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. 2011 Apr;36(3):329-39.
doi: 10.1093/jpepsy/jsq088. Epub 2010 Oct 5.

Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors

Cynthia A Berg  1 , Pamela S King, Jorie M Butler, Phung Pham, Debra Palmer, Deborah J Wiebe
Affiliations

Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors

Cynthia A Berg et al. J Pediatr Psychol. 2011 Apr.

Abstract

Objective: To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence.

Methods: A total of 252 young adolescents (M age = 12.49 years, SD = 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records.

Results: SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control.

Conclusions: Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy.

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Figures

Figure 1.
Figure 1.
Results of a structural model depicting associations between latent constructs of maternal involvement and adolescent diabetes outcomes: Satorra-Bentler χ2 (47) = 64.752, p = .044; CFI = .965; RMSEA = .040 (robust fit indices). Significant correlations and standardized path coefficients (p < .05) are presented in the figure. Although not presented in the figure, two additional correlations were included in the model: r (externalizing, internalizing) = .459, and r (externalizing, self-efficacy) = –.173.
Figure 2.
Figure 2.
Results of a structural model depicting associations between latent constructs of paternal involvement and adolescent diabetes outcomes: Satorra-Bentler χ2 (45) = 111.53, p < .01; CFI = .908; RMSEA = .080 (robust fit indices). Significant correlations and standardized path coefficients (p < .05) are presented in the figure. Although not presented in the figure, two additional correlations were included in the model: r (externalizing, internalizing) = .441, and r (externalizing, self-efficacy) = –.208.
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References

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