Mother, father, and adolescent self-control and adherence in adolescents with Type 1 diabetes.

Abstract

This study explored whether shared self-control across a family system, including adolescent, mother, and father self-control, as well as the interaction of mother and father self-control, was associated with ease of completing adherence tasks, and the completion of adherence behaviors related to the type 1 diabetes (T1D) regimen. 137 adolescents (M = 13.48 years), mothers, and fathers completed a self-report measure of self-control, while adolescents also self-reported on ease of completing adherence tasks and the frequency with which they completed adherence tasks. Higher adolescent, mother, father, and the interaction of mother and father self-control were each associated with greater adolescent perceptions of ease of completing adherence tasks. Also, greater adolescent perception of ease of adherence mediated the association of higher adolescent, father, and the interaction of mother and father self-control on more frequent adherence behaviors. The results are consistent with the idea that family members may share the load of self-control within the family system. The results point to the importance of assessing and intervening within the entire family system to support improved quality of life and better adherence to the medical regimen in adolescents with type 1 diabetes.

Risk factors for non-adherence to disease-modifying therapy in pediatric multiple sclerosis

“…In diabetes, another chronic disease population of adolescents who must also use injectable therapies, self-control in both parents and children has been shown to be associated with higher medication adherence in the adolescents. 30 Future research should evaluate the reasons for decreases in quality of life with increasing parental involvement in youth with MS. Based on the aforementioned work, it may relate to adolescent perceptions of self-control. Interventions might focus on these functional and psychosocial aspects of cognition to improve patient self-management and independence in managing their MS treatments.…”

Using Relational Agents to Promote Family Communication Around Type 1 Diabetes Self-Management in the Diabetes Family Teamwork Online Intervention: Longitudinal Pilot Study

“…It is well documented that the family is important in adolescent adherence [8]. Family conflict and negative communication around diabetes management, especially blood glucose monitoring, are common barriers to adolescent adherence to the diabetes regimen [9].…”

“…A meta-analysis of T1D interventions promoting adherence in youth concluded that behavioral interventions without a focus on the personal and interpersonal aspects of the disease were less likely to affect blood glucose control [10]. Therefore, interventions focusing on adolescent adherence and disease management should not ignore the importance of the family, particularly family communication around T1D management tasks, in this process [8].…”

Adolescent Emotional Control Moderates Benefits of a Multicomponent Intervention to Improve Type 1 Diabetes Adherence: A Pilot Randomized Controlled Trial

“…self-regulation, the ability to modulate cognitions, emotions, and behaviors toward long-term goals, is a key individual difference that has been associated with adherence behaviors, including SMBG, and glycemic control (Lansing, Crochiere, Cueto, Wiebe, & Berg, 2017;McNally, Rohan, Pendley, Delamater, & Drotar, 2010;Perez et al, 2016). A multicomponent, web-delivered intervention designed to target biopsychosocial processes in the self-regulation of SMBG in adolescents with above-target glycemic control was developed and tested, showing improvements in SMBG and HbA1c at 6-and 12-month follow-ups (Stanger, Lansing, Scherer, Budney, Christiano, & Casella, 2018).…”