Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c
Joint Authors
Eilander, Minke M. A.
de Wit, Maartje
Rotteveel, Joost
Snoek, Frank J.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Previous studies indicated an association between behavior problems (internalizing, externalizing) and glycemic control (HbA1c) in youth with type 1 diabetes (T1D).
The aim of this study is to examine if this association is mediated by self-confidence and mismanagement of diabetes.
Methods.
Problem behavior was assessed with the Strengths and Difficulties Questionnaire.
Mediating variables were assessed using the Confidence in Diabetes Self-Care-Youth and Diabetes Mismanagement Questionnaire.
HbA1c was derived from hospital charts.
Bootstrap mediation analysis for multiple mediation was utilized.
Results.
88 youths with T1D, age 11–15 y, participated.
The relation between both overall problem behavior and externalizing behavior problems and HbA1c was mediated through confidence in diabetes self-care and mismanagement ( a 1 b 1 + a 2 b 2 path; point estimate = 0.50 BCa CI 95% 0.25–0.85; a 1 b 1 + a 2 b 2 path; point estimate = 0.73 BCa CI 95% 0.36–1.25).
Conclusions.
Increased problem behavior in youth with T1D is associated with elevated HbA1c and mediated by low self-confidence and diabetes mismanagement.
Screening for problem behavior and mismanagement and assisting young patients in building confidence seem indicated to optimize glycemic control.
American Psychological Association (APA)
Eilander, Minke M. A.& de Wit, Maartje& Rotteveel, Joost& Snoek, Frank J.. 2015. Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108052
Modern Language Association (MLA)
Eilander, Minke M. A.…[et al.]. Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c. Journal of Diabetes Research No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1108052
American Medical Association (AMA)
Eilander, Minke M. A.& de Wit, Maartje& Rotteveel, Joost& Snoek, Frank J.. Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c. Journal of Diabetes Research. 2015. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108052
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108052