Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes

Andrea Croom, Deborah J. Wiebe, Cynthia A. Berg, Rob Lindsay, David Donaldson, Carol Foster, Mary Murray, Michael T. Swinyard

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Objective: To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c). Methods: One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records. Results: Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management. Conclusions: Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.

Original languageEnglish (US)
Pages (from-to)206-215
Number of pages10
JournalJournal of Pediatric Psychology
Volume36
Issue number2
DOIs
StatePublished - Mar 2011

Fingerprint

Type 1 Diabetes Mellitus
Mental Competency
Communication
Parents
Ambulatory Care
Physicians
Patient Participation
Self Efficacy
Health Personnel
Medical Records

Keywords

  • adolescents
  • parents
  • patient-centered communication
  • type 1 diabetes

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

Cite this

Croom, A., Wiebe, D. J., Berg, C. A., Lindsay, R., Donaldson, D., Foster, C., ... Swinyard, M. T. (2011). Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes. Journal of Pediatric Psychology, 36(2), 206-215. https://doi.org/10.1093/jpepsy/jsq072

Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes. / Croom, Andrea; Wiebe, Deborah J.; Berg, Cynthia A.; Lindsay, Rob; Donaldson, David; Foster, Carol; Murray, Mary; Swinyard, Michael T.

In: Journal of Pediatric Psychology, Vol. 36, No. 2, 03.2011, p. 206-215.

Research output: Contribution to journalArticle

Croom, A, Wiebe, DJ, Berg, CA, Lindsay, R, Donaldson, D, Foster, C, Murray, M & Swinyard, MT 2011, 'Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes', Journal of Pediatric Psychology, vol. 36, no. 2, pp. 206-215. https://doi.org/10.1093/jpepsy/jsq072
Croom, Andrea ; Wiebe, Deborah J. ; Berg, Cynthia A. ; Lindsay, Rob ; Donaldson, David ; Foster, Carol ; Murray, Mary ; Swinyard, Michael T. / Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes. In: Journal of Pediatric Psychology. 2011 ; Vol. 36, No. 2. pp. 206-215.
@article{f5c45c3e87cc4484bf18f8d67ec790eb,
title = "Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes",
abstract = "Objective: To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c). Methods: One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records. Results: Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management. Conclusions: Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.",
keywords = "adolescents, parents, patient-centered communication, type 1 diabetes",
author = "Andrea Croom and Wiebe, {Deborah J.} and Berg, {Cynthia A.} and Rob Lindsay and David Donaldson and Carol Foster and Mary Murray and Swinyard, {Michael T.}",
year = "2011",
month = "3",
doi = "10.1093/jpepsy/jsq072",
language = "English (US)",
volume = "36",
pages = "206--215",
journal = "Journal of Pediatric Psychology",
issn = "0146-8693",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes

AU - Croom, Andrea

AU - Wiebe, Deborah J.

AU - Berg, Cynthia A.

AU - Lindsay, Rob

AU - Donaldson, David

AU - Foster, Carol

AU - Murray, Mary

AU - Swinyard, Michael T.

PY - 2011/3

Y1 - 2011/3

N2 - Objective: To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c). Methods: One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records. Results: Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management. Conclusions: Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.

AB - Objective: To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c). Methods: One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records. Results: Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management. Conclusions: Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.

KW - adolescents

KW - parents

KW - patient-centered communication

KW - type 1 diabetes

UR - http://www.scopus.com/inward/record.url?scp=79952283608&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952283608&partnerID=8YFLogxK

U2 - 10.1093/jpepsy/jsq072

DO - 10.1093/jpepsy/jsq072

M3 - Article

VL - 36

SP - 206

EP - 215

JO - Journal of Pediatric Psychology

JF - Journal of Pediatric Psychology

SN - 0146-8693

IS - 2

ER -