Communication matters: The role of autonomy-supportive communication by health care providers and parents in adolescents with type 1 diabetes.
Communication matters: The role of autonomy-supportive communication by health care providers and parents in adolescents with type 1 diabetes.
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DOI：
10.1016/j.diabres.2020.108153
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发表时间：
2020-05
影响因子：
5.1
通讯作者：
Delamater AM
中科院分区：
文献类型：
--
作者：
Goethals ER;Jaser SS;Verhaak C;Prikken S;Casteels K;Luyckx K;Delamater AM
尽管有关于1型糖尿病(T1D)青少年父母沟通的研究，但医疗保健提供者的沟通所起的作用仍未得到充分研究。在自我决定理论的基础上，这项研究考察了提供者和父母支持自主的沟通(即，提供有意义的理由并提供关于治疗建议的选择)的作用，以及它们在预测糖尿病结果中的相互作用。在这项横断面研究中，135名青少年(平均年龄14.3±2.1岁)、171名母亲和121名父亲报告了来自医疗保健提供者和父母的支持自主的沟通，以及青少年治疗的依从性。从病历中检索HbA1c值。在青少年报告中，来自提供者而不是来自父母的自我支持沟通与治疗依从性呈正相关。来自提供者和父母的支持自主的沟通之间的显著互动表明，当青少年认为提供者和父母都支持自主时，治疗依从性最高。相比之下，父母报告显示，父母支持自主的沟通与治疗依从性呈正相关，而提供者支持自主的沟通与治疗依从性无关。在患有T1D的青少年中，提供者和父母进行的支持自主的沟通与更好的治疗依从性有关。改善父母和提供者支持自主的沟通的干预措施可能会提高青少年的治疗依从性(例如，沟通培训)。
Although research exists on parental communication in adolescents with type 1 diabetes (T1D), the role of communication by health care providers remains understudied. Grounded in Self-Determination Theory, this study examined the role of autonomy-supportive communication (i.e., providing meaningful rationale and offering choices with regard to treatment recommendations) by providers and parents, and how they interact in the prediction of diabetes outcomes. In this cross-sectional study, 135 adolescents (mean age 14.3 ± 2.1SD years), 171 mothers, and 121 fathers reported on autonomy-supportive communication from health care providers and parents, and on adolescent treatment adherence. HbA1c values were retrieved from the medical record. In adolescent reports, perceived autonomy-supportive communication from providers but not from parents was positively related to treatment adherence. A significant interaction between autonomy-supportive communication from providers and parents pointed to the highest level of treatment adherence when adolescents perceived both providers and parents as autonomy-supportive. In contrast, parental reports revealed that parental autonomy-supportive communication was positively related to treatment adherence, whereas autonomy-supportive communication by providers was not. Autonomy-supportive communication by providers and parents is associated with better treatment adherence in adolescents with T1D. Interventions to improve autonomy-supportive communication by parents and providers may improve treatment adherence of adolescents (e.g., communication training).
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影响因子：
5.1
作者：
Prikken, Sofie;Raymaekers, Koen;Luyckx, Koen
通讯作者：
Luyckx, Koen
影响因子：
16.2
作者：
Cefalu, William T.;Berg, Erika Gebel;Robinson, Shamera
通讯作者：
Robinson, Shamera
影响因子：
3
作者：
Tanenbaum, M. L.;Adams, R. N.;Hood, K. K.
通讯作者：
Hood, K. K.
促进儿科 1 型糖尿病家庭管理的临床综合干预的多中心试验：可行性和设计。
影响因子：
3.4
作者：
Nansel TR;Anderson BJ;Laffel LM;Simons-Morton BG;Weissberg-Benchell J;Wysocki T;Iannotti RJ;Holmbeck GN;Hood KK;Lochrie AS
通讯作者：
Lochrie AS
影响因子：
4.2
作者：
Gruhn, Meredith A.;Lord, Jadienne H.;Jaser, Sarah S.
通讯作者：
Jaser, Sarah S.