title: Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes.
abstract: OBJECTIVE
  To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c).
  
  
  METHODS
  One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records.
  
  
  RESULTS
  Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management.
  
  
  CONCLUSIONS
  Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.
authors: Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors: Andrea
authors: A
authors: Croom
authors: Deborah J
authors: DJ
authors: Wiebe
authors: Cynthia A
authors: CA
authors: Berg
authors: Rob
authors: R
authors: Lindsay
authors: David
authors: D
authors: Donaldson
authors: Carol
authors: C
authors: Foster
authors: Mary
authors: M
authors: Murray
authors: Michael T
authors: MT
authors: Swinyard
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003142:Communication; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010290:Parents / Q000523:psychology*; D010349:Patient Compliance / Q000523:psychology; D010465:Perception; D010817:Physician-Patient Relations; D012648:Self Care; D020377:Self Efficacy; D011795:Surveys and Questionnaires