ArticleBMJ open diabetes research & care2021
Longitudinal associations between family conflict, parent engagement, and metabolic control in children with recent-onset type 1 diabetes.
Article in BMJ open diabetes research & care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Parental Psychosocial Variables and Glycemic Control in T1D Pediatric Age: A Systematic Review.Current diabetes reports · 2024Pooled it
- Transition and Transfer in Adolescence and Emerging Adulthood in Type 1 Diabetes: A Qualitative Study of Parents' Experiences.Nursing open · 2026Article
- The Role of Parental Overreactivity and Laxness in Diabetes Outcomes Among Children and Adolescents With Type 1 Diabetes.Journal of diabetes research · 2026Article
- Continuous glucose monitoring remote monitoring does not meet the needs of all adult users: A qualitative study of adults with type 1 diabetes who do not use remote monitoring.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Global Assessment of Relational Functioning: A Dynamic Family Measure Predicting Outcome in Children With Diabetes.Family process · 2025Observational
- Stress and Burden Experienced by Parents of Children with Type 1 Diabetes-A Qualitative Content Analysis Interview Study.Children (Basel, Switzerland) · 2025Article
- Chronic Disease Management of Children Followed with Type 1 Diabetes MellitusJournal of clinical research in pediatric endocrinology · 2023Article
- Lived experience of CamAPS FX closed loop system in youth with type 1 diabetes and their parents.Diabetes, obesity & metabolism · 2022Article
- Fear of hypoglycemia and quality of life in young people with type 1 diabetes and their parents in the era of sensor glucose monitoring.Frontiers in endocrinology · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
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Abstract
introductionWe prospectively investigated the associations between diabetes-related family conflict, parent engagement in child type 1 diabetes (T1D) care, and child glycated hemoglobin (HbA1c) in 127 families of school-age children who we recruited within the first year of their T1D diagnosis. RESEARCH DESIGN AND
methodsParents completed the Diabetes Family Conflict Scale-Revised (DFCS-R) to assess for diabetes-related family conflict and the Diabetes Self-Management Questionnaire-Brief (DSMQ-Brief) to assess parent engagement in child T1D care at the initial study visit (T1) and at 12 (T2) and 27 (T3) months later. We also collected child HbA1c at these time points. Our analyses included Pearson correlations and repeated measures linear mixed models controlling for child age, sex, and T1D duration at T1.
resultsParents' DFCS-R scores negatively correlated with DSMQ-Brief scores (r=-0.13, p<0.05) and positively correlated with children's HbA1c (r=0.26, p<0.001). In our linear mixed models, parents' DSMQ-Brief scores were unchanged at T2 (β=-0.71, 95% CI -1.59 to 0.16) and higher at T3 (β=8.01, 95% CI 6.89 to 9.13) compared with T1, and there was an association between increasing DFCS-R and decreasing DSMQ-Brief scores (β=-0.14, 95% CI -0.21 to -0.06). Child HbA1c values were significantly higher at T2 (β=0.66, 95% CI 0.38 to 0.94) and T3 (β=0.95, 95% CI 0.63 to 1.27) compared with T1, and there was an association between increasing DFCS-R scores and increasing child HbA1c (β=0.04, 95% CI 0.02 to 0.06).
conclusionsIncreasing diabetes-specific family conflict early in T1D may associate with decreasing parent engagement in child T1D care and increasing child HbA1c, suggesting a need to assess and intervene on diabetes-specific family conflict.
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