Parental Involvement in Diabetes Care across Adolescence
Project Number7R01DK063044-03
Contact PI/Project LeaderWIEBE, DEBORAH J
Awardee OrganizationUT SOUTHWESTERN MEDICAL CENTER
Description
Abstract Text
DESCRIPTION (provided by applicant): The objective is to understand how children with type 1 diabetes and parents (together with health-care providers) manage diabetes across adolescence to cultivate the child's competence and diabetes adjustment and meet autonomy needs. We explore how it is not only the amount of behavioral involvement of parents (i.e., parents performing diabetes tasks), but the child's appraisal of the form of that involvement, that influences whether adolescents are successful in their diabetes adjustment. The proposed research utilizes a transactional developmental model to examine behavioral and appraised parental involvement and diabetes adjustment both longitudinally across the transition into adolescence and daily. The major aims are to examine (a) developmental changes in mother's behavioral involvement as a function of child age, pubertal status, and autonomy, (b) whether successful diabetes management during the transition into adolescence involves continued collaboration with mothers, low levels of uninvolvement, and declines in controlling involvement, (c) the process whereby collaboration produces positive and uninvolvement and control produces negative outcomes across development, (d) how fathers' involvement may either directly or indirectly affect diabetes management, and (e) broader system factors contributing to the developmental changes in appraised maternal involvement. Using a three-year longitudinal design, 200 children aged 10-14 with type 1 diabetes and their mothers and fathers will be assessed every six months. At each assessment, the constructs of developmental level, parental involvement, and diabetes adjustment will be assessed through a combination of surveys, interviews, and medical tests. In Years 1 and 3, mothers, fathers, and children will complete a two-week daily diary to examine the daily processes by which forms of appraised parental involvement affect child adjustment. The long-term goal is to identify child, parent, dyadic, and health-care provider factors that could lead to interventions to promote successful diabetes adjustment.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
adolescence (12-20)attitudebehavioral /social science research tagchild psychologyclinical researchfather child interactionhealth behaviorhuman subjectinsulin dependent diabetes mellituslongitudinal human studymiddle childhood (6-11)mother child interactionpatient care managementpatient oriented researchpsychological modelsself caretherapy compliance
National Institute of Diabetes and Digestive and Kidney Diseases
CFDA Code
847
DUNS Number
800771545
UEI
YZJ6DKPM4W63
Project Start Date
01-August-2005
Project End Date
31-July-2010
Budget Start Date
01-December-2006
Budget End Date
31-July-2007
Project Funding Information for 2006
Total Funding
$419,348
Direct Costs
$390,102
Indirect Costs
$29,246
Year
Funding IC
FY Total Cost by IC
2006
National Institute of Diabetes and Digestive and Kidney Diseases
$419,348
Year
Funding IC
FY Total Cost by IC
Sub Projects
No Sub Projects information available for 7R01DK063044-03
Publications
Publications are associated with projects, but cannot be identified with any particular year of the project or fiscal year of funding. This is due to the continuous and cumulative nature of knowledge generation across the life of a project and the sometimes long and variable publishing timeline. Similarly, for multi-component projects, publications are associated with the parent core project and not with individual sub-projects.
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Outcomes
The Project Outcomes shown here are displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed are those of the PI and do not necessarily reflect the views of the National Institutes of Health. NIH has not endorsed the content below.
No Outcomes available for 7R01DK063044-03
Clinical Studies
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