Parental involvement buffers associations between pump duration and metabolic control among adolescents with type 1 diabetes

Deborah J. Wiebe, Andrea Croom, Katherine T. Fortenberry, Jonathan Butner, Jorie Butler, Michael T. Swinyard, Rob Lindsay, David Donaldson, Carol Foster, Mary Murray, Cynthia A. Berg

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Objectives: To examine pump duration associations with adolescents' metabolic control and whether parental involvement moderated this association. Methods: This study used a cross-sectional sample of 10- to 14-year-olds with diabetes (N = 252, 53.6% female) and parents' reported parental involvement; HbA1c was obtained from medical records. Half (50.8%) were on an insulin pump (continuous subcutaneous insulin infusion, CSII), with the remainder prescribed multiple daily injections (MDI). Results: Adolescents on CSII displayed better HbA1c than those on MDI. A curvilinear association revealed that participants on CSII for <2 years showed a positive pump duration-HbA1c association, while those on CSII longer showed no association. Parental involvement interacted with pump duration to predict HbA1c. Pump duration was associated with poorer HbA1c only when parents were relatively uninvolved. Conclusions: Within the limitations of a cross-sectional design, data suggest that adolescents on CSII have better HbA1c than those on MDI, but may experience a period of deterioration that can be offset by parental involvement.

Original languageEnglish (US)
Pages (from-to)1152-1160
Number of pages9
JournalJournal of Pediatric Psychology
Volume35
Issue number10
DOIs
StatePublished - Nov 2010

Keywords

  • adolescents
  • continuous subcutaneous insulin infusion
  • diabetes mellitus, type 1
  • insulin pump
  • parental involvement

ASJC Scopus subject areas

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

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