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Adolescents’, mothers’, and fathers’ reports of adherence across adolescence and their relation to HbA1c and daily blood glucose

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Abstract

This study examined what is measured by adolescents’, mothers’, and fathers’ reports of adolescents’ adherence to the type 1 diabetes regimen and how such reports relate to HbA1c and daily blood glucose. Two-hundred fifty-two adolescents (M age = 12.49 at baseline), mothers, and 188 fathers completed an adapted Self-Care Inventory (LaGreca et al. in Child Health Care 19(3):132–139, 1990) every 6 months for 2.5 years, HbA1c was gathered from medical records, and daily number of blood glucose tests (BGT) and blood glucose mean (BGM) were obtained from glucose meters at one time point. A multitrait-multimethod approach decomposing adherence indicated that fathers’ reports reflected a stable perception across time, mothers’ reports a shared view within the family that varied with HbA1c across time, and adolescents’ reports a unique view. Fathers’ and mothers’ reports were related to HbA1c; adolescents’ reports were not, but were uniquely associated with BGT. Family members’ adherence reports capture different information across time, with implications for measuring adherence and for family processes.

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Acknowledgments

The project was supported by R01DK063044 from the National Institute of Diabetes and Digestive and Kidney Diseases. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Diabetes and Digestive and Kidney Diseases or the National Institutes of Health. We thank the families who participated, the staff of the Utah Diabetes Center and Michael Swinyard’s practice, as well as the additional members of the ADAPT team (David Donaldson, Rob Lindsay, Mary Murray, Mike Swinyard). We also thank Meagan Ramsey and Travis Wilshire for reviewing a previous draft of this paper.

Funding

The project was supported by R01DK063044 from the National Institute of Diabetes and Digestive and Kidney Diseases.

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Authors and Affiliations

  1. Department of Psychology, University of Utah, 380 S. 1530 E., Salt Lake City, UT, 84112, USA

    Cynthia A. Berg, Jonathan E. Butner, Sara L. Turner & Pamela King

  2. Geisel School of Medicine, Dartmouth University, Lebanon, NH, USA

    Amy Hughes Lansing

  3. Psychological Sciences, University of California-Merced, Merced, CA, USA

    Deborah J. Wiebe

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  1. Cynthia A. Berg
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  2. Jonathan E. Butner
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  3. Sara L. Turner
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  4. Amy Hughes Lansing
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  5. Pamela King
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  6. Deborah J. Wiebe
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Corresponding author

Correspondence to Cynthia A. Berg.

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Conflict of interest

Cynthia A. Berg, Jonathan E. Butner, Sara L. Turner, Amy Hughes Lansing, Pamela King, and Deborah J. Wiebe declare that they have no conflicts of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Berg, C.A., Butner, J.E., Turner, S.L. et al. Adolescents’, mothers’, and fathers’ reports of adherence across adolescence and their relation to HbA1c and daily blood glucose. J Behav Med 39, 1009–1019 (2016). https://doi.org/10.1007/s10865-016-9771-5

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  • DOI: https://doi.org/10.1007/s10865-016-9771-5

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