The Role of Parental Monitoring in Adolescent Health Outcomes: Impact on Regimen Adherence in Youth with Type 1 Diabetes

Ellis, Deborah A.; Podolski, Cheryl-Lynn; Frey, Maureen A.; Naar‐King, Sylvie; Wang, Bo; Moltz, Kathleen

doi:10.1093/jpepsy/jsm009

Cited by 214 publications

(233 citation statements)

References 53 publications

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“…The findings that part of the benefit of warm and accepting parental relationships for diabetes outcomes occurs through parental monitoring are consistent with those of Ellis et al (9). Ellis et al also found that when monitoring and acceptance were both used to predict diabetes outcomes, only monitoring remained as a significant predictor.…”

Section: Methodssupporting

confidence: 86%

“…For instance, an adolescent could manage diabetes care tasks independently (low parental involvement), while the parent monitors the success of those independent efforts (high parental monitoring). The benefits of warm and accepting relationships may be due in part to accepting parents being positioned to monitor their adolescent's diabetes activities (9).…”

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confidence: 99%

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confidence: 99%

“…Ellis et al (9) found that diabetes-specific monitoring during adolescence was associated with better metabolic control via its association with better regimen adherence. The study by Ellis et al (9) primarily included mothers (78%) and did not examine how mothers' and fathers' acceptance and monitoring together may affect diabetes management. Although research has focused primarily on the mother-child relationship, recent work suggests that support from fathers is important, despite their lower levels of involvement (12).…”

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confidence: 99%

“…We hypothesized that both mothers' and fathers' acceptance and monitoring would be predictive of diabetes outcomes, with the benefits occurring largely through effective monitoring (9). We examined both adolescents' reports of mothers' and fathers' acceptance as well as the reports of mothers' and fathers' themselves.…”

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confidence: 99%

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Role of Parental Monitoring in Understanding the Benefits of Parental Acceptance on Adolescent Adherence and Metabolic Control of Type 1 Diabetes

et al. 2008

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OBJECTIVE—This study examined 1) whether the benefits of mothers’ and fathers’ accepting relationships with their adolescents regarding diabetes control were due to parental monitoring and 2) how parents together may provide sufficient acceptance and monitoring for diabetes management. RESEARCH DESIGN AND METHODS—Adolescents aged 10–14 years with type 1 diabetes (n = 185) and their mothers (n = 185) and fathers (n = 145) completed assessments of parental acceptance and monitoring of diabetes tasks. Adolescents completed a modified version of the Self-Care Inventory (1) to measure adherence. A1C scores were used as a marker of glycemic control. RESULTS—Mediational analyses revealed that the benefits of adolescents’ reports of fathers’ acceptance on A1C and mothers’ and fathers’ acceptance on better adherence were partially mediated by monitoring. Both mothers’ and fathers’ monitoring and fathers’ acceptance had independent effects in predicting adherence. However, only fathers’ monitoring had an independent effect on A1C. The effect of fathers’ monitoring on A1C occurred as fathers were monitoring at a lower level than mothers. Mothers’ and fathers’ reports of their own acceptance and monitoring were not associated with A1C or adherence. CONCLUSIONS—Results reveal the importance of fathers’ acceptance and monitoring in diabetes management, a role that should be encouraged, despite the little attention it has received.

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confidence: 86%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Role of Parental Monitoring in Understanding the Benefits of Parental Acceptance on Adolescent Adherence and Metabolic Control of Type 1 Diabetes

et al. 2008

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Prediction of Adolescents' Glycemic Control 1 Year After Diabetes-Specific Family Conflict

Hilliard

Guilfoyle²,

Dolan³

et al. 2011

Arch Pediatr Adolesc Med

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Mobile Health Interventions for Improving Health Outcomes in Youth

et al. 2017

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IMPORTANCE Mobile health interventions are increasingly popular in pediatrics; however, it is unclear how effective these interventions are in changing health outcomes.OBJECTIVE To determine the effectiveness of mobile health interventions for improving health outcomes in youth 18 years or younger.DATA SOURCES Studies published through November 30, 2016, were collected through PubMed, Cumulative Index to Nursing and Allied Health Literature, Educational Resources Information Center, and PsychINFO. Backward and forward literature searches were conducted on articles meeting study inclusion criteria. Search terms included telemedicine, eHealth, mobile health, mHealth, app, and mobile application.STUDY SELECTION Search results were limited to infants, children, adolescents, or young adults when possible. Studies were included if quantitative methods were used to evaluate an application of mobile intervention technology in a primary or secondary capacity to promote or modify health behavior in youth 18 years or younger. Studies were excluded if the article was an unpublished dissertation or thesis, the mean age of participants was older than 18 years, the study did not assess a health behavior and disease outcome, or the article did not include sufficient statistics. Inclusion and exclusion criteria were applied by 2 independent coders with 20% overlap. Of 9773 unique articles, 36 articles (containing 37 unique studies with a total of 29 822 participants) met the inclusion criteria. DATA EXTRACTION AND SYNTHESISOf 9773 unique articles, 36 articles (containing 37 unique studies) with a total of 29 822 participants met the inclusion criteria. Effect sizes were calculated from statistical tests that could be converted to standardized mean differences. All aggregate effect sizes and moderator variables were tested using random-effects models. MAIN OUTCOMES AND MEASURES Change in health behavior or disease control.RESULTS A total of 29 822 participants were included in the studies. In studies that reported sex, the total number of females was 11 226 (53.2%). Of those reporting age, the average was 11.35 years. The random effects aggregate effect size of mobile health interventions was significant (n = 37; Cohen d = 0.22; 95% CI, 0.14-0.29). The random effects model indicated that providing mobile health intervention to a caregiver increased the strength of the intervention effect. Studies that involved caregivers in the intervention produced effect sizes (n = 16; Cohen d = 0.28; 95% CI, 0.18-0.39) larger than those that did not include caregivers (n = 21; Cohen d = 0.13; 95% CI, 0.02-0.25). Other coded variables did not moderate study effect size.CONCLUSIONS AND RELEVANCE Mobile health interventions appear to be a viable health behavior change intervention modality for youth. Given the ubiquity of mobile phones, mobile health interventions offer promise in improving public health.

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The Role of Parental Monitoring in Adolescent Health Outcomes: Impact on Regimen Adherence in Youth with Type 1 Diabetes

Abstract: Close parental monitoring of care completion can contribute to better adherence in adolescents with diabetes. General warmth and support in the absence of careful parental supervision may be insufficient to help youth achieve adequate levels of adherence.

Cited by 214 publications

References 53 publications

Role of Parental Monitoring in Understanding the Benefits of Parental Acceptance on Adolescent Adherence and Metabolic Control of Type 1 Diabetes

Role of Parental Monitoring in Understanding the Benefits of Parental Acceptance on Adolescent Adherence and Metabolic Control of Type 1 Diabetes

Prediction of Adolescents' Glycemic Control 1 Year After Diabetes-Specific Family Conflict

Mobile Health Interventions for Improving Health Outcomes in Youth

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