Physician Recommendations About Maternal Involvement in Adolescent Diabetes Management
- Deborah J. Wiebe, PHD, MPH1,
- Cynthia A. Berg, PHD2,
- Katherine T. Fortenberry, MA2,
- Janet Sirstins, RN3,
- Rob Lindsay, MD3,
- David Donaldson, MD3 and
- Mary Murray, MD3
- 1Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas
- 2Department of Psychology, University of Utah, Salt Lake City, Utah
- 3Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah
- Address correspondence and reprint requests to Deborah Wiebe, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390. E-mail: deborah.wiebe{at}utsouthwestern.edu
Abstract
OBJECTIVE—The purpose of this study was to examine whether perceptions of physician recommendations about maternal involvement in adolescent diabetes management are associated with children's reports of mothers’ involvement during the subsequent week.
RESEARCH DESIGN AND METHODS—Youth with type 1 diabetes (aged 10–15 years) and mothers completed scales measuring perceptions of physician recommendations about maternal involvement. At their appointment, and again 1 week later, children reported mothers’ involvement in diabetes over the preceding week.
RESULTS—A total of 53 dyads provided usable data at both time points. Perceived recommendations to increase involvement were associated with children's reports of increased maternal collaboration during the subsequent week (B = 0.81, P < 0.05), an effect that was stronger among boys (B = −1.21, P < 0.005). Increased maternal collaboration correlated with better A1C (r = −0.39, P < 0.005).
CONCLUSIONS—Physicians may facilitate adaptive forms of maternal involvement during adolescence by conveying messages about involvement to patients and families.
Footnotes
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Published ahead of print at http://care.diabetesjournals.org on 9 January 2008. DOI: 10.2337/dc07-1618.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C Section 1734 solely to indicate this fact.
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- Accepted December 29, 2007.
- Received August 15, 2007.
- DIABETES CARE
