Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care
Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with...
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| Veröffentlicht in: | Journal of behavioral medicine 2019-10, Vol.42 (5), p.831-841 |
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| container_title | Journal of behavioral medicine |
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| creator | Baker, Ashley C. Wiebe, Deborah J. Kelly, Caitlin S. Munion, Ascher Butner, Jonathan E. Swinyard, Michael T. Murray, Mary Berg, Cynthia A. |
| description | Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care. |
| doi_str_mv | 10.1007/s10865-019-00012-9 |
| format | Article |
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We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.</description><identifier>ISSN: 0160-7715</identifier><identifier>ISSN: 1573-3521</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-019-00012-9</identifier><identifier>PMID: 30680592</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adherence ; Adolescent ; Adult ; Adults ; Analysis ; Care and treatment ; Communication ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 - metabolism ; Diabetes Mellitus, Type 1 - psychology ; Disease Management ; Family Medicine ; Female ; General Practice ; Glycated Hemoglobin - metabolism ; Glycemic control ; Health aspects ; Health Psychology ; Humans ; Interpersonal relations ; Male ; Medicine ; Medicine & Public Health ; Models, Structural ; Mother-Child Relations - psychology ; Mothers ; Parent and child ; Patient-centered care ; Patient-Centered Care - methods ; Patients ; Perceptions ; Quality ; Self Care ; Self Efficacy ; Transition to Adult Care ; Treatment Adherence and Compliance - psychology ; Type 1 diabetes mellitus ; Women ; Young Adult</subject><ispartof>Journal of behavioral medicine, 2019-10, Vol.42 (5), p.831-841</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Journal of Behavioral Medicine is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-788008fe403429e3bf4a4c61a0e904ebf84e0f3b11b8be873487e7cdc3a05abb3</citedby><cites>FETCH-LOGICAL-c579t-788008fe403429e3bf4a4c61a0e904ebf84e0f3b11b8be873487e7cdc3a05abb3</cites><orcidid>0000-0003-4992-3941</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10865-019-00012-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10865-019-00012-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,12846,27924,27925,30999,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30680592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baker, Ashley C.</creatorcontrib><creatorcontrib>Wiebe, Deborah J.</creatorcontrib><creatorcontrib>Kelly, Caitlin S.</creatorcontrib><creatorcontrib>Munion, Ascher</creatorcontrib><creatorcontrib>Butner, Jonathan E.</creatorcontrib><creatorcontrib>Swinyard, Michael T.</creatorcontrib><creatorcontrib>Murray, Mary</creatorcontrib><creatorcontrib>Berg, Cynthia A.</creatorcontrib><title>Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Communication</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - metabolism</subject><subject>Diabetes Mellitus, Type 1 - psychology</subject><subject>Disease Management</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Glycated Hemoglobin - metabolism</subject><subject>Glycemic control</subject><subject>Health aspects</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Interpersonal relations</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Models, Structural</subject><subject>Mother-Child Relations - psychology</subject><subject>Mothers</subject><subject>Parent and child</subject><subject>Patient-centered care</subject><subject>Patient-Centered Care - methods</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Quality</subject><subject>Self Care</subject><subject>Self Efficacy</subject><subject>Transition to Adult Care</subject><subject>Treatment Adherence and Compliance - psychology</subject><subject>Type 1 diabetes mellitus</subject><subject>Women</subject><subject>Young Adult</subject><issn>0160-7715</issn><issn>1573-3521</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks9rFTEQxxdR7LP6D3iQgJdetk422WRzEUqpP6DgQT2HbHZ2m7KbPJNsoUf_c_N8tbXykEBCZj7zTWb4VtVrCqcUQL5LFDrR1kBVDQC0qdWTakNbyWrWNvRptQEqoJaStkfVi5SuCyQUV8-rIwaig1Y1m-rn1xxXm9doZrKEAWcSRrI12aHPtS0bRhyIDcuyemdLPHhi_EAGZ3rMmMhivJlwKSRxnqCJ8y0p1zg5PxEzrHNOxGSSr5DkaHwaMZIc9hliTcSX1bPRzAlf3Z3H1fcPF9_OP9WXXz5-Pj-7rG0rVa5l1wF0I3JgvFHI-pEbbgU1gAo49mPHEUbWU9p3PXaS8U6itINlBlrT9-y4er_X3a79gsOut9K03ka3mHirg3H6cca7Kz2FGy1EKwTjReDkTiCGHyumrBeXLM6z8RjWpBsqFW-poLSgb_9Br8MafWlvR4FUAlT7QE1mRu38GMq7dieqz1rVMa5k0xSqPkBN6LF8MngcXQk_4k8P8GUNuDh7sKDZF9gYUoo43s-Egt4ZTe-NpovR9G-jaVWK3vw9zfuSP84qANsDqaT8hPFhBP-R_QUIn997</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Baker, Ashley C.</creator><creator>Wiebe, Deborah J.</creator><creator>Kelly, Caitlin S.</creator><creator>Munion, Ascher</creator><creator>Butner, Jonathan E.</creator><creator>Swinyard, Michael T.</creator><creator>Murray, Mary</creator><creator>Berg, Cynthia A.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4992-3941</orcidid></search><sort><creationdate>20191001</creationdate><title>Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care</title><author>Baker, Ashley C. ; Wiebe, Deborah J. ; Kelly, Caitlin S. ; Munion, Ascher ; Butner, Jonathan E. ; Swinyard, Michael T. ; Murray, Mary ; Berg, Cynthia A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-788008fe403429e3bf4a4c61a0e904ebf84e0f3b11b8be873487e7cdc3a05abb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Communication</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - metabolism</topic><topic>Diabetes Mellitus, Type 1 - psychology</topic><topic>Disease Management</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Glycated Hemoglobin - metabolism</topic><topic>Glycemic control</topic><topic>Health aspects</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Interpersonal relations</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Models, Structural</topic><topic>Mother-Child Relations - psychology</topic><topic>Mothers</topic><topic>Parent and child</topic><topic>Patient-centered care</topic><topic>Patient-Centered Care - methods</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Quality</topic><topic>Self Care</topic><topic>Self Efficacy</topic><topic>Transition to Adult Care</topic><topic>Treatment Adherence and Compliance - psychology</topic><topic>Type 1 diabetes mellitus</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baker, Ashley C.</creatorcontrib><creatorcontrib>Wiebe, Deborah J.</creatorcontrib><creatorcontrib>Kelly, Caitlin S.</creatorcontrib><creatorcontrib>Munion, Ascher</creatorcontrib><creatorcontrib>Butner, Jonathan E.</creatorcontrib><creatorcontrib>Swinyard, Michael T.</creatorcontrib><creatorcontrib>Murray, Mary</creatorcontrib><creatorcontrib>Berg, Cynthia A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baker, Ashley C.</au><au>Wiebe, Deborah J.</au><au>Kelly, Caitlin S.</au><au>Munion, Ascher</au><au>Butner, Jonathan E.</au><au>Swinyard, Michael T.</au><au>Murray, Mary</au><au>Berg, Cynthia A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>42</volume><issue>5</issue><spage>831</spage><epage>841</epage><pages>831-841</pages><issn>0160-7715</issn><issn>1573-3521</issn><eissn>1573-3521</eissn><abstract>Early emerging adulthood (ages 18–25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals’ high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30680592</pmid><doi>10.1007/s10865-019-00012-9</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4992-3941</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adherence Adolescent Adult Adults Analysis Care and treatment Communication Diabetes Diabetes mellitus Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - metabolism Diabetes Mellitus, Type 1 - psychology Disease Management Family Medicine Female General Practice Glycated Hemoglobin - metabolism Glycemic control Health aspects Health Psychology Humans Interpersonal relations Male Medicine Medicine & Public Health Models, Structural Mother-Child Relations - psychology Mothers Parent and child Patient-centered care Patient-Centered Care - methods Patients Perceptions Quality Self Care Self Efficacy Transition to Adult Care Treatment Adherence and Compliance - psychology Type 1 diabetes mellitus Women Young Adult |
| title | Structural model of patient-centered communication and diabetes management in early emerging adults at the transfer to adult care |
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