Family and Youth Factors Associated With Health Beliefs and Health Outcomes in Youth With Type 1 Diabetes

Herge, Whitney M.; Streisand, Randi; Chen, Rusan; Holmes, Clarissa S.; Kumar, Ashok; Mackey, Eleanor R.

doi:10.1093/jpepsy/jss067

Cited by 33 publications

(34 citation statements)

References 38 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Greater self-efficacy helps youth exert sufficient effort to master and maintain diabetes care behaviors. Moreover, higher self-efficacy mediates the relation between having more diabetes responsibility and demonstrating better treatment adherence (Ott, Greening, Palardy, Holderby, & De-Bell, 2000), and between an organized, supportive family environment and in-range glycemic control (Herge et al, 2012). …”

Section: Theories Of Behavioral Interventionsmentioning

confidence: 99%

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

Hilliard¹,

Powell²,

Anderson³

2016

American Psychologist

124

View full text Add to dashboard Cite

As members of multidisciplinary diabetes care teams, psychologists are well-suited to support self-management among youth with Type 1 diabetes (T1D) and Type 2 diabetes (T2D) and their families. Psychological and behavioral interventions can promote adherence to the complex and demanding diabetes care regimen, with the goals of promoting high quality of life, achieving optimal glycemic control, and ultimately preventing disease-related complications. This article reviews well-researched contemporary behavioral interventions to promote optimal diabetes family- and self-management and health outcomes in youth with T1D, in the context of key behavioral theories. The article summarizes the evidence base for established diabetes skills training programs, family interventions, and multisystemic interventions, and introduces emerging evidence for technology and mobile health interventions and health care delivery system interventions. Next steps in behavioral T1D intervention research include tailoring interventions to meet individuals’ and families’ unique needs and strengths, and systematically evaluating cost-effectiveness to advocate for dissemination of well-developed interventions. Although in its infancy, this article reviews observational and intervention research for youth with T2D and their families and discusses lessons for future research with this population. Interventions for youth with T2D will need to incorporate family members, consider cultural and family issues related to health behaviors, and take into account competing priorities for resources. As psychologists and behavioral scientists, we must advocate for the integration of behavioral health into routine pediatric diabetes care in order to effectively promote meaningful change in the behavioral and medical well-being of youth and families living with T1D and T2D.

show abstract

Section: Theories Of Behavioral Interventionsmentioning

confidence: 99%

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

Hilliard¹,

Powell²,

Anderson³

2016

American Psychologist

124

View full text Add to dashboard Cite

show abstract

“…Indeed, parents who report greater parenting stress and depressive symptoms tend to also report lower diabetes self-efficacy (Streisand et al, 2008; Streisand et al, 2005). There are mixed results regarding the impact of diabetes self-efficacy on diabetes management behaviors and glycemic control, with one study finding that maternal and youth diabetes self-efficacy were related to better glycemic control in adolescents due to a significant positive correlation with better disease management and another finding no relationship between self-efficacy and glycemic control (Herge et al, 2012; Marvicsin, 2008). Although additional research is needed to understand these associations, it is likely that the relationship among hypoglycemia worry, diabetes self-efficacy, and parent T1D management behaviors are intertwined.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Parents' Sleep Quality and Hypoglycemia Worry on Diabetes Self-Efficacy

Herbert

Monaghan

Cogen³

et al. 2014

Behavioral Sleep Medicine

View full text Add to dashboard Cite

Parents of young children with type 1 diabetes (T1D) may experience poor sleep quality possibly impacting their confidence in T1D management. This study investigated sleep characteristics among parents of children with T1D and relationships amongst parents’ sleep quality, hypoglycemia worry, and diabetes self-efficacy. As part of baseline assessment for a randomized clinical trial (RCT) to promote parental management of T1D, 134 parents of children ≤ age 6 reported on demographics, parent sleep characteristics, hypoglycemia worry, and diabetes self-efficacy. Parents reported they slept less time than recommended by the National Sleep Foundation and endorsed greater global sleep problems than standardized norms of healthy adults; 1/3 of parents reported their overall sleep quality was “fairly bad” or “very bad.” Hypoglycemia worry and parents’ sleep quality were both significantly related to diabetes self-efficacy, but parents’ sleep quality did not mediate the relationship of hypoglycemia worry and diabetes self-efficacy. Many parents experience disrupted sleep that impacts their perceived ability to perform T1D management. Interventions designed to improve parental T1D self-efficacy should consider sleep and concerns about children’s hypoglycemia.

show abstract

“…Empirical evidence supports relationships within the framework and suggests the potential role of self-management as a mediator between family functioning and adaptation. For example, researchers have demonstrated that the relationship between family conflict/cohesion and glycemic control is mediated by self-management (Herge et al, 2012; Hilliard, Guilfoyle, Dolan, & Hood, 2011; Hilliard et al, 2013); and self-management has been shown to be a mediator between youth depressive symptoms and glycemic control (McGrady, Laffel, Drotar, Repaske, & Hood, 2009). To date, there is no research exploring mediators between family functioning or depressive symptoms and quality of life in adolescents with type 1 diabetes.…”

mentioning

confidence: 99%

Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes

et al. 2013

View full text Add to dashboard Cite

This study examined the relationship of family functioning and depressive symptoms with self-management, glycemic control, and quality of life in a sample of adolescents with type 1 diabetes. It also explored whether self-management mediates family functioning, depressive symptoms, and diabetes-related outcomes. Structural equation modeling was used to estimate parameters in the conceptual causal pathway and test mediation effects. Adolescents (n = 320) were primarily female (55%), younger adolescents (58%), and self-identified as White (63%). Self-management mediated the relationship between family conflict, family warmth-caring, parent guidance-control, and youth depressive symptoms with glycosylated hemoglobin (A1C). In addition, self-management mediated the relationship between family conflict and youth depressive symptoms with quality of life. Supporting optimal family functioning and treating elevated depressive symptoms in adolescents with type 1 diabetes has the potential to improve self-management, glycemic control, and quality of life.

show abstract

Family and Youth Factors Associated With Health Beliefs and Health Outcomes in Youth With Type 1 Diabetes

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

Cited by 33 publications

References 38 publications

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

The Impact of Parents' Sleep Quality and Hypoglycemia Worry on Diabetes Self-Efficacy

Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes

Contact Info

Product

Resources

About