Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 May 27;17(2):176-184.
doi: 10.4274/jcrpe.galenos.2024.2024-4-7. Epub 2024 Dec 23.

The Effect of Parental Collaboration on Diabetes Self-efficacy, Quality of Life and HbA1c Level in Adolescents Diagnosed with Type 1 Diabetes

Beste Özgüven Öztornacı  1   2 , Esra Ardahan Akgül  1   2 , Nisa Yanar  2 , Selda Akyol  2 , Perihan Yetim  3 , Gülay Baş  2 , Hatice Yıldırım Sarı  1   2 , Bumin Nuri Dündar  3   4
Affiliations

The Effect of Parental Collaboration on Diabetes Self-efficacy, Quality of Life and HbA1c Level in Adolescents Diagnosed with Type 1 Diabetes

Beste Özgüven Öztornacı et al. J Clin Res Pediatr Endocrinol. .

Abstract

Objective: Type 1 diabetes mellitus (T1D) is a chronic disease that is diagnosed relatively often in childhood and adolescence. However, care and metabolic control are difficult for both adolescents and their parents. Parental participation in the care and treatment process, especially when adolescents are developing autonomy and taking responsibility for self-care, affects both the adolescent’s perception of autonomy and may cause difficulties in self-management. This study was conducted to determine the effect of parental support on adolescents’ self-efficacy, quality of life (QoL) and glycaemic control in adolescents with T1D.

Methods: This study was descriptive and cross-sectional. Descriptive questionnaires, The Collaborative Parental Involvement Scale for Adolescents with T1D, Diabetes Management Self-efficacy Scale for Adolescents with T1D and QoL Scale in Children with Diabetes Mellitus (PedsQL 3.0) were administered to 79 adolescents with T1D. Laboratory health records were examined about participants hemoglobin A1c (HbA1c) levels measured in the last 3 months.

Results: There was no relationship between parental collaboration and adolescent’s HbA1c levels. However, there was a moderate positive relationship between parental collaboration and adolescent’s QoL (p=0.043) and a strong positive relationship between parental collaboration and adolescent’s diabetes management self-efficacy (p<0.001).

Conclusion: Adolescents who self-managed diabetes with the support of both parents, especially their fathers, who were not school absentees and had regular blood glucose measurements had better QoL. There was no relationship between HbA1c levels and parental co-operation, but there was a strong relationship between parental cooperation and adolescent self-efficacy.

Keywords: HbA1c level; parental collaboration; quality of life; self-efficacy; Adolescent; diabetes.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

References

    1. Çövener Özçelik Ç, Şen Celasin N. Dietary habits and quality of life of children/adolescents with type 1 diabetes. Turk J Diab Obes. 2021;5:302–311.
    1. Artuvan Z, Yurtsever S. The relationship between self-esteem and diet compliance in adolescents with type 1 diabetes. İKÇÜSBFD. 2020;5:1–5.
    1. Türk Ç, Karataş H, Bektaş M. Validity and reliability study of parental monitoring scale in diabetes care of adolescents with type 1 diabetes. J Pediat Res. 2016;3:35–40.
    1. Wharton S, Lau DCW, Vallis M, Sharma AM, Biertho L, Campbell-Scherer D, Adamo K, Alberga A, Bell R, Boulé N, Boyling E, Brown J, Calam B, Clarke C, Crowshoe L, Divalentino D, Forhan M, Freedhoff Y, Gagner M, Glazer S, Grand C, Green M, Hahn M, Hawa R, Henderson R, Hong D, Hung P, Janssen I, Jacklin K, Johnson-Stoklossa C, Kemp A, Kirk S, Kuk J, Langlois MF, Lear S, McInnes A, Macklin D, Naji L, Manjoo P, Morin MP, Nerenberg K, Patton I, Pedersen S, Pereira L, Piccinini-Vallis H, Poddar M, Poirier P, Prud'homme D, Salas XR, Rueda-Clausen C, Russell-Mayhew S, Shiau J, Sherifali D, Sievenpiper J, Sockalingam S, Taylor V, Toth E, Twells L, Tytus R, Walji S, Walker L, Wicklum S. Can J Diabetes. 2018;42(Suppl 1):S234–S246. doi: 10.1503/cmaj.191707. - DOI
    1. Eyth E, Naik R. Hemoglobin A1C. Last Updated Date: 2023 Mar 13. In: StatPearls Publishing LLC. Treasure Island (FL). 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549816/ - PubMed

Substances

LinkOut - more resources