Hanna K M, Dashiff C J, Stump T E, Weaver M T
School of Nursing, School of Medicine, Indiana University, Indianapolis, IN 46202, USA.
Child Care Health Dev. 2013 Sep;39(5):695-702. doi: 10.1111/j.1365-2214.2012.01373.x. Epub 2012 Mar 1.
Parent-adolescent shared responsibility for diabetes care is advocated by experts to achieve beneficial diabetes and psychosocial outcomes for adolescents with type 1 diabetes. Parental autonomy support may be a way to facilitate this sharing. In this dyadic study, we examined parental diabetes-specific autonomy support experienced by adolescents with type 1 diabetes and their parents (n = 89 dyads), and its association with their experience of shared diabetes care responsibility.
Path analysis was used to test an Actor-Partner Interdependence Model for parental autonomy support effects on shared responsibility. This was a secondary analysis of data from 89 parent-early/mid-adolescent dyads.
Actor effects were identified. Parents' and adolescents' perceptions of parental autonomy support were associated with their respective reports of shared diabetes care responsibility. One partner effect was identified. Adolescents' reports of parental autonomy support were associated with parents' reports of shared responsibility. Parents and adolescents held similar views of autonomy support but discrepant views of shared responsibility. Older adolescents perceived less parental autonomy support.
Increasing parental autonomy support may facilitate parent-adolescent sharing of diabetes care responsibility. Adolescent and parent perceptions influence each other and need to be considered when working with them to strengthen parental autonomy support.
专家提倡父母与青少年共同承担糖尿病护理责任，以使1型糖尿病青少年在糖尿病治疗及心理社会方面获得有益结果。父母给予自主支持可能是促进这种责任分担的一种方式。在这项二元研究中，我们调查了1型糖尿病青少年及其父母（n = 89对）所体验到的父母针对糖尿病的自主支持，以及这种支持与他们共同承担糖尿病护理责任的体验之间的关联。
采用路径分析来检验父母自主支持对共同责任影响的行动者-伙伴相互依赖模型。这是对来自89对父母与青少年早期/中期二元组数据的二次分析。
确定了行动者效应。父母和青少年对父母自主支持的认知与他们各自关于共同承担糖尿病护理责任的报告相关。确定了一种伙伴效应。青少年对父母自主支持的报告与父母关于共同责任的报告相关。父母和青少年对自主支持持有相似观点，但对共同责任持有不同观点。年龄较大的青少年感知到的父母自主支持较少。
增加父母的自主支持可能有助于父母与青少年分担糖尿病护理责任。青少年和父母的认知相互影响，在与他们合作加强父母自主支持时需要加以考虑。
