TY - JOUR
T1 - Parental involvement buffers associations between pump duration and metabolic control among adolescents with type 1 diabetes
AU - Wiebe, Deborah J.
AU - Croom, Andrea
AU - Fortenberry, Katherine T.
AU - Butner, Jonathan
AU - Butler, Jorie
AU - Swinyard, Michael T.
AU - Lindsay, Rob
AU - Donaldson, David
AU - Foster, Carol
AU - Murray, Mary
AU - Berg, Cynthia A.
PY - 2010/11
Y1 - 2010/11
N2 - Objectives: To examine pump duration associations with adolescents' metabolic control and whether parental involvement moderated this association. Methods: This study used a cross-sectional sample of 10- to 14-year-olds with diabetes (N = 252, 53.6% female) and parents' reported parental involvement; HbA1c was obtained from medical records. Half (50.8%) were on an insulin pump (continuous subcutaneous insulin infusion, CSII), with the remainder prescribed multiple daily injections (MDI). Results: Adolescents on CSII displayed better HbA1c than those on MDI. A curvilinear association revealed that participants on CSII for <2 years showed a positive pump duration-HbA1c association, while those on CSII longer showed no association. Parental involvement interacted with pump duration to predict HbA1c. Pump duration was associated with poorer HbA1c only when parents were relatively uninvolved. Conclusions: Within the limitations of a cross-sectional design, data suggest that adolescents on CSII have better HbA1c than those on MDI, but may experience a period of deterioration that can be offset by parental involvement.
AB - Objectives: To examine pump duration associations with adolescents' metabolic control and whether parental involvement moderated this association. Methods: This study used a cross-sectional sample of 10- to 14-year-olds with diabetes (N = 252, 53.6% female) and parents' reported parental involvement; HbA1c was obtained from medical records. Half (50.8%) were on an insulin pump (continuous subcutaneous insulin infusion, CSII), with the remainder prescribed multiple daily injections (MDI). Results: Adolescents on CSII displayed better HbA1c than those on MDI. A curvilinear association revealed that participants on CSII for <2 years showed a positive pump duration-HbA1c association, while those on CSII longer showed no association. Parental involvement interacted with pump duration to predict HbA1c. Pump duration was associated with poorer HbA1c only when parents were relatively uninvolved. Conclusions: Within the limitations of a cross-sectional design, data suggest that adolescents on CSII have better HbA1c than those on MDI, but may experience a period of deterioration that can be offset by parental involvement.
KW - adolescents
KW - continuous subcutaneous insulin infusion
KW - diabetes mellitus, type 1
KW - insulin pump
KW - parental involvement
UR - http://www.scopus.com/inward/record.url?scp=77958174289&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77958174289&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsq012
DO - 10.1093/jpepsy/jsq012
M3 - Article
C2 - 20219778
AN - SCOPUS:77958174289
SN - 0146-8693
VL - 35
SP - 1152
EP - 1160
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 10
ER -