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Fathers' involvement in preadolescents' diabetes adherence and glycemic control

Marisa E Hilliard1, Jennifer M Rohan, Adam C Carle

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Marisa.Hilliard@cchmc.org

Journal of Pediatric Psychology
|April 26, 2011
PubMed

Insights

Paternal involvement in type 1 diabetes care was linked to poorer glycemic control, not adherence. Fathers may increase involvement when blood sugar levels are high.

Area of Science:

  • Pediatric Endocrinology
  • Family Health
  • Diabetes Management

Background:

  • Paternal involvement is crucial for managing chronic conditions in children.
  • Understanding its impact on type 1 diabetes (T1D) care is essential.

Purpose of the Study:

  • To investigate the association between paternal involvement in diabetes care and treatment adherence and glycemic control in preadolescents with T1D.

Main Methods:

  • 136 families with preadolescent children (9-12 years) with T1D participated.
  • Paternal involvement was assessed via parent reports.
  • Adherence was measured through interviews and glucose meter data.
  • Structural equation modeling was used to analyze relationships.

Main Results:

  • Mothers and fathers reported similar involvement levels, but mothers found it more helpful.
  • Increased paternal involvement correlated with higher HbA1c (glycemic control).
  • Lower adherence was associated with higher HbA1c.

Conclusions:

  • Paternal involvement did not directly impact treatment adherence.
  • Higher paternal involvement was linked to poorer glycemic control in T1D.
  • Fathers may intensify involvement when glycemic outcomes are suboptimal.
Abstract

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