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23-01-2020

The separation in coordination between social- and self-regulation for emerging adults with type 1 diabetes

Auteurs: A. K. Munion, Jonathan E. Butner, Caitlin S. Kelly, Deborah J. Wiebe, Sara L. Turner, Amy Hughes Lansing, Cynthia A. Berg

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2020

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Abstract

To examine how self-regulation and social-regulation surrounding type 1 diabetes (T1D) management are coordinated during early emerging adulthood and whether classes of coordination relate to HbA1c and executive functioning (EF). Emerging adult participants (N = 212) with T1D (M age = 18.8 years, SD = .40) completed a 14-day diary to capture components of self-regulation and social-regulation. A mixture multi-level latent coordination model first determined the separate but coordinated factor structure of self- and social-regulation, then determined the number of distinct classes of coordination and how those classes linked to HbA1c and EF. The best-fitting model included three coordinative factors (self, mother, and father) of regulation and two distinct classes. The class with lower HbA1c and higher EF had more stable self- and social-regulation, more connections between self- and social-regulation and reflected more adaptive patterns, consistent with medical management goals. Social connection with parents may aid in regulation during this at-risk transitional time of emerging adulthood.
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1
Entropy can be used in mixture modeling as an indicator of the difference between classes. With an entropy of .938, we can be reasonably certain that the classes are in fact capturing distinct patterns.
 
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Metagegevens
Titel
The separation in coordination between social- and self-regulation for emerging adults with type 1 diabetes
Auteurs
A. K. Munion
Jonathan E. Butner
Caitlin S. Kelly
Deborah J. Wiebe
Sara L. Turner
Amy Hughes Lansing
Cynthia A. Berg
Publicatiedatum
23-01-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-020-00134-5

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