Journal of Pediatric Psychology 17(5) pp. 537-553, 1992
© 1992 Society of Pediatric Psychology
research-article |
A Longitudinal Analysis of Adherence and Health Status in Childhood Diabetes1
University of Florida Health Science Center, University of Florida, University of Florida Health Science Center
2All correspondence should be sent to Suzanne Bennett Johnson, University of Florida Health Science Center, Department of Psychiatry, P.O. Box 100234, Gainesville, Florida 32610-0234
Applied structural equation modeling to a longitudinal data set of 193 youngsters with insulin-dependent diabetes mellitus assessed on two occasions, an average of 1.65 years apart. Six adherence constructs, Injection, Exercise, Diet Type, Testing-Eating Frequency, Calories Consumed, and Concentrated Sweets, were quantified from 24-hr recall interviews conducted with mother and child. Glycemic control was indexed by glycosylated hemoglobin (HA1C); lipid metabolism was indexed by fasting triglyceride levels (TRIG). The relationship of each adherence construct to metabolic control was tested separately. Patient age and disease duration served as exogenous variables in all models. Testing-Eating Frequency was associated with HA1C and Injection was associated with TRIG; in both cases better adherence was associated with better metabolic control. However, the standardized regression weights and variance accounted for were small. Patient age was a predictor of both adherence and metabolic control; older youngsters were less adherent and were in worse metabolic control. In spection of models for younger versus older children suggested that age-homogeneous models improved prediction, but adherence and metabolic control linkages remained weak. Suggestions for refining the model are provided.
Key words: adherence; diabetes; developmental.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  T. R. Nansel, A. J. Rovner, D. Haynie, R. J. Iannotti, B. Simons-Morton, T. Wysocki, B. Anderson, J. Weissberg-Benchell, and L. Laffel Development and Validation of the Collaborative Parent Involvement Scale for Youths with Type 1 Diabetes J. Pediatr. Psychol., June 21, 2008; (2008) jsn058v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Butler, M. Skinner, D. Gelfand, C. A. Berg, and D. J. Wiebe Maternal Parenting Style and Adjustment in Adolescents with Type I Diabetes J. Pediatr. Psychol., November 1, 2007; 32(10): 1227 - 1237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Greening, L. Stoppelbein, C. Konishi, S. S. Jordan, and G. Moll Child Routines and Youths' Adherence to Treatment for Type 1 Diabetes J. Pediatr. Psychol., May 1, 2007; 32(4): 437 - 447. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Schneider, R. J. Iannotti, T. R. Nansel, D. L. Haynie, B. Simons-Morton, D. O. Sobel, L. Zeitzoff, L. Clark, and L. P. Plotnick Identification of Distinct Self-Management Styles of Adolescents With Type 1 Diabetes Diabetes Care, May 1, 2007; 30(5): 1107 - 1112. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Iannotti, T. R. Nansel, S. Schneider, D. L. Haynie, B. Simons-Morton, D. O. Sobel, L. Zeitzoff, L. P. Plotnick, and L. Clark Assessing Regimen Adherence of Adolescents With Type 1 Diabetes Diabetes Care, October 1, 2006; 29(10): 2263 - 2267. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. L. Marhefka, V. J. Tepper, J. J. Farley, J. W. Sleasman, and C. A. Mellins Brief Report: Assessing Adherence to Pediatric Antiretroviral Regimens Using the 24-Hour Recall Interview J. Pediatr. Psychol., October 1, 2006; 31(9): 989 - 994. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Holmes, R. Chen, R. Streisand, D. E. Marschall, S. Souter, E. E. Swift, and C. C. Peterson Predictors of Youth Diabetes Care Behaviors and Metabolic Control: A Structural Equation Modeling Approach J. Pediatr. Psychol., September 1, 2006; 31(8): 770 - 784. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. B. Lewin, A. D. Heidgerken, G. R. Geffken, L. B. Williams, E. A. Storch, K. M. Gelfand, and J. H. Silverstein The Relation Between Family Factors and Metabolic Control: The Role of Diabetes Adherence J. Pediatr. Psychol., March 1, 2006; 31(2): 174 - 183. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Wysocki Behavioral Assessment and Intervention in Pediatric Diabetes Behav Modif, January 1, 2006; 30(1): 72 - 92. [Abstract] [PDF]
|
|
|
|
|
|
D. A. Ellis, M. A. Frey, S. Naar-King, T. Templin, P. Cunningham, and N. Cakan Use of Multisystemic Therapy to Improve Regimen Adherence Among Adolescents With Type 1 Diabetes in Chronic Poor Metabolic Control: A randomized controlled trial Diabetes Care, July 1, 2005; 28(7): 1604 - 1610. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A. Soutor, R. Chen, R. Streisand, P. Kaplowitz, and C. S. Holmes Memory Matters: Developmental Differences in Predictors of Diabetes Care Behaviors J. Pediatr. Psychol., October 1, 2004; 29(7): 493 - 505. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Civita and P. L. Dobkin Pediatric Adherence as a Multidimensional and Dynamic Construct, Involving a Triadic Partnership J. Pediatr. Psychol., April 1, 2004; 29(3): 157 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Mellin, D. Neumark-Sztainer, and J. M. Patterson Parenting Adolescent Girls with Type 1 Diabetes: Parents' Perspectives J. Pediatr. Psychol., April 1, 2004; 29(3): 221 - 230. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Streisand, D. Respess, S. Overstreet, L. Gonzalez de Pijem, R. S. Chen, and C. Holmes Brief Report: Self-Care Behaviors of Children With Type 1 Diabetes Living in Puerto Rico J. Pediatr. Psychol., December 1, 2002; 27(8): 759 - 764. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. D. Madsen, G. I. Roisman, and W. A. Collins The Intersection of Adolescent Development and Intensive Intervention: Age-Related Psychosocial Correlates of Treatment Regimens in the Diabetes Control and Complication Trial J. Pediatr. Psychol., July 1, 2002; 27(5): 451 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Delamater, A. M. Jacobson, B. Anderson, D. Cox, L. Fisher, P. Lustman, R. Rubin, and T. Wysocki Psychosocial Therapies in Diabetes: Report of the Psychosocial Therapies Working Group Diabetes Care, July 1, 2001; 24(7): 1286 - 1292. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. C. Skinner, M. John, and S. E. Hampson Social Support and Personal Models of Diabetes as Predictors of Self-Care and Well-Being: A Longitudinal Study of Adolescents With Diabetes J. Pediatr. Psychol., June 1, 2000; 25(4): 257 - 267. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. B. Johnson, A. R. Perwien, and J. H. Silverstein Response to Hypo- and Hyperglycemia in Adolescents With Type I Diabetes J. Pediatr. Psychol., April 1, 2000; 25(3): 171 - 178. [Abstract] [Full Text] [PDF]
|
|