Satisfaction with diabetes involvement: Exploring parent and adolescent perspectives
Authors' conclusion
Both adolescent and parents' satisfaction with adolescents' involvement in self-management are indicators of both glycaemic control and psychosocial well-being, whereas parents' self-evaluations are more closely tied to diabetes-specific distress.
Study context
- Population
- Parent-adolescent dyads with adolescent T1D enrolled in an RCT; adolescents aged 12 to 19 (mean 14.7, SD 1.89), 50.3% male
- Participants
- 157 parent-adolescent dyads
- Exposure
- Parent vs adolescent satisfaction with own and each other's involvement in diabetes management
- Outcome
- Parent and adolescent satisfaction with their own and one another's involvement in diabetes management, and associated factors
- Follow-up
- Baseline
Methodological detailsbaseline data from an RCT, parent-adolescent dyads
- Baseline data from an RCT
- Parent-adolescent dyads
Main finding
As reported in the abstract
Very satisfied with involvement in diabetes management
Very satisfied with adolescent involvement: adolescents
43%
Very satisfied with adolescent involvement: parents
29%
Very satisfied with parent involvement: adolescents
71%
Very satisfied with parent involvement: parents
26.1%
Observational data: associations, not effects.
Further findings
Correlates of satisfaction
- Parent satisfaction with adolescent involvement higher among older adolescents
- R = 0.198, p = 0.013
- Non-Hispanic white youth more satisfied with own involvement than youth of colour
- t(149) = −2.783, p = 0.003
- Better glycaemic health (higher % TIR, lower HbA1c and % time in hyperglycaemia) and psychosocial functioning (less diabetes distress and depression) correlated with higher satisfaction
Unique associations (regressions)
- % TIR and one's own diabetes distress uniquely related to parent and adolescent satisfaction with adolescent involvement
- Parent satisfaction with own involvement uniquely associated only with parent diabetes distress
Original publication
Satisfaction with diabetes involvement: Exploring parent and adolescent perspectives. Diabet Med. Published 27 November 2023. doi:10.
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