The Relation Between Family Factors and Metabolic Control: The Role of Diabetes Adherence
Open Access
- 1 March 2005
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Pediatric Psychology
- Vol. 31 (2), 174-183
- https://doi.org/10.1093/jpepsy/jsj004
Abstract
Objectives To examine family factors as predictors of metabolic control in children with type 1 diabetes and determine whether adherence behaviors mediate this relationship. Method Participants were 109 children (ages 8–18) and a parent. Measures of diabetes-specific family functioning and an adherence interview were completed. Glycosylated hemoglobin (HbA1c) was the index of metabolic control. Results Family functioning and adherence were strongly associated with metabolic control. Combined with demographic information, these constructs accounted for 49% of the variance in metabolic control. Age moderated the relation between aspects of family functioning and HbA1c. Path analyses suggest that adherence mediates the relationship between family functioning and metabolic control. Conclusions Family functioning and adherence behaviors are strongly related to a child’s health status. Assessment of diabetes-specific family functioning, in addition to adherence, is an important factor in understanding metabolic control.Keywords
This publication has 22 references indexed in Scilit:
- Standards of Medical Care for Patients With Diabetes MellitusDiabetes Care, 2003
- Deviation from Developmentally Appropriate Self-Care Autonomy: Association with diabetes outcomesDiabetes Care, 1996
- Reliability and Validity of the Diabetes Family Behavior Scale (DFBS)The Diabetes Educator, 1993
- Methodological Issues in Diabetes Research: Measuring adherenceDiabetes Care, 1992
- A Longitudinal Analysis of Adherence and Health Status in Childhood DiabetesJournal of Pediatric Psychology, 1992
- Adherence Among Children and Adolescents With Insulin-Dependent Diabetes Mellitus Over a Four-Year Longitudinal Follow-Up: II. Immediate and Long-Term Linkages With the Family MilieuJournal of Pediatric Psychology, 1990
- Assessing Family Sharing of Diabetes ResponsibilitiesJournal of Pediatric Psychology, 1990
- Family Functioning and Metabolic Control of School-Aged Children With IDDMDiabetes Care, 1989
- The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 1986
- Adherence to IDDM Regimens: Relationship to Psychosocial Variables and Metabolic ControlDiabetes Care, 1983