青少年和家长在管理 1 型糖尿病时对以患者为中心的沟通的看法。
Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes.
机构信息
Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, USA.
出版信息
J Pediatr Psychol. 2011 Mar;36(2):206-15. doi: 10.1093/jpepsy/jsq072. Epub 2010 Aug 17.
Abstract
OBJECTIVE
To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c).
METHODS
One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records.
RESULTS
Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management.
CONCLUSIONS
Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.
摘要
目的
探讨青少年和家长对与医生进行以患者为中心的沟通（PCC）的看法是否与患者赋权（如能力感知）和糖尿病管理（即依从性和 HbA1c）的各个方面相关。
方法
190 名患有 1 型糖尿病的青少年及其家长在就诊后对 PCC 的看法进行了评分，并在就诊后的几周内以及 6 个月后完成了对能力、疾病认知、自我效能和依从性的测量，代谢控制则从病历中获得。
结果
青少年和家长对医生的 PCC 水平越高，他们对自身控制和能力的感知就越高。中介分析表明，PCC 通过对青少年在糖尿病管理方面的能力感知，间接地与随后的依从性和代谢控制相关。
结论
与医疗服务提供者的 PCC 感知可能会增强青少年及其家长在糖尿病管理方面的能力。
相似文献
1
Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes.青少年和家长在管理 1 型糖尿病时对以患者为中心的沟通的看法。
J Pediatr Psychol. 2011 Mar;36(2):206-15. doi: 10.1093/jpepsy/jsq072. Epub 2010 Aug 17.
2
Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care.以患者为中心的沟通和糖尿病管理的结构模型，在向成人护理过渡的早期成年初显期患者中。
J Behav Med. 2019 Oct;42(5):831-841. doi: 10.1007/s10865-019-00012-9. Epub 2019 Jan 24.
3
"Let's talk about it" The role of parental communication in adolescents' motivation to adhere to treatment recommendations for type 1 diabetes.让我们谈谈它：父母沟通在青少年遵守 1 型糖尿病治疗建议的动机中的作用。
Pediatr Diabetes. 2019 Nov;20(7):1025-1034. doi: 10.1111/pedi.12901. Epub 2019 Aug 16.
4
Longitudinal trajectories of illness perceptions among adolescents with type 1 diabetes.1型糖尿病青少年疾病认知的纵向轨迹
J Pediatr Psychol. 2014 Aug;39(7):687-96. doi: 10.1093/jpepsy/jsu043. Epub 2014 Jun 16.
5
Longitudinal trajectories of parental involvement in Type 1 diabetes and adolescents' adherence.父母参与 1 型糖尿病和青少年依从性的纵向轨迹。
Health Psychol. 2014 May;33(5):424-32. doi: 10.1037/a0032804. Epub 2013 Jun 24.
6
Adolescent and parent diabetes distress in type 1 diabetes: the role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies.青少年和家长在 1 型糖尿病中的糖尿病困扰：自我效能感、感知后果、家庭责任和青少年-家长差异的作用。
J Psychosom Res. 2013 Apr;74(4):334-9. doi: 10.1016/j.jpsychores.2012.12.009. Epub 2013 Feb 4.
7
Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors.父母参与和青少年糖尿病管理：自我效能感及外化和内化行为的中介作用。
J Pediatr Psychol. 2011 Apr;36(3):329-39. doi: 10.1093/jpepsy/jsq088. Epub 2010 Oct 5.
8
Parental persuasive strategies in the face of daily problems in adolescent type 1 diabetes management.父母在青少年 1 型糖尿病管理日常问题面前的说服策略。
Health Psychol. 2013 Jul;32(7):719-28. doi: 10.1037/a0029427. Epub 2012 Aug 13.
9
Parent-adolescent discrepancies in adolescents' competence and the balance of adolescent autonomy and adolescent and parent well-being in the context of Type 1 diabetes.1型糖尿病背景下青少年能力方面的亲子差异以及青少年自主性与青少年和父母幸福感的平衡。
Dev Psychol. 2009 May;45(3):835-49. doi: 10.1037/a0015363.
10
Association between quality of life of adolescents with type 1 diabetes and parents' illness perception as evaluated by adolescents.青少年 1 型糖尿病患者生活质量与青少年评估的父母疾病认知的关系。
Psychol Health Med. 2018 Mar;23(3):347-359. doi: 10.1080/13548506.2017.1348608. Epub 2017 Jul 4.
引用本文的文献
1
The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People.自我效能感认知对医疗过渡结果的影响：来自家长和年轻人的看法
Child Care Health Dev. 2025 Jul;51(4):e70125. doi: 10.1111/cch.70125.
2
Ethnic Disparities in Patient-Centered Communication with Healthcare Providers: A Comparison of Non-Hispanic Asians and Non-Hispanic Whites.患者与医疗服务提供者之间以患者为中心的沟通中的种族差异：非西班牙裔亚洲人和非西班牙裔白人的比较。
J Racial Ethn Health Disparities. 2025 Feb;12(1):583-593. doi: 10.1007/s40615-023-01898-7. Epub 2024 Jan 16.
3
The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS).电子健康信息使用与以患者为中心的沟通之间的关联：来自健康信息国家趋势调查 (HINTS) 的横断面分析。
BMC Health Serv Res. 2023 Dec 12;23(1):1398. doi: 10.1186/s12913-023-10426-6.
4
What Are the Various Comprehensive Treatment Models to Improve Self-Efficacy and Self-Management in Adolescents with Diabetes Mellitus? A Scoping Review.改善糖尿病青少年自我效能和自我管理的各种综合治疗模式有哪些？一项范围综述。
Iran J Public Health. 2023 Jul;52(7):1320-1333. doi: 10.18502/ijph.v52i7.13234.
5
Psychosocial Assessment Tools for Youth with Type 1 Diabetes: a 10-Year Review.1型糖尿病青少年的心理社会评估工具：十年回顾
Curr Diab Rep. 2022 Dec;22(12):549-569. doi: 10.1007/s11892-022-01494-9. Epub 2022 Nov 24.
6
Developmental Model of Parent-Child Coordination for Self-Regulation Across Childhood and Into Emerging Adulthood: Type 1 Diabetes Management as an Example.从童年到成年早期亲子自我调节协调发展模型：以1型糖尿病管理为例
Dev Rev. 2017 Dec;46:1-26. doi: 10.1016/j.dr.2017.09.001. Epub 2017 Sep 21.
7
Parental Relationships, Patient-Centered Communication With Healthcare Providers, and Diabetes Management Across Emerging Adulthood.父母关系、与医疗保健提供者的以患者为中心的沟通以及整个成年初显期的糖尿病管理。
J Pediatr Psychol. 2022 Jun 7;47(6):714-722. doi: 10.1093/jpepsy/jsac004.
8
Doctor-Patient Relationship in Synchronous/Real-time Video-Consultations and In-Person Visits: An Investigation of the Perceptions of Young People with Type 1 Diabetes and Their Parents During the COVID-19 Pandemic.同步/实时视频会诊与面对面就诊中的医患关系：对1型糖尿病青少年及其父母在新冠疫情期间认知的调查
Int J Behav Med. 2022 Oct;29(5):638-647. doi: 10.1007/s12529-021-10047-5. Epub 2022 Jan 25.
9
Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers.促进糖尿病青年与医疗服务提供者之间的高质量健康沟通。
Diabetes Spectr. 2021 Nov;34(4):345-356. doi: 10.2337/dsi21-0036. Epub 2021 Nov 10.
10
Global Well-Being Is Associated With A1C and Frequency of Self-Monitoring of Blood Glucose in Predominately Latinx Youth and Young Adults With Type 1 Diabetes.在以拉丁裔为主的1型糖尿病青少年和青年中，总体幸福感与糖化血红蛋白（A1C）及自我血糖监测频率相关。
Diabetes Spectr. 2021 May;34(2):202-208. doi: 10.2337/ds20-0041. Epub 2021 Dec 21.
本文引用的文献
1
Use of missing data methods in longitudinal studies: the persistence of bad practices in developmental psychology.纵向研究中缺失数据方法的使用：发展心理学中不良做法的持续存在。
Dev Psychol. 2009 Jul;45(4):1195-9. doi: 10.1037/a0015665.
2
Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: the Self-Care Inventory (SCI).1型糖尿病依从行为青少年及家长评定量表的效度与信度：自我护理量表（SCI）
J Pediatr Psychol. 2009 Oct;34(9):999-1007. doi: 10.1093/jpepsy/jsp032. Epub 2009 May 7.
3
Views of treatment decision making from adolescents with chronic illnesses and their parents: a pilot study.慢性病青少年及其父母对治疗决策的看法：一项试点研究。
Health Expect. 2008 Dec;11(4):343-54. doi: 10.1111/j.1369-7625.2008.00508.x.
4
Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.用于评估和比较多重中介模型中间接效应的渐近和重抽样策略。
Behav Res Methods. 2008 Aug;40(3):879-91. doi: 10.3758/brm.40.3.879.
5
Physician recommendations about maternal involvement in adolescent diabetes management.医生关于母亲参与青少年糖尿病管理的建议。
Diabetes Care. 2008 Apr;31(4):690-2. doi: 10.2337/dc07-1618. Epub 2008 Jan 9.
6
A shared decision-making primary care intervention for type 2 diabetes.一项针对2型糖尿病的共同决策基层医疗干预措施。
Diabetes Educ. 2007 Jul-Aug;33(4):700-8. doi: 10.1177/0145721707304086.
7
Evaluating deliberation in pediatric primary care.评估儿科初级保健中的审议情况。
Pediatrics. 2007 Jul;120(1):e68-77. doi: 10.1542/peds.2006-2602.
8
Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes.1型糖尿病青少年的自我效能、结果期望与糖尿病自我管理
J Dev Behav Pediatr. 2006 Apr;27(2):98-105. doi: 10.1097/00004703-200604000-00003.
9
Brief interventions and motivational interviewing with children, adolescents, and their parents in pediatric health care settings: a review.儿科医疗环境中针对儿童、青少年及其父母的简短干预和动机性访谈：一项综述。
Arch Pediatr Adolesc Med. 2005 Dec;159(12):1173-80. doi: 10.1001/archpedi.159.12.1173.
10
Predictors of youth diabetes care behaviors and metabolic control: a structural equation modeling approach.青少年糖尿病护理行为和代谢控制的预测因素：一种结构方程建模方法。
J Pediatr Psychol. 2006 Sep;31(8):770-84. doi: 10.1093/jpepsy/jsj083. Epub 2005 Oct 12.
Zotero 插件