The role of parental monitoring in metabolic control: Effect on adherence and externalizing behaviors during adolescence

Dwayne Horton, Cynthia A. Berg, Jonathan Butner, Deborah J. Wiebe

Research output: Contribution to journalArticle

34 Scopus citations


Objective We examined the role of parental monitoring (general and diabetes specific) on metabolic control through better adherence and lower externalizing behaviors for adolescents with type 1 diabetes.MethodsAdolescents aged 10-14 (n = 252) completed assessments of general and diabetes-specific mothers' and fathers' monitoring, adherence, and the Youth Self Report (YSR). Glycosylated hemoglobin (HbA1c) indexed diabetes control.ResultsPath analyses revealed that perceived mothers' general monitoring was indirectly associated with lower HbA1c through lower externalizing behaviors and higher adherence. Perceived fathers' general monitoring was associated with HbA1c differently at the extremes: low fathers' monitoring was associated with higher HbA1c through higher externalizing behaviors; high fathers' monitoring was associated with HbA1c through higher adherence. Diabetes-specific monitoring was not associated with externalizing behaviors.ConclusionPerceived mothers' and fathers' general parental monitoring facilitates metabolic control through a similar process, with parental differences largely seen at the extremes.

Original languageEnglish (US)
Pages (from-to)1008-1018
Number of pages11
JournalJournal of Pediatric Psychology
Issue number9
Publication statusPublished - Oct 2009



  • Adolescents
  • Diabetes
  • Externalizing behaviors
  • Fathers
  • Monitoring
  • Mothers

ASJC Scopus subject areas

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

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