The role of autonomy-supportive parenting in the competence, adherence and glycemic control of adolescents with type 1 diabetes

Maya Perlberg, Idit Katz, Netta Loewenthal, Nurit Kahil, Alon Haim, Tzilla Chechik, Eli Hershkovitz

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To examine the relationships between autonomy support provided to adolescents with Type 1 Diabetes by their parents, and adolescents' competence, adherence to treatment, and glycemic control indicators. Method: Thirty-seven adolescents, along with one of their parents, completed a set of questionnaires on the level of autonomy support provided by their parents. Adolescents' self-treatment competence and their level of adherence to treatment were also measured. A recent blood test assessing the adolescents' 3-month average glycemic level (HbA1c) was retrieved from their medical records as a glycemic control indicator. Results: Structural Equation Modeling suggested that parental autonomy support as reported by parents and adolescents was associated with higher adolescent self-treatment competence and higher adherence to treatment. These in turn were associated with better glycemic control. Conclusion: Parental autonomy support is crucial and may contribute to the competence, adherence, and physical wellbeing of adolescents with Type 1 Diabetes. Parents should be instructed on ways to better support autonomy but still be involved in their child's life.

Original languageAmerican English
Article number108679
JournalDiabetes Research and Clinical Practice
Volume173
DOIs
StatePublished - 1 Mar 2021

Keywords

  • Adherence
  • Adolescents
  • Autonomy-support
  • Competence
  • Glycemic Control: Type 1 Diabetes

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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