Journal of Behavioral Medicine

, Volume 36, Issue 3, pp 234–245

Diabetes management and glycemic control in youth with type 1 diabetes: test of a predictive model

  • Dennis Drotar
  • Richard Ittenbach
  • Jennifer M. Rohan
  • Resmi Gupta
  • Jennifer Shroff Pendley
  • Alan Delamater
Article

DOI: 10.1007/s10865-012-9426-0

Cite this article as:
Drotar, D., Ittenbach, R., Rohan, J.M. et al. J Behav Med (2013) 36: 234. doi:10.1007/s10865-012-9426-0

Abstract

The objective of this study was to test a comprehensive model of biologic (pubertal status), family (communication and conflict), and psychological influences (behavioral autonomy) on diabetes management and glycemic control in a sample of youth (N = 226) with type 1 diabetes recruited during late childhood/early adolescence (ages 9–11 years). The study design was a prospective, multisite, multi-method study involving prediction of diabetes management and glycemic control 1 year post-baseline. The primary outcome measures included diabetes management behaviors based on the Diabetes Self-Management Profile (DSMP) administered separately to mothers and youth and glycemic control measured by glycated hemoglobin (HbA1c) obtained by blood samples and analyzed by a central laboratory to ensure standardization. Our hypothesized predictive model received partial support based on structural equation modeling analyses. Family conflict predicted less adequate glycemic control 1 year later (p < 0.05). Higher conflict predicted less adequate diabetes management and less adequate glycemic control. More advanced pubertal status also predicted less adequate glycemic control, but behavioral autonomy did not. Family conflict is an important, potentially clinically significant influence on glycemic control that should be considered in primary and secondary prevention in the management of type 1 diabetes in youth.

Keywords

Type 1 diabetes Adherence Self-management Pediatrics Glycemic control 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Dennis Drotar
    • 1
    • 2
  • Richard Ittenbach
    • 3
  • Jennifer M. Rohan
    • 1
    • 2
  • Resmi Gupta
    • 3
  • Jennifer Shroff Pendley
    • 4
  • Alan Delamater
    • 5
  1. 1.Department of PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Department of PsychologyUniversity of CincinnatiCincinnatiUSA
  3. 3.Division of Biostatistics and EpidemiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  4. 4.Division of Behavioral HealthAlfred I. duPont Hospital for ChildrenWilmingtonUSA
  5. 5.Department of PediatricsUniversity of MiamiMiamiUSA

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