A triadic perspective on control perceptions in youth with type 1 diabetes and their parents: Associations with treatment adherence and glycemic control
A triadic perspective on control perceptions in youth with type 1 diabetes and their parents: Associations with treatment adherence and glycemic control
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DOI：
10.1016/j.diabres.2019.03.025
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发表时间：
2019-04-01
影响因子：
5.1
通讯作者：
Luyckx, Koen
中科院分区：
文献类型：
--
作者：
Prikken, Sofie;Raymaekers, Koen;Luyckx, Koen
目的：应用家庭方法研究青少年、母亲和父亲的控制感与青少年和初出茅庐的成年人的1型糖尿病结局的关系。比较患者和父母的个人和治疗控制的平均水平。方法：样本包括330例患者-母亲-父亲三联症患者。患者(48%为男性)平均年龄为18.25岁(SD=2.98)。所有受访者都报告了他们的控制观和青少年治疗依从性。结果：配对样本t检验显示，与父母相比，患者的个人控制力更强。回归分析检验控制知觉是否能预测治疗依从性和糖化血红蛋白。当患者和母亲都报告较高的个人控制力时，患者和母亲个人控制和双向互动的主效应显示出最好的结果。患者、母亲和父亲的治疗控制和三方交互作用的主效应显示，在患者和至少一位父母的治疗控制较高的情况下，结果较好，而在所有的治疗控制较低的情况下，结果最差。结论：研究结果强调了父母的控制知觉在患者自身知觉之上的重要性。鼓励从家庭的角度看待疾病认知及其与糖尿病结局的关系。(C)2019爱思唯尔B.V.保留所有权利。
Aims: A family approach was applied to examine youth, maternal, and paternal control perceptions in relation to type 1 diabetes outcomes in adolescents and emerging adults. Mean levels of personal and treatment control were compared among patients and parents. Their associations with diabetes outcomes were examined as well.Methods: The sample included 330 patient-mother-father triads. Patients' (48% male) mean age was 18.25 years (SD = 2.98). All respondents reported on their control perceptions and youth treatment adherence. Physicians provided HbA1c-values.Results: Paired-samples t-tests revealed higher personal control in patients compared to parents. Regression analyses examined if control perceptions predicted treatment adherence and HbA1c. Main effects for patient and maternal personal control and two-way interactions showed the best outcomes when both patients and mothers reported high personal control. Main effects of patient, maternal, and paternal treatment control and three-way interaction terms revealed better outcomes in case of high treatment control in patients and at least one parent, while the poorest outcomes were observed in case of low treatment control in all respondents.Conclusions: The findings highlight the importance of parental control perceptions on top of patients' own perceptions. A family perspective on illness perceptions and their associations with diabetes outcomes is encouraged. (C) 2019 Elsevier B.V. All rights reserved.