title: Evaluating Parents' Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes.
abstract: To examine the factor structure and construct validity of the Maternal Self-Efficacy for Diabetes Management Scale (MSED) in 135 youth ( Mage  = 13.50  ±  1.83 years), with type 1 diabetes mellitus.
  
  
  
  The study used exploratory factor analysis (EFA) to examine the factor structure and correlations to examine relationships among MSED factors and select parent and child diabetes-related health behaviors and outcomes.
  
  
  
  EFA identified an 11-item three-factor solution (χ 2 (25, n  = 133)  = 40.22, p  < .03, RMSEA = 0.07, CFI = 0.98, TLI = 0.97), with factors corresponding to parents' perceived ability to manage their child's diabetes (MSED-M), problem-solve issues surrounding glycemic control (MSED-P), and teach their child about diabetes care (MSED-T). Correlational analyses revealed significant associations between the MSED-M and MSED-T and parent-reported optimism and youth's diabetes-specific self-efficacy. The MSED-T was also associated with glycated hemoglobin and self-monitoring blood glucose.
  
  
  
  Results provide preliminary evidence for the reliability and validity of a three-factor solution of the MSED.
authors.affiliation: Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Noser
authors.affiliation: Department of Pediatrics, University of Kansas Medical Center, Kansas, USA.
authors.forename: Susana R
authors.initials: SR
authors.lastname: Patton
authors.affiliation: Clinical Psychology Program, Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Van Allen
authors.affiliation: Department of Pediatrics, University of Utah School of Medicine, USA.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Nelson
authors.affiliation: Division of Endocrinology and Diabetes, Department of Pediatrics, Children's Mercy Kansas City, Missouri, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Clements
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000628:therapy*; D019468:Disease Management; D005163:Factor Analysis, Statistical; D005260:Female; D006442:Glycated Hemoglobin; D015438:Health Behavior; D006801:Humans; D008297:Male; D009035:Mothers; D010290:Parents; D015203:Reproducibility of Results; D020377:Self Efficacy; D011795:Surveys and Questionnaires / Q000592:standards*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: adherence; adolescents; assessment; diabetes; parents