Intrinsic Motivation in Ethnic Minority Youth with Type 1 Diabetes.
Intrinsic Motivation in Ethnic Minority Youth with Type 1 Diabetes.
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患有 1 型糖尿病的少数民族青年的内在动机。
DOI：
10.1080/02739615.2015.1124777
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Sanchez,Janine
中科院分区：
文献类型：
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作者：
Delamater,AlanM;Daigre,AmberL;Marchante,AshleyN;Pulgarón,ElizabethR;Patiño-Fernandez,AnnaMaria;Sanchez,Janine
增加内在动机 (IM) 可能是改善 1 型糖尿病 (T1D) 青少年治疗依从性和血糖控制的有效方法。这项初步研究评估了少数民族 T1D 青少年糖尿病管理内在动机新衡量标准的可靠性和有效性。糖尿病管理的 12 项内在动机量表 (IMI-DM) 旨在评估糖尿病管理中自我保健行为的信心和重要性。参与者包括 51 名 11-16 岁患有 T1D 的少数民族青少年（平均年龄 = 13.5 岁）及其父母。 IMI-DM 表现出出色的内部一致性 (α = 0.92)。较高的 IM 与更好的糖尿病自我管理行为和血糖控制、更好的青少年自我概念、更少的抑郁和家庭冲突以及更大的青少年糖尿病管理责任相关。这些发现为针对 1 型糖尿病青少年的新型糖尿病特异性 IM 测量的可靠性和有效性提供了初步支持，并确定了一些关键的个人和家庭因素，这些因素在改善少数民族 1 型糖尿病青少年的治疗依从性和血糖控制的干预措施中可能很重要。
Increasing intrinsic motivation (IM) may be an effective way to improve regimen adherence and glycemic control in youth with type 1 diabetes (T1D). This preliminary study evaluated the reliability and validity of a new measure of intrinsic motivation for diabetes management for ethnic minority youth with T1D. The 12-item Intrinsic Motivation Inventory for Diabetes Management (IMI-DM) was developed to assess perceptions of confidence in and the importance of engaging in self-care behaviors for diabetes management. Participants included 51 11–16 year-old minority adolescents (mean age = 13.5 years) with T1D and their parents. The IMI-DM demonstrated excellent internal consistency (α = 0.92). Higher IM was associated with better diabetes self-management behaviors and glycemic control, better youth self-concept, less depression and family conflict, and greater youth responsibilities for diabetes management. These findings provide preliminary support for the reliability and validity of a new diabetes-specific IM measure for youth with T1D, and identified some key individual and family factors that may be important to consider in interventions to improve regimen adherence and glycemic control in minority youth with T1D.