Evidence map›Paper›PMID 40925507›Full record

ArticleDiabetes research and clinical practice2025

Behavioral self-control and glycemic levels in youth with type 1 diabetes: serial mediation by family conflict and self-management behaviors.

Luiza V Mali, Jamil A Malik, Janine Sanchez, Jennifer S Pendley, Caroline Gillenson, Kimberly L Klages, Amy E Noser, Lawrence M Dolan, Alan M Delamater

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Article in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Luiza V MaliUniversity of Miami, Pediatrics, 1601 NW 12(th) Ave, Miami, FL 33136, the United States of America. Electronic address: lvm852@miami.edu.
Jamil A MalikNational Institute of Psychology, Quaid-i-Azam University, Shahadra Road Room No. 140 (National Institute of Psychology Building), Islamabad 45320, Pakistan. Electronic address: ja.malik@nip.edu.pk.
Janine SanchezUniversity of Miami, Pediatrics, 1601 NW 12(th) Ave, Miami, FL 33136, the United States of America. Electronic address: jsanchez@med.miami.edu.
Jennifer S PendleyNemours Children's Health, 1600 Rockland Road, Wilmington, DE 19803, the United States of America. Electronic address: jennifershroffpendley@gmail.com.
Caroline GillensonFlorida International University, Psychology, 11200 SW 8(th) St, AHC 1 Room 140, Miami, FL 33199, the United States of America. Electronic address: cgill042@fiu.edu.
Kimberly L KlagesCincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229, the United States of America. Electronic address: kimberly.klages@cchmc.org.
Amy E NoserUniversity of Minnesota Medical School, Department of Family Medicine and Community Health, 717 Delaware St. SE, Room 421, Minneapolis, MN 55414, the United States of America. Electronic address: noser007@umn.edu.
Lawrence M DolanCincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229, the United States of America. Electronic address: Larry.Dolan@cchmc.org.
Alan M DelamaterUniversity of Miami, Pediatrics, 1601 NW 12(th) Ave, Miami, FL 33136, the United States of America. Electronic address: adelamater@miami.edu.

Funding

Self-Management of Type 1 Diabetes During AdolescenceR01DK069486 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DOLAN, LAWRENCE M · 2006 to 2017
$5.4M
University of MN Building Interdisciplinary Research Careers in Women's HealthK12AR084223 · NIAMS · UNIVERSITY OF MINNESOTA · PI SHARON S ALLEN, Kristen Patricia Mark · 2023 to 2026
$2.2M
NIAMS NIH HHS K12 AR084223NIDDK NIH HHS R01 DK069486
6 · The paper itself

Abstract

aimsExamine the mediating roles of family conflict (FC) and diabetes self-management behaviors (SMB) in the relationship between behavioral self-control (BSC) and glycemic levels in adolescents with type 1 diabetes (T1D). We predicted that BSC would improve glycemic levels directly and indirectly by decreasing FC and increasing SMB, both cross-sectionally and longitudinally.

methods172 adolescents (M age = 16 years) with T1D were followed for three years at three medical centers. Blood samples were obtained twice yearly and analyzed for HbA1c in a central laboratory. The Behavioral Self-Control Scale was completed by youth, and the Diabetes Family Conflict Scale and Diabetes Self-Management Profile were completed by youth and parents at baseline, 12, 24, and 36 months.

resultsTen independent models were tested (five for self-reported and five for parent-reported FC and SMB), estimating longitudinal (i.e., baseline BSC → 12-month FC → 24-month SMB → 30 and 36-month HbA1c) and cross-sectional serial mediations for each timepoint. All models supported significant serial mediations indicating that BSC decreases HbA1c through decreased FC and increased SMB.

conclusionsBSC has substantial potential for influencing glycemic levels as it is directly associated with lower HbA1c and helps to optimize glycemic levels by decreasing FC and increasing SMB during late adolescence.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Family ConflictSelf-ControlSelf-ManagementAdolescentChildCross-Sectional StudiesFemaleGlycated HemoglobinGlycemic ControlHumansLongitudinal StudiesMaleBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanAdolescenceBehavioral self-controlDiabetes self-managementFamily conflictGlycemic levels

Identifiers

PMID40925507
PMCPMC12634026

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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.