Department of Education, Ben-Gurion University of the Negev, Israel.
Department of Education, Ben-Gurion University of the Negev, Israel.
Diabetes Res Clin Pract. 2021 Mar;173:108679. doi: 10.1016/j.diabres.2021.108679. Epub 2021 Jan 28.
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.
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.
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.
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.
探讨父母给予 1 型糖尿病青少年的自主性支持与其能力、治疗依从性和血糖控制指标之间的关系。
37 名青少年及其父母中的一方完成了一套关于父母提供自主性支持水平的问卷。还测量了青少年的自我治疗能力和治疗依从性。从他们的医疗记录中检索到最近一次评估青少年 3 个月平均血糖水平（HbA1c）的血液检查结果，作为血糖控制指标。
结构方程模型表明，父母和青少年报告的父母自主性支持与较高的青少年自我治疗能力和较高的治疗依从性相关。而这些又与更好的血糖控制相关。
父母的自主性支持至关重要，可能有助于 1 型糖尿病青少年的能力、治疗依从性和身体健康。应该指导父母如何更好地支持自主性，但仍要参与孩子的生活。
