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: 2.2). 09/2013; 94(1). DOI: 10.1016/j.pec.2013.09.002
Source: PubMed


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.

Download full-text


Available from: Alan Delamater, Dec 30, 2013
1 Follower
36 Reads
  • Source
    Patient Education and Counseling 01/2014; 94(1):2-3. DOI:10.1016/j.pec.2013.11.002 · 2.20 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: We explored relationships between maternal health literacy (HL), communicative self-efficacy (SE), social support (SS) and maternal perception of interactions with health care providers (HCPs). Methods: Using a cross-sectional, correlational design, we assessed sociodemographic characteristics, maternal HL, social support, communicative self-efficacy, and interpersonal interactions with HCPs among 124 low-income Latina mothers of young children. Results: Informal SS significantly predicted maternal SE in interactions. SE predicted maternal perception of a HCP's ability to "elicit and respond to her concerns." Discussion: Interventions to improve maternal self-efficacy in interacting with HCPs among low health literate Latina mothers may positively impact pediatric health outcomes.
    Journal of pediatric nursing 01/2014; 29(4). DOI:10.1016/j.pedn.2014.01.006 · 1.01 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: During the last several decades, a proliferation of sophisticated technology has taken place to facilitate diabetes self-management and improve health outcomes. Blood glucose monitors, insulin pumps, and continuous glucose monitors have significant data storage capacity, which can be used to summarize diabetes health management and outcomes. In the absence of technology errors or failures, and in the context of the multiple psychosocial factors associated with nonadherence, these data have the potential to elucidate diabetes care because they reflect actual patient behaviors. This review provides a summary of the diabetes adherence literature in the context of current American Diabetes Association Clinical Practice Recommendations with a focus on studies that have used objective methods (ie, data derived from technology) to assess diabetes care provider and patient adherence in the areas of glucose monitoring; insulin administration and antihyperglycemic medications; medical nutrition therapy; and physical activity.
    Current Diabetes Reports 09/2014; 14(9):521. DOI:10.1007/s11892-014-0521-1 · 3.08 Impact Factor
Show more