Relationship of youth involvement in diabetes-related decisions to treatment adherence.
Relationship of youth involvement in diabetes-related decisions to treatment adherence.
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DOI：
10.1007/s10880-014-9388-1
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发表时间：
2014-06
影响因子：
2.2
通讯作者：
Jawad, Abbas F.
中科院分区：
文献类型：
--
作者：
Miller, Victoria A.;Jawad, Abbas F.
这项研究的目的是检验年轻人参与糖尿病相关决策与坚持的关系。儿童和青少年(8-19岁)和他们的父母(N=89)完成了决策介入量表(DMIS)和自我护理问卷，这是一种自我报告的依从性测量。在控制了青年年龄后，青年向父母表达意见和信息的程度与父母和青年报告的更好的遵从性有关。父母向年轻人表达意见和信息的程度与父母报告的遵从性较差有关。联合决策行为(例如，谈判；提供选择)也与青年报告的更好的遵从性有关。鼓励青少年在疾病管理讨论期间表达意见并与父母分享与疾病相关的信息可能会提高遵从性。需要更多的研究来确定影响机制，并确定随着时间的推移，决策参与与健康行为和结果之间的关联。
The aim of this study was to examine the relationship of youth’s involvement in diabetes-related decisions to adherence. Children and adolescents (8–19 years) and their parents (N = 89) completed the Decision Making Involvement Scale (DMIS) and the Self Care Inventory, a self-report measure of adherence. After controlling for youth age, the degree to which youth expressed an opinion and information to parents was associated with better parent- and youth- reported adherence. The degree to which parents expressed an opinion and information to youth was associated with worse parent-reported adherence. Joint decision-making behaviors (e.g., negotiation; provision of options) also were associated with better youth-reported adherence. Encouraging youth to express opinions and share illness-related information with parents during illness management discussions may improve adherence. Additional research is needed to identify mechanisms of effect and determine associations between decision making involvement and health behaviors and outcomes over time.
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