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Individual and Family Management in Portuguese Adolescents with Type 1 Diabetes: a Path Analysis

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Abstract

Background

This study evaluates the adequacy of the Revised Self and Family Management Framework (Grey et al., Nurs Outlook 63:162–170, 2015) in Portuguese adolescents with type 1 diabetes and analyzes the effect of parental coping, family support, and adherence in the association between illness representations, school support, metabolic control, quality of life, and family functioning.

Method

One hundred adolescents (aged 12–19) and their parents participated in a cross-sectional study. Adolescents were assessed on school support, adherence to self-care, family support, and quality of life. Parents were assessed on parental coping and family functioning. Both adolescents and parents were assessed on illness representations. Adolescent’s metabolic control was evaluated through glycosylate hemoglobin.

Results

Adolescents’ and parents’ illness representations were associated with metabolic control, quality of life and family functioning. Parental coping, family support and adherence had an indirect effect between illness representations and diabetes outcomes.

Conclusion

Findings showed the adequacy of Grey and colleagues’ model (Nurs Outlook 63:162–170, 2015) in adolescents with type 1 diabetes and how family support, parental coping, and adherence contribute to diabetes management. Interventions to improve adolescents’ and family’s management of Type 1 diabetes should be designed to change adolescents’ and family’s representations and enhance their ability and skills in diabetes management.

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Authors and Affiliations

  1. Institute of Social Sciences, University of Minho - Campus de Gualtar, 4710-057, Braga, Portugal

    Ana Cristina Almeida

  2. Centre for Research and Studies in Sociology/ISCTE, University Institute of Lisbon, Campus da Cidade Universitária de Lisboa, 1649-026, Lisbon, Portugal

    M. Engrácia Leandro

  3. School of Psychology, University of Minho - Campus de Gualtar, 4710-057, Braga, Portugal

    M. Graça Pereira

Authors
  1. Ana Cristina Almeida
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  2. M. Engrácia Leandro
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  3. M. Graça Pereira
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Correspondence to Ana Cristina Almeida.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The ethical committee of the hospital where data was collected (Central Lisbon University Hospital Centre Process no. 68-CHLC) approved the study.

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Informed consent was obtained from all individual participants included in the study.

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This paper does not contain any studies with animals performed by any of the authors.

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Almeida, A.C., Leandro, M.E. & Pereira, M.G. Individual and Family Management in Portuguese Adolescents with Type 1 Diabetes: a Path Analysis. Int.J. Behav. Med. 27, 455–465 (2020). https://doi.org/10.1007/s12529-020-09884-7

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