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Randomized Controlled Trial
. 2012 Oct;37(9):980-9.
doi: 10.1093/jpepsy/jss067. Epub 2012 Jun 1.

Family and youth factors associated with health beliefs and health outcomes in youth with type 1 diabetes

Whitney M Herge  1 , Randi Streisand, Rusan Chen, Clarissa Holmes, Anil Kumar, Eleanor Race Mackey
Affiliations
Randomized Controlled Trial

Family and youth factors associated with health beliefs and health outcomes in youth with type 1 diabetes

Whitney M Herge et al. J Pediatr Psychol. 2012 Oct.

Abstract

Objective: To examine the association of family organization with metabolic control in adolescents with type 1 diabetes through the mechanisms of family self-efficacy for diabetes and disease management.

Method: 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.

Results: Structural equation modeling showed greater family organization was associated indirectly with better disease management behaviors via greater family self-efficacy (β = .38, p < .001). Greater self-efficacy was indirectly associated with better metabolic control via better disease management both concurrently (β = -.37, p < .001) and prospectively (β = -.26, p < .001). 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 (β = -.13, p < .001).

Conclusions: Understanding the mechanisms by which family organization is associated with metabolic control provides insight into possible avenues of prevention/intervention for better diabetes management.

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Figures

Figure 1<i>.</i>
Figure 1.
Measurement model with correlations.
Figure 2<i>.</i>
Figure 2.
Final mediation model with demographic variables. Note. Unstandardized coefficients in parentheses.
See this image and copyright information in PMC

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