title: Predicting Health Resilience in Pediatric Type 1 Diabetes: A Test of the Resilience Model Framework.
abstract: OBJECTIVE
  This research examined whether individual and family-level factors during the transition from late childhood to early adolescence protected individuals from an increased risk of poor glycemic control across time, which is a predictor of future diabetes-related complications (i.e., health resilience).
  
  
  METHODS
  This longitudinal, multisite study included 239 patients with type 1 diabetes and their caregivers. Glycemic control was based on hemoglobin A1c. Individual and family-level factors included: demographic variables, youth behavioral regulation, adherence (frequency of blood glucose monitoring), diabetes self-management, level of parental support for diabetes autonomy, level of youth mastery and responsibility for diabetes management, and diabetes-related family conflict.
  
  
  RESULTS
  Longitudinal mixed-effects logistic regression indicated that testing blood glucose more frequently, better self-management, and less diabetes-related family conflict were indicators of health resilience.
  
  
  CONCLUSIONS
  Multiple individual and family-level factors predicted risk for future health complications. Future research should develop interventions targeting specific individual and family-level factors to sustain glycemic control within recommended targets, which reduces the risk of developing future health complications during the transition to adolescence and adulthood.
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, University of Cincinnati, Jennifer.Rohan@childrens.harvard.edu.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Rohan
authors.affiliation: Division of Epidemiology and Biostatistics, Cincinnati Children's Hospital Medical Center.
authors.forename: Bin
authors.initials: B
authors.lastname: Huang
authors.affiliation: Division of Behavioral Health, Alfred I. duPont Hospital for Children, Wilmington, DE.
authors.forename: Jennifer Shroff
authors.initials: JS
authors.lastname: Pendley
authors.affiliation: Department of Pediatrics, University of Miami.
authors.forename: Alan
authors.initials: A
authors.lastname: Delamater
authors.affiliation: Division of Endocrinology, Cincinnati Children's Hospital Medical Center, and.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Dolan
authors.affiliation: Division of Pediatric Endocrinology, Alfred I. duPont Hospital for Children.
authors.forename: Grafton
authors.initials: G
authors.lastname: Reeves
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, University of Cincinnati.
authors.forename: Dennis
authors.initials: D
authors.lastname: Drotar
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D017028:Caregivers; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology*; D054541:Family Conflict; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008960:Models, Psychological; D055500:Resilience, Psychological; D012648:Self Care
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: diabetes; health promotion and prevention; longitudinal research; resilience