Shared Responsibility for Type 1 Diabetes Care Is Associated With Glycemic Variability and Risk of Glycemic Excursions in Youth.
Document Type
Article
Publication Date
1-1-2018
Identifier
DOI: 10.1093/jpepsy/jsx081; PMCID: PMC5896618
Abstract
OBJECTIVE: We examined how parent and youth responsibility for type 1 diabetes (T1D) care is related to adherence and glycemic outcomes, namely, glycemic variability and risk of glycemic excursions.
METHODS: One hundred thirty-five parent-youth dyads (10-16 years old; diagnosed with T1D for at least 6 months) participated in this study. Percent responsibility of T1D care attributed to the youth, parent, or shared was measured using the Diabetes Family Responsibility Questionnaire. We collected youth's hemoglobin A1c (HbA1c) and glucometer downloads to examine relationships between responsibility and HbA1c, frequency of blood glucose monitoring (self-monitoring blood glucose, SMBG), risk of glycemic excursions, and actual glycemic variability using bivariate correlations and path analysis.
RESULTS: Participants reported shared responsibility for almost half of T1D self-care tasks. Bivariate correlations showed shared responsibility was associated with less variability, whereas parent responsibility was associated with greater glycemic variability and risk for glycemic excursions. Youth responsibility was associated with lower frequency of SMBG. The path analyses confirmed our correlational findings (ps < .05) and better characterized interactions with age for youth-reported responsibility.
CONCLUSIONS: Our results support the hypothesis that shared T1D responsibility is associated with better diabetes outcomes in youth.
Journal Title
Journal of pediatric psychology
Volume
43
Issue
1
First Page
61
Last Page
71
MeSH Keywords
Adolescent; Biomarkers; Blood Glucose; Blood Glucose Self-Monitoring; Child; Cross-Sectional Studies; Diabetes Mellitus, Type 1; Female; Glycated Hemoglobin; Humans; Hypoglycemic Agents; Male; Medication Adherence; Parent-Child Relations; Parenting; Self Care; Surveys and Questionnaires; Assessment of Medication Adherence
PubMed ID
28541572
Keywords
adherence; diabetes; parenting; risk
Recommended Citation
Marker AM, Noser AE, Clements MA, Patton SR. Shared Responsibility for Type 1 Diabetes Care Is Associated With Glycemic Variability and Risk of Glycemic Excursions in Youth. J Pediatr Psychol. 2018;43(1):61-71. doi:10.1093/jpepsy/jsx081
COinS
Comments
Grants and funding