Agreement and Disagreement in Parent and Child Perceptions of Spina Bifida Medical Responsibilities During the Transition to Adolescence
Year: 2012
Type: dissertation
Study design: Observational Study
Abstract: The purpose of this study was to examine the validity of informant discrepancies by evaluating levels of parent-child agreement and disagreement over who takes responsibility for SB medical tasks in relation to family conflict and medical adherence. Participants were 140 preadolescents with SB. Data used in this study are taken from the first wave of data collection (when adolescents were between the ages of 8-15) in a larger longitudinal study. Although disagreement levels predicting family conflict and medical adherence were non-significant (p > .05), a significant main effect of agreement and two significant Agreement x Conflict interactions predicting medical adherence were found. For dyads with low conflict, high agreement that the mother was in charge was associated with higher levels of medical adherence. Additionally, for dyads with low conflict, high agreement that the child was in charge was associated with poor medical adherence (see Figure 3). However, for families with high conflict there was no relationship between agreement and adherence. The results of this study suggest that preadolescents who are taking full responsibility for SB care may not be adherent without parental monitoring.
Author: Alexandra M. Psihogios
Institution: Loyola University Chicago
Language: English
Subfield: Speech and Hearing
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W135223652