Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence

Deborah J Wiebe¹, Chong Man Chow², Debra L Palmer², Jonathan Butner², Jorie M Butler³, Peter Osborn², Cynthia A Berg²

Affiliations

¹ Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System dwiebe@ucmerced.edu.
² Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
³ Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.

PMID: 24602891
PMCID: PMC4027878
DOI: 10.1093/jpepsy/jsu006

Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence

Deborah J Wiebe et al. J Pediatr Psychol. 2014 Jun.

. 2014 Jun;39(5):532-41.

doi: 10.1093/jpepsy/jsu006. Epub 2014 Mar 6.

Authors

Deborah J Wiebe¹, Chong Man Chow², Debra L Palmer², Jonathan Butner², Jorie M Butler³, Peter Osborn², Cynthia A Berg²

Affiliations

¹ Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System dwiebe@ucmerced.edu.
² Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
³ Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.

PMID: 24602891
PMCID: PMC4027878
DOI: 10.1093/jpepsy/jsu006

Abstract

Objective: To identify whether changes in pubertal status and self-efficacy for diabetes management are associated with longitudinal declines in parental responsibility for diabetes, and to determine whether these factors moderate associations between declining parental responsibility and deteriorating adherence across adolescence.

Methods: Adolescents (N = 252; 53.6% females) with type 1 diabetes, mothers, and 188 fathers participated in a 2.5-year longitudinal study. Self-reports of pubertal status, adolescent efficacy, parental responsibility, and adherence were completed every 6 months (6 time points).

Results: Latent growth curve modeling revealed that longitudinal increases in efficacy and pubertal maturation were uniquely associated with longitudinal declines in parental responsibility. Declines in parental responsibility were related to deterioration in adherence especially when adolescents did not report concomitant growth in self-efficacy.

Conclusions: Transfer of responsibility for diabetes management across adolescence may be more optimal when adolescents' increased independence is titrated to their changing self-efficacy beliefs.

Keywords: adherence; adolescents; longitudinal research; parenting; puberty; self-efficacy; type 1 diabetes.

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Figures

**Figure 1.**
Flow chart of family attrition and skipped data points across time. Participants were designated as skipped if they did not complete a given time point, but did complete a subsequent time point. Participants were designated as dropped if they officially withdrew or skipped all subsequent time points.

**Figure 2.**
Changes in adherence at each time point predicted from change in adolescents' self-efficacy and parental responsibility over time. Increase in self-efficacy was identified as 1 SD above the mean increase in adolescent self-efficacy, and decrease in parental involvement was identified as 1 SD below the mean decrease in parental responsibility.

See this image and copyright information in PMC

References

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Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence

Affiliations

Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical