Journal
PEDIATRIC DIABETES
Volume 18, Issue 7, Pages 614-618Publisher
WILEY
DOI: 10.1111/pedi.12471
Keywords
adolescents; family; hemoglobin A1c; self-management; type 1 diabetes mellitus
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Funding
- Diabetes Institute of the University of Kansas Medical Center
- National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases [R01-DK100779]
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Objective: To examine whether self-efficacy buffers the deleterious consequences of diabetes-specific family conflict on self-monitoring blood glucose (SMBG) and glycated hemoglobin (HbA1c) in youth with type 1 diabetes mellitus (T1DM). Methods: A total of 129 youth with T1DM (aged 10-16 years) completed measures of diabetes-specific family conflict and self-efficacy for diabetes management, and their blood glucose meter data and HbA1c were extracted from the electronic medical record. We preformed moderation analyses to examine whether self-efficacy moderated the association that diabetes-specific family conflict had with SMBG and HbA1c. We used simple slopes analyses to probe significant interactions. Results: Our results indicated that self-efficacy moderated the association that diabetesspecific family conflict had with SMBG and HbA1c. The pattern of these findings showed that high self-efficacy buffered the negative impact of diabetes conflict on HbA1c. However, benefits of high self-efficacy for more frequent SMBG was only apparent in the context of low diabetes-specific family conflict. Conclusions: Study findings highlight the interactive relationship between diabetes-specific family conflict and self-efficacy in relation to SMBG and glycemic control. These findings suggest that family functioning and youth's self-efficacy are promising intervention targets for families having trouble with SMBG and HbA1c.
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