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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