Parental Involvement in Diabetes Care across Adolescence

父母参与整个青春期的糖尿病护理

• 批准号: 6924845
• 负责人: Deborah J Wiebe
• 金额: $ 61.67万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6924845
• 关键词: adolescence (12-20); attitude; behavioral /social science research tag; child psychology; clinical research; father child interaction; health behavior; human subject; insulin dependent diabetes mellitus; longitudinal human study; middle childhood (6-11); mother child interaction; patient care management; patient oriented research; psychological models; self care; therapy compliance

DESCRIPTION (provided by applicant): The objective is to understand how children with type 1 diabetes and parents (together with health-care providers) manage diabetes across adolescence to cultivate the child's competence and diabetes adjustment and meet autonomy needs. We explore how it is not only the amount of behavioral involvement of parents (i.e., parents performing diabetes tasks), but the child's appraisal of the form of that involvement, that influences whether adolescents are successful in their diabetes adjustment. The proposed research utilizes a transactional developmental model to examine behavioral and appraised parental involvement and diabetes adjustment both longitudinally across the transition into adolescence and daily. The major aims are to examine (a) developmental changes in mother's behavioral involvement as a function of child age, pubertal status, and autonomy, (b) whether successful diabetes management during the transition into adolescence involves continued collaboration with mothers, low levels of uninvolvement, and declines in controlling involvement, (c) the process whereby collaboration produces positive and uninvolvement and control produces negative outcomes across development, (d) how fathers' involvement may either directly or indirectly affect diabetes management, and (e) broader system factors contributing to the developmental changes in appraised maternal involvement. Using a three-year longitudinal design, 200 children aged 10-14 with type 1 diabetes and their mothers and fathers will be assessed every six months. At each assessment, the constructs of developmental level, parental involvement, and diabetes adjustment will be assessed through a combination of surveys, interviews, and medical tests. In Years 1 and 3, mothers, fathers, and children will complete a two-week daily diary to examine the daily processes by which forms of appraised parental involvement affect child adjustment. The long-term goal is to identify child, parent, dyadic, and health-care provider factors that could lead to interventions to promote successful diabetes adjustment.

描述（由申请人提供）：目的是了解1型糖尿病和父母（以及医疗保健提供者）如何管理跨青春期的糖尿病，以培养儿童的能力和糖尿病调整并满足自治需求。我们探索不仅是如何不仅是父母的行为参与程度（即，父母执行糖尿病任务），而且还如何评估该参与的形式，还影响了青少年是否在糖尿病调整中成功。拟议的研究利用交易性发展模型来检查行为和评估的父母参与，糖尿病在整个过渡到青春期和每天的过渡过程中纵向调整。 The major aims are to examine (a) developmental changes in mother's behavioral involvement as a function of child age, pubertal status, and autonomy, (b) whether successful diabetes management during the transition into adolescence involves continued collaboration with mothers, low levels of uninvolvement, and declines in controlling involvement, (c) the process whereby collaboration produces positive and uninvolvement and control produces negative outcomes across development, (d)父亲的参与如何直接或间接影响糖尿病管理，以及（e）更广泛的系统因素，导致评估孕产妇参与的发展变化。使用三年的纵向设计，将每六个月评估200名患有1型糖尿病及其母亲和父亲的10-14岁儿童。在每次评估中，将通过调查，访谈和医疗测试的结合来评估发展水平，父母参与和糖尿病调整的结构。在第1和3年级，母亲，父亲和儿童将完成每日两周的日记，以检查日常过程，通过哪些形式的父母参与会影响儿童调整。长期目标是确定孩子，父母，二元和医疗保健提供者的因素，这些因素可能导致干预措施以促进成功的糖尿病调整。