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Adolescent Disclosure to Parents and Daily Management of Type 1 Diabetes.

  • Author(s): Berg, Cynthia A;
  • Queen, Tara;
  • Butner, Jonathan E;
  • Turner, Sara L;
  • Hughes Lansing, Amy;
  • Main, Alexandra;
  • Anderson, Jessica H;
  • Thoma, Brian C;
  • Winnick, Joel B;
  • Wiebe, Deborah J
  • et al.
Abstract

OBJECTIVE : To examine how adolescents' daily disclosure to parents about type 1 diabetes management may foster a process whereby parents gain knowledge and are viewed as helpful in ways that may aid diabetes management.  METHODS:  A total of 236 late adolescents (M age = 17.76) completed a 14-day diary where they reported daily disclosure to, and solicitation from, their parents, how knowledgeable and helpful parents were, and their self-regulation failures and adherence; blood glucose was gathered from meters.  RESULTS:  Multilevel models revealed that adolescent disclosure occurred in the context of greater parent solicitation and face-to-face contact and was positively associated with adolescents' perceptions of parental knowledge and helpfulness. Disclosure to mothers (but not to fathers) was associated with better diabetes management (fewer self-regulation failures, better adherence).  CONCLUSIONS:  Adolescent disclosure may be an important way that parents remain knowledgeable about diabetes management and provide assistance that serves to support diabetes management.

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