Family and Youth Factors Associated With Health Beliefs and Health Outcomes in Youth With Type 1 Diabetes
Journal of Pediatric Psychology, 06/12/2012
Herge WM et al. – Understanding the mechanisms by which family organization is associated with metabolic control provides insight into possible avenues of prevention/intervention for better diabetes management.
Data from the baseline assessment of a longitudinal RCT were used, wherein 257 adolescent–parent dyads (adolescents aged 11–14) each completed the family organization subscale of the Family Environment Scale, the self-efficacy for Diabetes Self-Management Scale, the Diabetes Behavior Rating Scale, and 2 24-hr diabetes interviews.
Structural equation modeling showed greater family organization was associated indirectly with better disease management behaviors via greater family self-efficacy.
Greater self-efficacy was indirectly associated with better metabolic control via better disease management both concurrently and prospectively.
The full model indicates more family organization is indirectly associated with better metabolic control concurrently and prospectively through greater self-efficacy and better disease management.
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