Parental involvement and adolescents' diabetes management: The mediating role of self-efficacy and externalizing and internalizing behaviors

Cynthia A. Berg, Pamela S. King, Jorie M. Butler, Phung Pham, Debra Palmer, Deborah J. Wiebe

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Objective: To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence. Methods: A total of 252 young adolescents (M age=12.49 years, SD=1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records. Results: SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control. Conclusions: Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy.

Original languageEnglish (US)
Pages (from-to)329-339
Number of pages11
JournalJournal of Pediatric Psychology
Volume36
Issue number3
DOIs
StatePublished - Apr 2011

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Self Efficacy
Fathers
Mothers
Type 1 Diabetes Mellitus
Medical Records
Parents

Keywords

  • adherence
  • metabolic control
  • parental involvement
  • self-efficacy
  • type 1 diabetes

ASJC Scopus subject areas

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

Cite this

Parental involvement and adolescents' diabetes management : The mediating role of self-efficacy and externalizing and internalizing behaviors. / Berg, Cynthia A.; King, Pamela S.; Butler, Jorie M.; Pham, Phung; Palmer, Debra; Wiebe, Deborah J.

In: Journal of Pediatric Psychology, Vol. 36, No. 3, 04.2011, p. 329-339.

Research output: Contribution to journalArticle

Berg, Cynthia A. ; King, Pamela S. ; Butler, Jorie M. ; Pham, Phung ; Palmer, Debra ; Wiebe, Deborah J. / Parental involvement and adolescents' diabetes management : The mediating role of self-efficacy and externalizing and internalizing behaviors. In: Journal of Pediatric Psychology. 2011 ; Vol. 36, No. 3. pp. 329-339.
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