KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels, Belgium.
KU Leuven, Leuven, Belgium.
Diabetes Res Clin Pract. 2019 Apr;150:264-273. doi: 10.1016/j.diabres.2019.03.025. Epub 2019 Mar 20.
A family approach was applied to examine youth, maternal, and paternal control perceptions in relation to type 1 diabetes outcomes in adolescents and emerging adults. Mean levels of personal and treatment control were compared among patients and parents. Their associations with diabetes outcomes were examined as well.
The sample included 330 patient-mother-father triads. Patients' (48% male) mean age was 18.25 years (SD = 2.98). All respondents reported on their control perceptions and youth treatment adherence. Physicians provided HbA1c-values.
Paired-samples t-tests revealed higher personal control in patients compared to parents. Regression analyses examined if control perceptions predicted treatment adherence and HbA1c. Main effects for patient and maternal personal control and two-way interactions showed the best outcomes when both patients and mothers reported high personal control. Main effects of patient, maternal, and paternal treatment control and three-way interaction terms revealed better outcomes in case of high treatment control in patients and at least one parent, while the poorest outcomes were observed in case of low treatment control in all respondents.
The findings highlight the importance of parental control perceptions on top of patients' own perceptions. A family perspective on illness perceptions and their associations with diabetes outcomes is encouraged.
采用家庭模式研究青少年和刚成年的 1 型糖尿病患者的自身、母亲和父亲控制感与糖尿病结果之间的关系。比较患者和父母的个人和治疗控制的平均水平，并检验其与糖尿病结果的相关性。
该样本包括 330 个患者-母亲-父亲三人组。患者（48%为男性）的平均年龄为 18.25 岁（标准差=2.98）。所有受访者均报告了他们的控制感和青少年治疗依从性。医生提供了糖化血红蛋白值。
配对样本 t 检验显示，与父母相比，患者的个人控制感更高。回归分析检验了控制感是否能预测治疗依从性和糖化血红蛋白值。患者和母亲的个人控制感的主效应以及双向交互作用表明，当患者和母亲都报告较高的个人控制感时，结果最佳。患者、母亲和父亲的治疗控制感的主效应以及三项交互作用项表明，当患者和至少一位父母的治疗控制感较高时，结果较好，而当所有受访者的治疗控制感都较低时，结果最差。
这些发现强调了父母控制感对患者自身控制感的重要性。鼓励从家庭角度看待疾病认知及其与糖尿病结果的关系。
