Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence

Deborah J. Wiebe, Chong Man Chow, Debra L. Palmer, Jonathan Butner, Jorie M. Butler, Peter Osborn, Cynthia A. Berg

Research output: Contribution to journalArticle

59 Scopus citations


Objective To identify whether changes in pubertal status and self-efficacy for diabetes management are associated with longitudinal declines in parental responsibility for diabetes, and to determine whether these factors moderate associations between declining parental responsibility and deteriorating adherence across adolescence. MethodsAdolescents (N = 252; 53.6% females) with type 1 diabetes, mothers, and 188 fathers participated in a 2.5-year longitudinal study. Self-reports of pubertal status, adolescent efficacy, parental responsibility, and adherence were completed every 6 months (6 time points). Results Latent growth curve modeling revealed that longitudinal increases in efficacy and pubertal maturation were uniquely associated with longitudinal declines in parental responsibility. Declines in parental responsibility were related to deterioration in adherence especially when adolescents did not report concomitant growth in self-efficacy. Conclusions Transfer of responsibility for diabetes management across adolescence may be more optimal when adolescents' increased independence is titrated to their changing self-efficacy beliefs.

Original languageEnglish (US)
Pages (from-to)532-541
Number of pages10
JournalJournal of Pediatric Psychology
Issue number5
Publication statusPublished - 2014



  • adherence
  • adolescents
  • longitudinal research
  • parenting
  • puberty
  • self-efficacy
  • type 1 diabetes

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

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