Tuohy Ella, Gallagher Pamela, Rawdon Caroline, Murphy Nuala, McDonnell Ciara, Swallow Veronica, Lambert Veronica
School of Psychology, Dublin City University, Dublin, Ireland.
School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Sci Diabetes Self Manag Care. 2025 Feb;51(1):73-84. doi: 10.1177/26350106241304424. Epub 2025 Jan 10.
The purpose of this study was to investigate adolescent perspectives of parent-adolescent communication, type 1 diabetes mellitus (T1DM)-specific family conflict, self-efficacy, and their relationship to adolescent self-management of T1DM.
A cross-sectional survey design was employed. Adolescents completed measures of parent-adolescent communication, T1DM-specific family conflict, self-efficacy, and self-management, which included activation and division of responsibility for management tasks.
Surveys were completed by 113 adolescents ages 11 to 17 years (mean age 13.85 years, SD 1.78) and living with T1DM for 6 months and longer. Hierarchical multiple regression sought to determine what variables make the most unique contribution to self-management of T1DM, division of family responsibility for management tasks, and activation. Self-efficacy was a significant predictor of division of family responsibility for T1DM management, patient activation, and all self-management subscales except collaboration with parents. Openness in parent-adolescent communication was a significant predictor of the diabetes communication and goals subscale of the self-management measure and activation. Problems in communication was a significant predictor of collaboration with parents and self-management goals.
These findings suggest that family context characteristics, particularly parent-adolescent communication, and self-efficacy are important for engagement with self-management for adolescents living with T1DM. Findings can inform future family-focused self-management interventions to improve T1DM outcomes for adolescents living with T1DM.
本研究旨在调查青少年对亲子沟通、1型糖尿病（T1DM）特定家庭冲突、自我效能感的看法，以及它们与青少年T1DM自我管理之间的关系。
采用横断面调查设计。青少年完成了亲子沟通、T1DM特定家庭冲突、自我效能感和自我管理的测量，其中包括管理任务的激活和责任划分。
113名年龄在11至17岁（平均年龄13.85岁，标准差1.78）且患有T1DM达6个月及以上的青少年完成了调查。分层多元回归旨在确定哪些变量对T1DM自我管理、家庭管理任务责任划分和激活有最独特的贡献。自我效能感是T1DM管理家庭责任划分、患者激活以及除与父母协作外所有自我管理子量表的重要预测因素。亲子沟通的开放性是自我管理测量中糖尿病沟通和目标子量表以及激活的重要预测因素。沟通问题是与父母协作和自我管理目标的重要预测因素。
这些发现表明，家庭环境特征，尤其是亲子沟通和自我效能感，对于患有T1DM的青少年参与自我管理很重要。研究结果可为未来以家庭为重点的自我管理干预措施提供参考，以改善患有T1DM的青少年的T1DM治疗效果。
