Journal of Pediatric Psychology 20(4) pp. 449-476, 1995
© 1995 Society of Pediatric Psychology
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I Get by with a Little Help from my Family and Friends: Adolescents' Support for Diabetes Care1
University of Miami, Washington University Diabetes Research and Training Center and Center for Health Behavior Research, Nemour Children's Clinic, Tufts University Medical School, Washington University Diabetes Research and Training Center and Center for Health Behavior Research
2All correspondence should be sent to Annette M. La Greca, P.O. Box 248185, University of Miami, Coral Gables, Florida 33124
Evaluated and compared the support provided by family members and friends for adolescents' diabetes care. Family and friend support also were examined in relation to other measures of social support, to demographic variables (age, gender, duration of diabetes) and to adherence. Using a structured interview, 74 adolescents with diabetes described the ways that family members and friends provided support for diabetes management (insulin shots, blood glucose monitoring, eating proper meals, exercise), and for helping them to "feel good about their diabetes." Families provided more support than friends for three management tasks (insulin injections, blood glucose monitoring, meals); this support was largely instrumental. In contrast, friends provided more emotional support for diabetes than families. Greater family support was related to younger age, shorter disease duration, and better treatment adherence. Implications of the findings include encouraging parents to remain involved in adolescents' treatment management, and involving peers as supportive companions for meals and exercise.
Key words: adolescents; family support; peer support; diabetes care; adherence; friends.
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