Department of Psychology, University of Utah, USA.
Department of Psychology, University of Utah, USA.
J Pediatr Psychol. 2022 Jun 7;47(6):714-722. doi: 10.1093/jpepsy/jsac004.
To examine whether yearly fluctuations in acceptance from and disclosure to parents were associated with fluctuations in perceptions of patient-centered communication (PCC) with the healthcare provider and whether fluctuations in PCC were associated with self-efficacy, type 1 diabetes self-care, and HbA1c across four annual assessments during early emerging adulthood (EA).
A total of 228 high school seniors (M age = 17.76 years at time 1) reported on mothers' and fathers' acceptance and diabetes-related disclosure to parents, diabetes self-care, and PCC once per year for 4 years. HbA1c was collected from assay kits.
Multilevel models revealed within-person associations such that in years when individuals reported greater maternal acceptance than their average, they reported higher PCC. In addition, between-person differences indicated that individuals who reported more maternal acceptance on average relative to others also perceived greater PCC. Similar associations were found for EAs' reports of fathers. No significant effects were found for disclosure to either mother or father. Yearly fluctuations in PCC were associated with self-efficacy such that in years when perceived PCC was higher, self-efficacy was higher. Between person-effects were found for self-efficacy, self-care, and HbA1c such that individuals who reported more PCC on average relative to others reported higher self-efficacy, better self-care, and lower HbA1c.
Aspects of EA's relationships with parents fluctuate with perceptions of PCC with healthcare providers. Perceived PCC with the healthcare provider may be important in higher self-efficacy, diabetes self-care, and lower HbA1c across the early EA years.
研究青少年早期（EA）期间，父母接受度和向父母披露度的年度波动是否与患者中心沟通（PCC）感知的波动有关，以及 PCC 的波动是否与自我效能、1 型糖尿病自我护理和 HbA1c 有关。
共有 228 名高中高年级学生（第 1 次评估时的平均年龄为 17.76 岁）每年报告一次母亲和父亲对他们的接受度以及与糖尿病相关的向父母披露情况、糖尿病自我护理和 PCC，共进行了 4 年。HbA1c 是从检测试剂盒中收集的。
多层次模型显示个体内关联，即当个体报告的母亲接受度高于平均水平时，他们报告的 PCC 更高。此外，个体间差异表明，平均而言，报告母亲接受度较高的个体也感知到更大的 PCC。青少年对父亲的报告也存在类似的关联。向母亲或父亲的披露没有显著影响。PCC 的年度波动与自我效能有关，即当感知到的 PCC 更高时，自我效能也更高。自我效能、自我护理和 HbA1c 存在个体间效应，即平均而言，报告 PCC 较高的个体报告自我效能更高、自我护理更好、HbA1c 水平更低。
青少年与父母关系的各个方面都随着与医疗保健提供者的 PCC 感知而波动。与医疗保健提供者的感知 PCC 可能对青少年早期的更高自我效能、糖尿病自我护理和更低 HbA1c 水平很重要。
