The Impact of Frequency and Tone of Parent-Youth Communication on Type 1 Diabetes Management

被引:15
作者
DeBoer, Mark D. [1 ]
Valdez, Rupa [2 ]
Chernavvsky, Daniel R. [3 ]
Grover, Monica [1 ]
Solorzano, Christine Burt [1 ]
Herbert, Kirabo [1 ]
Patek, Stephen [4 ]
机构
[1] Univ Virginia Hlth Syst, Dept Pediat, Charlottesville, VA 22908 USA
[2] Univ Virginia, Dept Publ Hlth Sci, Sch Med, Charlottesville, VA 22908 USA
[3] Univ Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA 22908 USA
[4] Univ Virginia, Sch Med, Dept Syst & Informat Engn, Charlottesville, VA 22908 USA
关键词
Adolescent; Communication; Diabetes mellitus; Family conflict; Parents; Surveys and questionnaires; QUALITY-OF-LIFE; FAMILY SYSTEMS THERAPY; GLYCEMIC CONTROL; METABOLIC-CONTROL; CHILD RELATIONSHIPS; MEDIATING-ROLE; ADOLESCENTS; ADHERENCE; CONFLICT; INVOLVEMENT;
D O I
10.1007/s13300-017-0259-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The purpose of this study is to assess the impact of frequency and tone of parent-youth communication on glycemic control as measured by the Family Communication Inventory (FCI). Adolescence provides a unique set of diabetes management challenges, including suboptimal glycemic control. Continued parental involvement in diabetes management is associated with improved HbA1c outcomes; however, diabetes-related conflict within the family can have adverse effects. Although it is clear that communication plays an important role in diabetes outcomes, the specific impact of frequency and tone of such communication is largely understudied. Methods: A total of 110 youths with type 1 diabetes and their parents completed questionnaires assessing diabetes-related adherence, family conflict, and family communication (i.e., frequency and tone) during a routine clinic visit. Routine testing of HbA1c was performed. Results: Youth- and parent-reported frequency of communication were unrelated to HbA1c. Instead, greater discrepancies between parents and children on reported frequency of communication (most commonly parents reporting frequent and youth reporting less frequent communication) corresponded with poorer glycemic control and increased family conflict. More positive tone of communication as rated by youth was associated with lower HbA1c. Conclusions: Diabetes-related communication is more complex than conveyed simply by how often children and their parents communicate. Tone of communication and discrepancies in a family's perception of the frequency of communication were better than frequency as predictors of glycemic control. The FCI appears to capture the frequency and tone of diabetes-related communication, though larger-scale studies are warranted to inform future use of this scale.
引用
收藏
页码:625 / 636
页数:12
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