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Randomized Controlled Trial
. 2008 Sep;33(8):875-84.
doi: 10.1093/jpepsy/jsn024. Epub 2008 Mar 17.

Diabetes problem solving by youths with type 1 diabetes and their caregivers: measurement, validation, and longitudinal associations with glycemic control

Tim Wysocki  1 , Ronald Iannotti, Jill Weissberg-Benchell, Lori Laffel, Korey Hood, Barbara Anderson, Rusan Chen; Family Management of Childhood Diabetes Steering Committee
Collaborators, Affiliations
Randomized Controlled Trial

Diabetes problem solving by youths with type 1 diabetes and their caregivers: measurement, validation, and longitudinal associations with glycemic control

Tim Wysocki et al. J Pediatr Psychol. 2008 Sep.

Abstract

Objectives: This article introduces a new measure of problem-solving skills of youths with type 1 diabetes (T1DM) and adult caregivers in correcting glycemic fluctuations.

Methods: The Diabetes Problem Solving Interview (DPSI), a structured interview, was validated during a pilot study of a behavioral intervention. DPSI data and measures of diabetes management were obtained at baseline from 114 youths (ages 9-14.5) and 109 caregivers. Glycosylated hemoglobin (HbA(1c)) was measured quarterly over 9 months.

Results: Results confirmed the psychometric adequacy of the DPSI. For caregivers, but not youths, low DPSI scores (indicating poor problem-solving skills) were significantly associated with worse HbA(1c) over 9 months.

Conclusions: The DPSI has clinical and research utility as a measure of diabetes problem-solving skills. Identification and targeted remediation of caregivers' deficient diabetes problem-solving skills or promotion of youths' utilization of these skills could possibly enhance glycemic control in youths with T1DM.

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Figures

Figure 1.
Figure 1.
Youths’ mean (±1 SEM) HbA1C (%) and caregivers’ mean scores on the DPSI.
Figure 2.
Figure 2.
Youths’ mean (±1 SEM) HbA1C (%) and youths’ mean scores on the DPSI.
See this image and copyright information in PMC

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