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Gepubliceerd in: Journal of Behavioral Medicine 5/2019

24-01-2019

Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care

Auteurs: Ashley C. Baker, Deborah J. Wiebe, Caitlin S. Kelly, Ascher Munion, Jonathan E. Butner, Michael T. Swinyard, Mary Murray, Cynthia A. Berg

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2019

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Abstract

Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.
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Metagegevens
Titel
Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care
Auteurs
Ashley C. Baker
Deborah J. Wiebe
Caitlin S. Kelly
Ascher Munion
Jonathan E. Butner
Michael T. Swinyard
Mary Murray
Cynthia A. Berg
Publicatiedatum
24-01-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00012-9

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