2337/​dc07-1678.CrossRefPubMed
go back to reference Cohen-Yeshurun, H. (2001). Parental helplessness: Meaning and measurement. Unpublished Master’s thesis, Tel Aviv University, Tel Aviv (in Hebrew). Cohen-Yeshurun, H. (2001). Parental helplessness: Meaning and measurement. Unpublished Master’s thesis, Tel Aviv University, Tel Aviv (in Hebrew).
go back to reference Feldman, M. A., Anderson, L. M., Shapiro, J. B., Jedraszko, A. M., Evans, M., Weil, L. E., Garza, K. P., & Weissberg-Benchell, J. (2018). Family-based interventions targeting improvements in health and family outcomes of children and adolescents with type 1 diabetes: A systematic review. Current Diabetes Reports, 18(3), 1–12. https://doi.org/10.1007/s11892-018-0981-9.CrossRef Feldman, M. A., Anderson, L. M., Shapiro, J. B., Jedraszko, A. M., Evans, M., Weil, L. E., Garza, K. P., & Weissberg-Benchell, J. (2018). Family-based interventions targeting improvements in health and family outcomes of children and adolescents with type 1 diabetes: A systematic review. Current Diabetes Reports, 18(3), 1–12. https://​doi.​org/​10.​1007/​s11892-018-0981-9.CrossRef
go back to reference Gershy, N., & Omer, H. (2019). Improving fathers’ engagement and collaboration between parents. In E. Heismann, J. Jude & E. Day (Eds.), Non-violent Resistance. Innovations in practice (pp. 29–38). Hove: Pavilion Publishing and Media. Gershy, N., & Omer, H. (2019). Improving fathers’ engagement and collaboration between parents. In E. Heismann, J. Jude & E. Day (Eds.), Non-violent Resistance. Innovations in practice (pp. 29–38). Hove: Pavilion Publishing and Media.
go back to reference Hansen, J. A., Weissbrod, C., Schwartz, D. D., & Taylor, W. P. (2012). Paternal involvement in pediatric Type 1 diabetes: Fathers’ and mothers’ psychological functioning and disease management. Families, Systems, & Health, 30(1), 47. https://doi.org/10.1037/a0027519.CrossRef Hansen, J. A., Weissbrod, C., Schwartz, D. D., & Taylor, W. P. (2012). Paternal involvement in pediatric Type 1 diabetes: Fathers’ and mothers’ psychological functioning and disease management. Families, Systems, & Health, 30(1), 47. https://​doi.​org/​10.​1037/​a0027519.CrossRef
go back to reference Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent based treatment as efficacious as cognitive behavioral therapy for childhood anxiety: A randomized noninferiority study of Supportive Parenting for Anxious Childhood Emotion. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362–372. https://doi.org/10.1016/j.jaac.2019.02.014.CrossRef Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent based treatment as efficacious as cognitive behavioral therapy for childhood anxiety: A randomized noninferiority study of Supportive Parenting for Anxious Childhood Emotion. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362–372. https://​doi.​org/​10.​1016/​j.​jaac.​2019.​02.​014.CrossRef
go back to reference Schorr-Sapir, I., Gershy, N., Apter, A., & Omer, H. (2021). Parent-training in Non-Violent Resistance for children with Attention Deficit Hyperactivity Disorder: A controlled outcome study. European Journal of Child and Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01723-8. Schorr-Sapir, I., Gershy, N., Apter, A., & Omer, H. (2021). Parent-training in Non-Violent Resistance for children with Attention Deficit Hyperactivity Disorder: A controlled outcome study. European Journal of Child and Adolescent Psychiatry. https://​doi.​org/​10.​1007/​s00787-021-01723-8.
go back to reference Westrupp, E. M., Northam, E., Lee, K. J., Scratch, S. E., & Cameron, F. (2015). Reducing and preventing internalizing and externalizing behavior problems in children with type 1 diabetes: a randomized controlled trial of the Triple P‐Positive Parenting Program. Pediatric Diabetes, 16(7), 554–563. https://doi.org/10.1111/pedi.12205.CrossRefPubMed Westrupp, E. M., Northam, E., Lee, K. J., Scratch, S. E., & Cameron, F. (2015). Reducing and preventing internalizing and externalizing behavior problems in children with type 1 diabetes: a randomized controlled trial of the Triple P‐Positive Parenting Program. Pediatric Diabetes, 16(7), 554–563. https://​doi.​org/​10.​1111/​pedi.​12205.CrossRefPubMed
go back to reference Wiebe, D. J., Berg, C. A., Korbel, C., Palmer, D. L., Beveridge, R. M., Upchurch, R., Lindsay, R., Swinyard, M. T., & Donaldson, D. L. (2005). Children’s appraisals of maternal involvement in coping with diabetes: enhancing our understanding of adherence, metabolic control, and quality of life across adolescence. Journal of Pediatric Psychology, 30(2), 167–178. https://doi.org/10.1093/jpepsy/jsi004.CrossRefPubMed Wiebe, D. J., Berg, C. A., Korbel, C., Palmer, D. L., Beveridge, R. M., Upchurch, R., Lindsay, R., Swinyard, M. T., & Donaldson, D. L. (2005). Children’s appraisals of maternal involvement in coping with diabetes: enhancing our understanding of adherence, metabolic control, and quality of life across adolescence. Journal of Pediatric Psychology, 30(2), 167–178. https://​doi.​org/​10.​1093/​jpepsy/​jsi004.CrossRefPubMed
Metagegevens
Titel
Supervising Without Controlling: A New Authority intervention for Adolescents with Type 1 Diabetes
Auteurs
Yael Rothman-Kabir
Naama Gershy
Orit Pinhas-Hamiel
Haim Omer
Publicatiedatum
11-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 4/2022
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-021-02186-w

Andere artikelen Uitgave 4/2022

Journal of Child and Family Studies 4/2022 Naar de uitgave