Authoritarian parenting style predicts poorer glycemic control in children with new-onset type 1 diabetes

Noser, Amy E.; Majidi, Shideh; Finch, Jonathan H.; Clements, Mark A.; Youngkin, Erin M.; Patton, Susana R.

doi:10.1111/pedi.12726

Cited by 12 publications

(13 citation statements)

References 38 publications

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“…There were no consistent suggestions about measurement interval and follow‐up period for a prospective design. According to previous studies (Guo, Whittemore, & He, ; Noser et al, ; Radcliff et al, ), a 6‐month prospective design was used in this study. Demographic characteristics, diabetes distress, attribution of peer reactions and parenting style were collected at baseline, self‐management was collected 3 months after the baseline and HbA1c levels were collected 6 months after the baseline.…”

Section: The Studymentioning

confidence: 99%

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Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Lee

Tsai

Chang

et al. 2020

Journal of Advanced Nursing

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Aim To construct a model addressing the pathways from baseline diabetes distress, attribution of peer reactions, parenting style and 3‐month self‐management to 6‐month glycated haemoglobin levels in adolescents with type 1 diabetes. Design A prospective design was adopted. Methods A total of 177 adolescents aged 10–19 with type 1 diabetes were enrolled from four hospitals in Taiwan. Diabetes distress, attribution of peer reactions and parenting style were collected at baseline, self‐management was collected at the third month and glycated haemoglobin levels were collected at the sixth month. Data were collected from May 2015–June 2016. Results Baseline diabetes distress and 3‐month self‐management directly affected 6‐month glycated haemoglobin levels. Baseline attribution of peer reactions directly affected baseline diabetes distress and 3‐month self‐management; also, it indirectly affected 6‐month glycated haemoglobin levels through 3‐month self‐management. Baseline parenting style directly affected baseline diabetes distress, baseline attribution of peer reactions, 3‐month self‐management and 6‐month glycated haemoglobin levels; it also indirectly affected 6‐month glycated haemoglobin levels through baseline diabetes distress and 3‐month self‐management. Conclusion A model simultaneously incorporating individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes has been constructed. Improving diabetes distress and self‐management should be essential strategies to improve glycaemic control in adolescents with type 1 diabetes. Encouraging adolescents with type 1 diabetes to communicate openly with peers about diabetes care and educating their parents to provide more responsive and autonomy‐encouraging parenting style might be vital strategies to improve diabetes distress, 3‐month self‐management and glycaemic control. Impact Individual, parental and peer factors should be simultaneously considered to improve glycaemic control in adolescents with type 1 diabetes. Nurses should evaluate these factors to tailor interventions improving glycaemic control in adolescents with type 1 diabetes.

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Section: The Studymentioning

confidence: 99%

“…There were no consistent suggestions about measurement interval and follow-up period for a prospective design. According to previous studies (Guo, Whittemore, & He, 2011;Noser et al, 2018;Radcliff et al, 2018), a 6-month prospective design was used in this study.…”

Section: Designmentioning

confidence: 99%

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Lee

Tsai

Chang

et al. 2020

Journal of Advanced Nursing

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“…Parents play an important role in the management of children with T1DM and are also under tremendous psychological stress[ 16 , 17 ]. The caregivers of children with T1DM hoped to receive more emotional support from families, societies, and professionals.…”

Section: Resultsmentioning

confidence: 99%

Parents' experience of caring for children with type 1 diabetes in mainland China: A qualitative study

Tong¹,

Qiu²,

Fan³

2021

WJCC

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BACKGROUND Parents of children with type 1 diabetes mellitus (T1DM) are under heavy caregiving stress, and parental caregivers' experience can affect the health outcomes of children with T1DM. AIM To describe the true inner feelings of parents caring for children with T1DM. METHODS Descriptive research methods were used to classify and summarize parents' experience when adapting to the role of caregivers for children with T1DM. The data was sorted and analyzed using content analysis. Themes of parents' experience caring for children with T1DM were refined, and their feelings were deeply investigated. RESULTS A total of 4 themes and 12 subthemes were identified: (1) Desire for information (disease-related information, home care information, and channels of information acquisition); (2) Skill guidance needs (insulin injection techniques, skills required for symptom management, and skills for parent-child communication); (3) Seeking emotional support (family support, peer support from other parents of children with T1DM, and professional support); and (4) Lack of social support (needs for financial support and needs for social security). CONCLUSION Exploring the true experience of parents caring for children with T1DM is of great significance for helping them adapt to their role as caregivers. Nurses should provide professional guidance in terms of information, skills, emotion, and social support to parental caregivers.

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“…First, the sample size of the single center cohort study is small, and our results need to be validated by a larger sample size study. In addition, studies report that factors such as family socioeconomic status (SES) and children's nutrition are correlated with glycemic control (31)(32)(33), however, we lack some important covariables in the regression model due to the insufficient response rate of participants, so the overall stability of the model is not strong enough. HbA1c is the gold standard indirect measure of glucose control and it estimates the glycemic exposure over the last three months prior to sampling.…”

Section: Discussionmentioning

confidence: 98%

Comparison of Continuous Subcutaneous Insulin Infusion and Multiple Daily Injections in Pediatric Type 1 Diabetes: A Meta‐Analysis and Prospective Cohort Study

et al. 2021

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BackgroundThe incidence of pediatric type 1 diabetes (T1D) is increasing worldwide, and the appropriate choice of therapy regimens is important for children, especially in developing countries with inadequate resources.MethodsWe conducted a design combining meta-analysis and prospective cohort study. In meta-analysis, 14 studies involving 69,085 TID cases reported glycosylated hemoglobin (HbA1c) levels, including 48,363 multiple daily insulin injections therapy (MIT) and 20,722 continuous subcutaneous insulin infusion (CSII). In our prospective cohort study, TID cases were recruited from a tertiary children’s hospital, and randomly divided into Group MIT and Group CSII. After the 4-year follow-up, the effects of MDI (n = 112) and CSII (n = 76) therapy on glycemic control, long-term complications, as well as the growth and pubertal development were explored.ResultsCompared to CSII in TID, HbA1c levels in MDI (WMD = 0.21, 95% CI: 0.20 to 0.23) were increased significantly in meta-analysis. Among 188 clinical cases, mean age at recruitment was 7.55 (SD 2.91) years. Duration of TID was 4.23 (SD 2.61) years. 50.53% (n = 95) of them were boys. The 4-year follow-up showed that children’s HbA1c was 0.67 (95% CI −1.28, −0.05) % lower in children with CSII compared to children with MDI in multivariable regression models with adjustment for potential confounders (children’s age at follow-up, duration of TID, gender, birthweight, parity, and delivery method). CSII was associated with 2.31 kg higher in children’s weight (95% CI 0.59, 4.04) in the adjusted model. No difference was found in peripheral nerve and fundus consequences as well as the status of obesity and thin and pubertal development between CSII and MIT.ConclusionCSII might be associated with better glycemic control and better effect for children growth development. No higher risks of long-term complications and delayed pubertal development were observed in CSII. Our findings provided evidence for a better therapy regimen for T1D in children, nevertheless, they need to be validated by a larger sample size study.

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Authoritarian parenting style predicts poorer glycemic control in children with new-onset type 1 diabetes

Abstract: Parents' use of authoritarian-like strategies may negatively impact glycemic control over the course of six-month in children with new-onset T1D.

Cited by 12 publications

References 38 publications

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Parents' experience of caring for children with type 1 diabetes in mainland China: A qualitative study

Comparison of Continuous Subcutaneous Insulin Infusion and Multiple Daily Injections in Pediatric Type 1 Diabetes: A Meta‐Analysis and Prospective Cohort Study

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