Role of parental monitoring in understanding the benefits of parental acceptance on adolescent adherence and metabolic control of type 1 diabetes.

Diabetes Care
Cynthia A BergDeborah J Wiebe

Abstract

This study examined 1) whether the benefits of mothers' and fathers' accepting relationships with their adolescents regarding diabetes control were due to parental monitoring and 2) how parents together may provide sufficient acceptance and monitoring for diabetes management. Adolescents aged 10-14 years with type 1 diabetes (n = 185) and their mothers (n = 185) and fathers (n = 145) completed assessments of parental acceptance and monitoring of diabetes tasks. Adolescents completed a modified version of the Self-Care Inventory (1) to measure adherence. A1C scores were used as a marker of glycemic control. Mediational analyses revealed that the benefits of adolescents' reports of fathers' acceptance on A1C and mothers' and fathers' acceptance on better adherence were partially mediated by monitoring. Both mothers' and fathers' monitoring and fathers' acceptance had independent effects in predicting adherence. However, only fathers' monitoring had an independent effect on A1C. The effect of fathers' monitoring on A1C occurred as fathers were monitoring at a lower level than mothers. Mothers' and fathers' reports of their own acceptance and monitoring were not associated with A1C or adherence. Results reveal the importance of fat...Continue Reading

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Citations

May 10, 2012·Journal of Behavioral Medicine·Dennis DrotarAlan Delamater
Aug 20, 2011·Current Diabetes Reports·Sarah S Jaser
Apr 3, 2010·Journal of Pediatric Psychology·Debra L PalmerDeborah J Wiebe
Apr 26, 2011·Journal of Pediatric Psychology·Marisa E HilliardDennis Drotar
Apr 24, 2012·Journal of Pediatric Psychology·Amy E HughesDeborah J Wiebe
Nov 24, 2012·Diabetology & Metabolic Syndrome·Fani Eta Korn MalerbiUNKNOWN Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)
May 16, 2013·Journal of Diabetes and Metabolic Disorders·Fatemeh OskouieHossein Ebrahimi
Sep 10, 2013·Journal of Pediatric Psychology·Marisa E HilliardDennis Drotar
Sep 13, 2014·Current Diabetes Reports·Mackenzie T YoungSarah S Jaser
Apr 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Pamela S KingDeborah J Wiebe
Oct 12, 2010·Nursing Outlook·Robin WhittemoreMargaret Grey
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Oct 23, 2018·Pediatric Diabetes·Rebecca J CrochiereCatherine Stanger
May 17, 2019·Journal of Pediatric Psychology·Cynthia A BergYana Suchy

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