Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Deviation from developmentally appropriate self-care autonomy. Association with diabetes outcomes

T Wysocki1, A Taylor, B S Hough

  • 1Nemours Children's Clinic, Jacksonville, Florida, USA.

Diabetes Care
|February 1, 1996
PubMed
Summary

Encouraging too much self-care autonomy in youth with insulin-dependent diabetes mellitus (IDDM) may lead to poorer adherence and health outcomes. Parental involvement is key for better diabetes management in children.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ubiquitin and ubiquitin conjugates in human lens.

Experimental eye research·1992
Same author

Evidence for increased prevalence of SRY mutations in XY females with complete rather than partial gonadal dysgenesis.

American journal of human genetics·1992
Same author

Systemic distribution of wear debris after hip replacement. A cause for concern?

The Journal of bone and joint surgery. British volume·1992
Same author

Estimates of HIV infection among injecting drug users in Glasgow, 1985-1990.

AIDS (London, England)·1992
Same author

The classification of afferents from muscle spindles of the jaw-closing muscles of the cat.

The Journal of physiology·1992
Same author

The effect of succinylcholine on cat gastrocnemius muscle spindle afferents of different types.

The Journal of physiology·1992

Area of Science:

  • Pediatric Endocrinology
  • Adolescent Psychology
  • Diabetes Management

Background:

  • Balancing autonomy and maturity is crucial for youth with insulin-dependent diabetes mellitus (IDDM).
  • Limited data exist to guide clinicians and parents on appropriate self-care autonomy levels.
  • Understanding factors related to deviations from ideal self-care autonomy is needed.

Purpose of the Study:

  • To assess the relationship between self-care autonomy, psychological maturity, and health outcomes in youth with IDDM.
  • To identify correlates of deviations from developmentally appropriate self-care autonomy.

Main Methods:

  • Cross-sectional study of 100 youth with IDDM.
  • Assessed IDDM self-care autonomy and psychological maturity (cognitive function, social-cognitive development, academic achievement).

Related Experiment Videos

  • Categorized participants into constrained, appropriate, or excessive self-care autonomy groups based on index ratios.

    • Main Results:

    • Youth with excessive self-care autonomy showed poorer treatment adherence, less diabetes knowledge, and higher hospitalization rates.
    • Glycemic control was marginally worse in the excessive autonomy group.
    • Excessive autonomy increased with age and was less prevalent in two-parent families.

    Conclusions:

    • Caution is advised when promoting maximal self-care autonomy in youth with IDDM.
    • Maintaining parental involvement in diabetes management appears linked to better outcomes.
    • Findings suggest a need for tailored approaches to self-care autonomy based on developmental stage and family context.