Responsibility sharing between adolescents with type 1 diabetes and their caregivers: importance of adolescent perceptions on diabetes management and control.
OBJECTIVE
To analyze associations between factor scores for caregiver responsibility for direct and indirect diabetes management tasks with glycemic control and blood glucose monitoring (BGM) frequency.


METHODS
Two hundred and sixty one adolescents with type 1 diabetes and their caregivers completed the Diabetes Family Responsibility Questionnaire (DFRQ). Data on diabetes management (e.g., BGM frequency) and glycemic control (e.g., A1c values) were obtained.


RESULTS
Confirmatory factor analysis of the DFRQ revealed two factors-direct and indirect management tasks. Multivariate analyses demonstrated that adolescent perception of greater responsibility sharing with caregivers on direct management tasks was significantly associated with higher BGM frequency.


CONCLUSIONS
Adolescents who perceive greater caregiver responsibility, particularly around direct management tasks, engage in better diabetes management. Implications of these findings include designing interventions that encourage and sustain caregiver responsibility through adolescence and make explicit the contribution of caregivers.
Vesco
Anthony T
AT
Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Anderson
Barbara J
BJ
Laffel
Lori M B
LM
Dolan
Lawrence M
LM
Ingerski
Lisa M
LM
Hood
Korey K
KK
D000293:Adolescent; D015190:Blood Glucose Self-Monitoring / Q000523:psychology*; D017028:Caregivers; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D015146:Midwestern United States; D015999:Multivariate Analysis; D009511:New England; D010287:Parent-Child Relations; D010349:Patient Compliance / Q000523:psychology*; D012944:Social Support
J Pediatr Endocrinol Metab. 2004 Nov;17(11):1533-44
15570991
J Pediatr Psychol. 2006 Jun;31(5):481-9
16002480
J Pediatr Psychol. 2009 Oct;34(9):1008-18
19420225
Diabetes Care. 2005 Jan;28(1):186-212
15616254
J Pediatr Psychol. 2007 Sep;32(8):907-17
17426045
Diabetes Care. 2007 Jul;30(7):1764-9
17372149
J Pediatr Psychol. 1995 Aug;20(4):449-76
7666288
Diabetes Care. 1996 Feb;19(2):119-25
8718430
J Pediatr. 1997 Feb;130(2):257-65
9042129
Diabetes Care. 1997 May;20(5):714-20
9135932
J Pediatr Psychol. 2005 Mar;30(2):167-78
15681311
Diabetes Care. 2001 Aug;24(8):1342-7
11473067
J Pediatr Psychol. 1992 Oct;17(5):537-53
1432480
Diabet Med. 1997 Feb;14(2):153-7
9047094
Fam Syst Health. 2009 Jun;27(2):141-52
19630455
Health Psychol. 1989;8(2):239-53
2737175
J Pediatr Psychol. 2006 Mar;31(2):174-83
16467317
J Pediatr Psychol. 1990 Aug;15(4):477-92
2258796
Pediatr Diabetes. 2005 Mar;6(1):13-6
15787896
J Pediatr. 2006 Aug;149(2):227-32
16887440
Diabetes Care. 2000 Sep;23(9):1301-4
10977022
Diabetes Care. 2001 Sep;24(9):1536-40
11522695
Health Psychol. 1986;5(6):545-564
3542527
J Pediatr. 2007 Mar;150(3):279-85
17307546
Diabetes Care. 2009 May;32(5):804-6
19228870
J Pediatr Psychol. 2010 May;35(4):415-25
19684117