Evidence map›Paper›PMID 31369191›Full record

ArticlePediatric diabetes2019

"Let's talk about it" The role of parental communication in adolescents' motivation to adhere to treatment recommendations for type 1 diabetes.

Eveline R Goethals, Bart Soenens, Maartje de Wit, Maarten Vansteenkiste, Lori M Laffel, Kristina Casteels, Koen Luyckx

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Parents' perspectives of factors affecting parent-adolescent communication about type 1 diabetes and negotiation of self-management responsibilities.Journal of child health care : for professionals working with children in the hospital and community · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Eveline R GoethalsUniversity Hospital Leuven, Leuven, Belgium.ORCID 0000-0002-1242-8851
Bart SoenensGhent University, Ghent, Belgium.
Maartje de WitVU University Medical Center Amsterdam, Amsterdam, The Netherlands.
Maarten VansteenkisteGhent University, Ghent, Belgium.
Lori M LaffelJoslin Diabetes Center, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-9675-3001
Kristina CasteelsUniversity Hospital Leuven, Leuven, Belgium.
Koen LuyckxKU Leuven, Leuven, Belgium.
Ghent University Hospital · BEJoslin Diabetes Center · USAmsterdam UMC Location Vrije Universiteit Amsterdam · NLKU Leuven · BEUniversity of the Free State · ZA

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveGrounded in Self-Determination Theory, this study examines the role of parental expectations and communication style (ie, in an autonomy-supportive vs controlling way) in the prediction of adolescent motivation (ie, internalization or defiance) to adhere to self-management for type 1 diabetes.

methodsStructural Equation Modeling was used in a cross-sectional, multi-informant study of 129 adolescents (Mage = 14.43; 54.4% girls), 110 mothers, and 98 fathers. Adolescents reported on self-motivation, treatment adherence, and parental expectations and communication styles; parents reported on their own expectations, communication style, and perceptions of adolescent treatment adherence. Medical record review provided HbA1c values.

resultsAcross adolescent and parent reports, parental communication of diabetes-specific expectations and an autonomy-supportive style of communicating expectations related positively to adolescents' internalization of diabetes self-management and negatively to defiance against diabetes self-management. In contrast, a controlling parental communication style showed the opposite patterns of associations. Higher adolescent defiance was related to poorer treatment adherence and worse glycemic control.

conclusionsParental communication styles related to adolescent motivation, which in turn, related to adolescent treatment adherence and glycemic control. Future longitudinal research can address the long-term impact of both maternal and paternal communication styles on adolescent motivation to adhere to treatment and their subsequent glycemic control.

Indexed as

CommunicationMotivationParent-Child RelationsParentingPatient ComplianceAdolescentAdolescent BehaviorAdultChildDiabetes Mellitus, Type 1FemaleHumansMaleMiddle AgedPsychology, AdolescentSelf Careadolescentsmotivationparental communicationtype 1 diabetes

Identifiers

PMID31369191
PMCPMC7008457
OpenAlexW2966770604

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.