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Journal of Pediatric Psychology Advance Access published online on May 8, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn044
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Toward Conceptual Clarity in a Critical Parenting Construct: Parental Monitoring in Youth with Chronic Illness

Deborah A. Ellis, PhD1, Thomas N. Templin, PhD2, Sylvie Naar-King, PhD1 and Maureen A. Frey, PhD1

1Carman and Ann Adams Department of Pediatrics and 2School of Nursing, Center for Health Research, Wayne State University

All correspondence concerning this article should be addressed to Deborah A. Ellis, PhD, Pediatric Prevention Research Center, UHC 6-D, 4201 St. Antoine, Detroit, MI 48021, USA. E-mail: dellis{at}med.wayne.edu


  Abstract

Parental monitoring has been defined as "a set of correlated parenting behaviors involving attention to and tracking of the child's whereabouts, activities, and adaptations." This construct is of significant interest due to its relatedness to a broad range of youth risk behaviors, including risky sexual behavior, substance abuse, and poor adherence. However, to date, measures of parental monitoring are largely absent from the chronic illness literature. The present article focuses upon two key problems in the operationalization of the monitoring construct to date: (a) poor conceptual specificity in parenting constructs such as monitoring, overprotection, and over-involvement when used to date among youth with chronic conditions and (b) the confounding of existing measures of parental monitoring with items evaluating parental knowledge of youth activities, which has resulted in a lack of data regarding the mechanisms by which parents obtain their information. Recommendations for the future development of monitoring measures are discussed.

Key words: adherence; chronic illness; parenting.

Received October 15, 2007; revision received April 3, 2008; accepted April 14, 2008


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