title: Physician recommendations about maternal involvement in adolescent diabetes management.
abstract: OBJECTIVE
  The purpose of this study was to examine whether perceptions of physician recommendations about maternal involvement in adolescent diabetes management are associated with children's reports of mothers' involvement during the subsequent week.
  
  
  METHODS
  Youth with type 1 diabetes (aged 10-15 years) and mothers completed scales measuring perceptions of physician recommendations about maternal involvement. At their appointment, and again 1 week later, children reported mothers' involvement in diabetes over the preceding week.
  
  
  RESULTS
  A total of 53 dyads provided usable data at both time points. Perceived recommendations to increase involvement were associated with children's reports of increased maternal collaboration during the subsequent week (B = 0.81, P < 0.05), an effect that was stronger among boys (B = -1.21, P < 0.005). Increased maternal collaboration correlated with better A1C (r = -0.39, P < 0.005).
  
  
  CONCLUSIONS
  Physicians may facilitate adaptive forms of maternal involvement during adolescence by conveying messages about involvement to patients and families.
authors.affiliation: Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. deborah.wiebe@utsouthwestern.edu
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wiebe
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Berg
authors.forename: Katherine T
authors.initials: KT
authors.lastname: Fortenberry
authors.forename: Janet
authors.initials: J
authors.lastname: Sirstins
authors.forename: Rob
authors.initials: R
authors.lastname: Lindsay
authors.forename: David
authors.initials: D
authors.lastname: Donaldson
authors.forename: Mary
authors.initials: M
authors.lastname: Murray
mesh_terms: D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D008425:Maternal Behavior; D009034:Mother-Child Relations; D010465:Perception; D012727:Sex Characteristics
chemical_list: D006442:Glycated Hemoglobin