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Journal of Pediatric Psychology Advance Access published online on September 15, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp077
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© The Author 2009. 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

Brief Report: Parent's Health Literacy among High-Risk Adolescents with Insulin Dependent Diabetes

Heather C Janisse, PhD1, Sylvie Naar-King, PhD2 and Deborah Ellis, PhD2

1Department of Psychology, Eastern Michigan University and 2Department of Pediatrics, Wayne State University

All correspondence concerning this article should be addressed to Heather C. Janisse, Phd, Eastern Michigan University, Mark Jefferson Hall, Ypsilanti, MI 48197, USA. E-mail: hjanisse{at}emich.edu


  Abstract

Objective To describe the health literacy of parents of high-risk adolescents with insulin dependent diabetes and to examine the relation of parent's health literacy with treatment adherence. Methods Participants were 93 adolescents in poor metabolic control diagnosed with insulin dependent diabetes and their primary caregivers. Results All parents had adequate health literacy as defined by the S-TOFHLA. Better parent reading comprehension scores were significantly related to family structure, race, and treatment regimen. Reading comprehension in turn significantly predicted adherence for adolescents on an intensive insulin regimen but not for those on conventional regimens. Conclusions Parents with low health literacy may struggle to help their children adhere to the increasingly complex diabetes regimens being used at present. Such families may benefit from more intensive diabetes education or different approaches to teaching diabetes management skills.

Key words: health literacy; parents; adolescents; diabetes; high-risk..

Received June 8, 2009; revision received August 12, 2009; accepted August 12, 2009


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