title: Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence.
abstract: OBJECTIVE
  To identify whether changes in pubertal status and self-efficacy for diabetes management are associated with longitudinal declines in parental responsibility for diabetes, and to determine whether these factors moderate associations between declining parental responsibility and deteriorating adherence across adolescence.
  
  
  METHODS
  Adolescents (N = 252; 53.6% females) with type 1 diabetes, mothers, and 188 fathers participated in a 2.5-year longitudinal study. Self-reports of pubertal status, adolescent efficacy, parental responsibility, and adherence were completed every 6 months (6 time points).
  
  
  RESULTS
  Latent growth curve modeling revealed that longitudinal increases in efficacy and pubertal maturation were uniquely associated with longitudinal declines in parental responsibility. Declines in parental responsibility were related to deterioration in adherence especially when adolescents did not report concomitant growth in self-efficacy.
  
  
  CONCLUSIONS
  Transfer of responsibility for diabetes management across adolescence may be more optimal when adolescents' increased independence is titrated to their changing self-efficacy beliefs.
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System dwiebe@ucmerced.edu.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wiebe
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Chong Man
authors.initials: CM
authors.lastname: Chow
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Debra L
authors.initials: DL
authors.lastname: Palmer
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Butner
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health SystemDivision of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Jorie M
authors.initials: JM
authors.lastname: Butler
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Peter
authors.initials: P
authors.lastname: Osborn
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center, Department of Psychology, University of Wisconsin, Oshkosh,Department of Psychology, University of Wisconsin, Stevens Point, Department of Psychology, University of Utah, Division of Geriatrics, University of Utah School of Medicine, VA Center for Informatics Decision Enhancement and Surveillance (IDEAS), and VA SLC GRECC VHA Health System.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Berg
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D041923:Adolescent Development; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy
keywords: adherence; adolescents; longitudinal research; parenting; puberty; self-efficacy; type 1 diabetes