期刊
JOURNAL OF PEDIATRIC PSYCHOLOGY
卷 33, 期 8, 页码 875-884出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsn024
关键词
adolescents; children; diabetes; problem solving
资金
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [ZIAHD008741] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [N01HD003364] Funding Source: NIH RePORTER
- Intramural NIH HHS Funding Source: Medline
Objectives This article introduces a new measure of problem-solving skills of youths with type 1 diabetes (T1DM) and adult caregivers in correcting glycemic fluctuations. Methods The Diabetes Problem Solving Interview (DPSI), a structured interview, was validated during a pilot study of a behavioral intervention. DPSI data and measures of diabetes management were obtained at baseline from 114 youths (ages 9-14.5) and 109 caregivers. Glycosylated hemoglobin (HbA(1c)) was measured quarterly over 9 months. Results Results confirmed the psychometric adequacy of the DPSI. For caregivers, but not youths, low DPSI scores (indicating poor problem-solving skills) were significantly associated with worse HbA(1c) over 9 months. Conclusions The DPSI has clinical and research utility as a measure of diabetes problem-solving skills. Identification and targeted remediation of caregivers deficient diabetes problem-solving skills or promotion of youths utilization of these skills could possibly enhance glycemic control in youths with T1DM.
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