Physician recommendations about maternal involvement in adolescent diabetes management.
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.
Wiebe
Deborah J
DJ
Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. deborah.wiebe@utsouthwestern.edu
Berg
Cynthia A
CA
Fortenberry
Katherine T
KT
Sirstins
Janet
J
Lindsay
Rob
R
Donaldson
David
D
Murray
Mary
M
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
D006442:Glycated Hemoglobin