Parent-Adolescent Communication, Self-Efficacy, and Self-Management of Type 1 Diabetes in Adolescents.
Ella Tuohy, Pamela Gallagher, Caroline Rawdon and 4 others
PMID 39791522WHAT IT FOUND
Adolescents with type 1 diabetes who reported more confidence in managing diabetes and more open parent-adolescent communication also reported better diabetes self-management and greater engagement in managing their care.
This cross-sectional survey cannot show cause.
Key findings
01Higher diabetes self-efficacy was associated with more performance of diabetes care activities.
02More openness in parent-adolescent communication and higher diabetes self-efficacy were associated with greater activation.
03Younger age and lower diabetes self-efficacy were associated with more parent involvement in diabetes management tasks.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The design was cross-sectional, so it cannot show that communication or self-efficacy cause better self-management. Adolescents volunteered to complete the survey, so self-selection bias cannot be ruled out. The sample reported low diabetes-specific family conflict, so findings may not apply to families with high conflict. The study measured only openness and problems in parent-adolescent communication, not other family communication dimensions. Some regression analyses reported 108, 109, and 111 participants, and 2 cases were excluded from models predicting responsibility and problem-solving. The data came from adolescent questionnaires, not parent reports.
Declared interests
The authors declared no conflict of interest. The work was funded by the Health Research Board of Ireland.
The easy way to misread this
Do not conclude that open parent-adolescent communication or higher self-efficacy caused better diabetes self-management. The study measured associations at one time point, so it cannot show cause and effect. The sample also reported low diabetes-specific family conflict, so it does not show how these factors work in families with high conflict.