Author:

Keywords:

Treatment Adherence, Adolescence, Type 1 Diabetes, Parenting, Social Sciences, Psychology, Developmental, Psychology, adherence, adolescents, diabetes, parenting, METABOLIC-CONTROL, CARE, TRANSITION, BEHAVIOR, OUTCOMES, YOUTH, MODEL, Adolescent, Adolescent Behavior, Adult, Belgium, Blood Glucose Self-Monitoring, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Male, Parent-Child Relations, Parents, Social Environment, Social Support, Treatment Adherence and Compliance, Young Adult, 1701 Psychology, Developmental & Child Psychology, 5201 Applied and developmental psychology, 5203 Clinical and health psychology, 5204 Cognitive and computational psychology

Abstract:

Objective. To examine the role of diabetes-specific parental and general parenting dimensions (responsiveness and psychological control) in treatment adherence throughout adolescence and emerging adulthood. Methods. 521 patients (aged 14-25 years) with Type 1 Diabetes (T1D), 407 mothers, and 345 fathers were included. Analyses within and across informants examined the associations between the parenting variables and treatment adherence (and potential moderation effects in these associations). Results. Lower psychological control and higher parental responsiveness were associated with better treatment adherence. Diabetes-specific parental regulation was not linked to treatment adherence, except when combined with high levels of responsiveness. Some effects of psychological control and responsiveness were more pronounced in the older age group. Conclusions. Researchers and clinicians should remain attentive to the potential role of parenting for treatment adherence, even in emerging adult patients.