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Parental Involvement and Executive Function in Emerging Adults with Type 1 Diabetes
Cynthia A Berg1, Deborah J Wiebe2,3, Eunjin Lee Tracy1
1Department of Psychology, University of Utah.
Journal of Pediatric Psychology
|May 17, 2019
Summary
Parental involvement in managing type 1 diabetes is crucial for adolescents, especially those with lower executive function (EF). Increased parental knowledge and disclosure are linked to better adherence and lower HbA1c levels.
Area of Science:
- Endocrinology
- Adolescent Health
- Psychology
Background:
- Parental involvement is vital for adolescents with type 1 diabetes.
- Emerging adulthood presents unique challenges for diabetes management.
Purpose of the Study:
- To examine changes in parental involvement during early emerging adulthood.
- To assess the association between parental involvement and diabetes management (adherence, HbA1c).
- To investigate if executive function (EF) moderates the benefits of parental involvement.
Main Methods:
- Longitudinal study of 228 adolescents with type 1 diabetes.
- Annual assessments of parental involvement (acceptance, knowledge, disclosure) and adherence.
- Baseline executive function (EF) measures and HbA1c data collection.
Main Results:
- Parental knowledge and disclosure declined over time; acceptance remained stable.
- Higher parental involvement generally correlated with better adherence and HbA1c.
- Increased parental involvement in specific years was linked to lower HbA1c.
- Parental disclosure and knowledge were particularly beneficial for HbA1c in adolescents with poorer EF.
Conclusions:
- Parental involvement remains critical for type 1 diabetes management in emerging adulthood.
- The benefits of parental involvement are more pronounced for adolescents with lower executive function (EF).
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