Article

Development and validation of the collaborative parent involvement scale for youths with type 1 diabetes.

Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD 20892-7510, USA.
Journal of Pediatric Psychology (Impact Factor: 2.91). 07/2008; 34(1):30-40. DOI: 10.1093/jpepsy/jsn058
Source: PubMed

ABSTRACT To develop and test a youth-report measure of collaborative parent involvement in type 1 diabetes management.
Initial item development and testing were conducted with 81 youths; scale refinement and validation were conducted with 122 youths from four geographic regions. Descriptive statistics, Cronbach's alpha, and factor analyses were conducted to select items comprising the scale. Correlations with parenting style and parent diabetes responsibility were examined. Multiple regression analyses examining associations with quality of life, adherence, and glycemic control were conducted to assess concurrent validity.
The measure demonstrated strong internal consistency. It was modestly associated with parenting style, but not with parent responsibility for diabetes management. A consistent pattern of associations with quality of life and adherence provide support for the measure's concurrent validity.
This brief youth-report measure of parent collaborative involvement assesses a unique dimension of parent involvement in diabetes management associated with important youth outcomes.

0 Followers
 · 
105 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Parenting style has been associated with weight-related outcomes in children, but relationships between parenting, weight, and overweight-related psychological outcomes remain largely unstudied. The aim of the present study was to determine whether parenting was a moderator of the relationship between overweight and psychological outcomes in children. Methods: Participants were children aged 7–11 years and their primary caregivers (n = 158), recruited from primary schools across South Australia. Children completed measures of parenting style, self-esteem, and body dissatisfaction, and had their weight and height objectively measured. Parents completed measures of body dissatisfaction and depressive symptoms, and reported on their education. Regression analyses investigated associations between perceived parenting style, child weight, and outcomes of child self-esteem and body image. Results: Larger child body mass index (BMI) was negatively associated with child self-esteem and positively associated with child body dissatisfaction. Parental responsiveness was positively associated with child self-esteem, but parenting was not associated with child body dissatisfaction. Child weight and parenting styles were not found to interact in their association with child outcomes. Conclusions: Higher child BMI was associated with higher body dissatisfaction and lower self-esteem in a young, non-treatment-seeking sample. A responsive parenting style may assist in promoting child self-esteem, although it may not mitigate the association between excess weight and self-esteem in children. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
    Clinical Psychologist 03/2012; 16(1-1):25-35. DOI:10.1111/j.1742-9552.2011.00038.x · 0.43 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to examine the relationship of youth's involvement in diabetes-related decisions to adherence. Children and adolescents (8-19 years) and their parents (N = 89) completed the Decision Making Involvement Scale and the Self Care Inventory, a self-report measure of adherence. After controlling for youth age, the degree to which youth expressed an opinion and information to parents was associated with better parent- and youth-reported adherence. The degree to which parents expressed an opinion and information to youth was associated with worse parent-reported adherence. Joint decision-making behaviors (e.g., negotiation; provision of options) also were associated with better youth-reported adherence. Encouraging youth to express opinions and share illness-related information with parents during illness management discussions may improve adherence. Additional research is needed to identify mechanisms of effect and determine associations between decision making involvement and health behaviors and outcomes over time.
    Journal of Clinical Psychology in Medical Settings 03/2014; 21(2). DOI:10.1007/s10880-014-9388-1 · 1.49 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Sustained parental involvement in diabetes management has been generally advised to counteract the deteriorating adherence and glycemic control often seen during adolescence, yet until recently, little attention has been given to the optimal amount, type, and quality of parental involvement to promote the best health outcomes for adolescents with type 1 diabetes (T1D). This review synthesizes research regarding the involvement of caregivers-primarily mothers and fathers-of youth with T1D, with a focus on biopsychosocial outcomes. The recent literature on parental involvement in diabetes management highlights a shift in focus from not only amount but also the types (e.g., monitoring, problem-solving) and quality (e.g., warm, critical) of involvement in both mothers and fathers. We provide recommendations for ways that both parents can remain involved to facilitate greater collaboration in shared direct and indirect responsibility for diabetes care and improve outcomes in youth with T1D.
    Current Diabetes Reports 11/2014; 14(11):546. DOI:10.1007/s11892-014-0546-5 · 3.38 Impact Factor

Full-text

Download
64 Downloads
Available from
May 23, 2014