Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes.
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.
Croom
Andrea
A
Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, USA.
Wiebe
Deborah J
DJ
Berg
Cynthia A
CA
Lindsay
Rob
R
Donaldson
David
D
Foster
Carol
C
Murray
Mary
M
Swinyard
Michael T
MT
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