Article

Glycemic control in young children with diabetes: The role of parental health literacy.

Department of Clinical Pediatrics, University of Miami, Miller School of Medicine, Miami, USA. Electronic address: .
Patient Education and Counseling (Impact Factor: 2.6). 09/2013; DOI: 10.1016/j.pec.2013.09.002
Source: PubMed

ABSTRACT This cross sectional study examined the relationship between parental health literacy (HL), diabetes related numeracy, and parental perceived diabetes self-efficacy on glycemic control in a sample of young children with Type 1 DM.
Seventy primary caregivers of children (age 3-9 years) with Type 1 DM were recruited and surveyed at diabetes outpatient clinic visits. Patients' medical histories were obtained by medical chart review.
Parental diabetes related numeracy (r=-.52, p<01), but not reading skills (r=-.25, p=NS) were inversely correlated with the child's glycemic control (HbA1c). Parental perceived diabetes self-efficacy was also negatively correlated to their child's HbA1c (r=-.47, p<01). When numeracy and parental perceived diabetes self-efficacy were included as predictors of HbA1c, the model was significant (F=12.93, p<.01) with both numeracy (β=-.46, p<.01) and parental perceived diabetes self-efficacy (β=-.36, p=.01) as significant predictors of HbA1c.
Data from this study highlight the importance of considering the role of parental numeracy, in health outcomes for children with Type 1 DM.
Practitioners should assess parental health literacy and consider intervention when needed.

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