title: Brief report: Parent's health literacy among high-risk adolescents with insulin dependent diabetes.
abstract: OBJECTIVE
  To describe the health literacy of parents of high-risk adolescents with insulin dependent diabetes and to examine the relation of parent's health literacy with treatment adherence.
  
  
  METHODS
  Participants were 93 adolescents in poor metabolic control diagnosed with insulin dependent diabetes and their primary caregivers.
  
  
  RESULTS
  All parents had adequate health literacy as defined by the S-TOFHLA. Better parent reading comprehension scores were significantly related to family structure, race, and treatment regimen. Reading comprehension in turn significantly predicted adherence for adolescents on an intensive insulin regimen but not for those on conventional regimens.
  
  
  CONCLUSIONS
  Parents with low health literacy may struggle to help their children adhere to the increasingly complex diabetes regimens being used at present. Such families may benefit from more intensive diabetes education or different approaches to teaching diabetes management skills.
authors.affiliation: Department of Psychology, Eastern Michigan University, Mark Jefferson Hall, Ypsilanti, MI 48197, USA. hjanisse@emich.edu
authors.forename: Heather C
authors.initials: HC
authors.lastname: Janisse
authors.forename: Sylvie
authors.initials: S
authors.lastname: Naar-King
authors.forename: Deborah
authors.initials: D
authors.lastname: Ellis
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy* / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin