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Fathers' Involvement in Preadolescents' Diabetes Adherence and Glycemic Control

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Date 2011 Apr 26
PMID 21515643
Citations 19
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Abstract

Objective: To examine the relationship of paternal involvement in diabetes care with adherence and glycemic control.

Methods: One hundred and thirty-six mothers and fathers of preadolescents (aged 9-12 years) with type 1 diabetes reported on paternal involvement. Adherence was measured by interview and blood glucose meter downloads. Mothers' and fathers' ratings of paternal involvement in diabetes care were compared. We evaluated three structural equation models linking paternal involvement with adherence and glycemic control.

Results: Mothers and fathers reported similar amounts of paternal involvement, yet mothers rated paternal involvement as more helpful. The data supported a model indicating links between more paternal involvement and higher HbA1c and between lower adherence and higher HbA1c. Mediation and moderation models were not supported.

Discussion: Although paternal involvement was not directly associated with treatment adherence, it was associated with poorer glycemic control. Some fathers may increase their involvement in response to suboptimal glycemic outcomes.

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References
1.
Seiffge-Krenke I . "Come on, say something, dad!": communication and coping in fathers of diabetic adolescents. J Pediatr Psychol. 2002; 27(5):439-50. DOI: 10.1093/jpepsy/27.5.439. View

2.
Hattersley A, Bruining J, Shield J, Njolstad P, Donaghue K . ISPAD Clinical Practice Consensus Guidelines 2006-2007. The diagnosis and management of monogenic diabetes in children. Pediatr Diabetes. 2007; 7(6):352-60. DOI: 10.1111/j.1399-5448.2006.00217.x. View

3.
Marsh H, Wen Z, Hau K . Structural equation models of latent interactions: evaluation of alternative estimation strategies and indicator construction. Psychol Methods. 2004; 9(3):275-300. DOI: 10.1037/1082-989X.9.3.275. View

4.
Horton D, Berg C, Butner J, Wiebe D . The role of parental monitoring in metabolic control: effect on adherence and externalizing behaviors during adolescence. J Pediatr Psychol. 2009; 34(9):1008-18. PMC: 2744330. DOI: 10.1093/jpepsy/jsp022. View

5.
. The highly structured climate in families of adolescents with diabetes: functional or dysfunctional for metabolic control?. J Pediatr Psychol. 1998; 23(5):313-22. DOI: 10.1093/jpepsy/23.5.313. View