Family and youth factors associated with health beliefs and health outcomes in youth with type 1 diabetes

Abstract

Objective To examine the association of family organization with metabolic control in adolescents with type 1 diabetes through the mechanisms of family self-efficacy for diabetes and disease management. Method Data from the baseline assessment of a longitudinal RCT were used, wherein 257 adolescent-parent dyads (adolescents aged 11-14) each completed the family organization subscale of the Family Environment Scale, the self-efficacy for Diabetes Self-Management Scale, the Diabetes Behavior Rating Scale, and 2 24-hr diabetes interviews. ResultsStructural equation modeling showed greater family organization was associated indirectly with better disease management behaviors via greater family self-efficacy (β=.38, p