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Parent-adolescent dyads: Association of parental autonomy support and parent-adolescent shared diabetes care responsibility

机译:父母-青少年双联:父母自治支持与父母-青少年共享的糖尿病护理责任协会

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Purpose Parent-adolescent shared responsibility for diabetes care is advocated by experts to achieve beneficial diabetes and psychosocial outcomes for adolescents with type 1 diabetes. Parental autonomy support may be a way to facilitate this sharing. In this dyadic study, we examined parental diabetes-specific autonomy support experienced by adolescents with type 1 diabetes and their parents (n= 89 dyads), and its association with their experience of shared diabetes care responsibility. Methods Path analysis was used to test an Actor-Partner Interdependence Model for parental autonomy support effects on shared responsibility. This was a secondary analysis of data from 89 parent-early/mid-adolescent dyads. Results Actor effects were identified. Parents' and adolescents' perceptions of parental autonomy support were associated with their respective reports of shared diabetes care responsibility. One partner effect was identified. Adolescents' reports of parental autonomy support were associated with parents' reports of shared responsibility. Parents and adolescents held similar views of autonomy support but discrepant views of shared responsibility. Older adolescents perceived less parental autonomy support. Conclusion Increasing parental autonomy support may facilitate parent-adolescent sharing of diabetes care responsibility. Adolescent and parent perceptions influence each other and need to be considered when working with them to strengthen parental autonomy support.
机译:目的专家倡导父母与青少年共同承担糖尿病护理责任,以使1型糖尿病青少年获得有益的糖尿病和社会心理成果。父母的自主支持可能是促进这种共享的一种方式。在这项二元研究中,我们检查了患有1型糖尿病的青少年及其父母(n = 89 dyad)的父母对糖尿病的自主权支持,以及他们与他们共同承担糖尿病护理责任的经历之间的关系。方法采用路径分析法来测试一个Actor-Partner相互依赖模型,以了解父母自治支持对分担责任的影响。这是对89例父母早期/中期青少年的数据的二次分析。结果确定了演员效应。父母和青少年对父母自主权支持的看法与他们各自承担共同的糖尿病护理责任的报告有关。确定了一种伙伴效应。青少年关于父母自治支持的报告与父母对共同责任的报告相关。父母和青少年对自主权的支持观点相似,但对责任分担的观点不一致。较大的青少年认为父母自治的支持较少。结论增加父母的自主权支持可以促进父母-青少年分担糖尿病护理责任。青少年和父母的看法会相互影响,因此在与他们合作以加强父母的自主权支持时需要加以考虑。

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