Smith K E, Schreiner B, Jackson C, Travis L B
Diabetes Educ. 1993 Mar-Apr;19(2):136-41. doi: 10.1177/014572179301900208.
Diabetes management requires consistently implementing adherence behaviors in a variety of settings. For some adolescents, consistency may be difficult due to problems in communication and assertiveness. The purpose of the present study was to evaluate the impact of a camp curriculum to teach assertive communication skills to adolescents with diabetes. The curriculum included didactic information, sharing of personal experiences, and role playing. Results showed a significant increase in adolescents' perceptions of their assertiveness from before to after the camp experience, an increase that was still apparent at a 3-month follow-up. No changes were reported in parental perceptions of their adolescents' degree of openness in communicating or in communication problems. In contrast, adolescents reported a significant decrease in their degree of openness in communicating with fathers, with a similar trend for mothers. These results suggest that the curriculum was successful in meeting the primary goal of enhancing the adolescents' assertive communication skills but had a questionable impact on their general communications with parents.
糖尿病管理需要在各种环境中持续实施依从行为。对于一些青少年来说，由于沟通和自信方面的问题，保持一致性可能很困难。本研究的目的是评估一个营地课程对患有糖尿病的青少年进行自信沟通技巧教学的影响。该课程包括讲授信息、分享个人经历和角色扮演。结果显示，青少年在参加营地活动前后对自己自信程度的认知有显著提高，这种提高在3个月的随访中仍然明显。父母对青少年沟通开放程度或沟通问题的认知没有变化。相比之下，青少年报告说他们与父亲沟通的开放程度显著下降，与母亲沟通也有类似趋势。这些结果表明，该课程成功实现了提高青少年自信沟通技巧的主要目标，但对他们与父母的总体沟通产生了值得怀疑的影响。
