Diabetes‐specific self‐esteem, self‐care and glycaemic control among adolescents with Type 1 diabetes
Year: 2019
Type: article
Study design: Observational Study
Abstract: Aims To explore the relationships between diabetes‐specific self‐esteem, self‐care and glycaemic control among diverse adolescents with Type 1 diabetes. Methods Adolescents (aged 13–21 years) diagnosed with Type 1 diabetes for at least one year, receiving care at an urban medical centre, completed a self‐report battery including demographic information, the Diabetes‐Specific Self‐Esteem Scale and Self‐Care Inventory. Glycaemic control (HbA1c) was obtained from medical records at recruitment and one year later. Bivariate correlation and multiple linear regression assessed relationships between the Diabetes‐Specific Self‐Esteem scale, Self‐Care Inventory and HbA1c at baseline and one year. Results Participants included 85 adolescents (15.9 ± 2.1 years; 53% women; 47% Hispanic/Latino). Diabetes‐specific self‐esteem scores did not differ based on patient characteristics but were significantly correlated with baseline self‐care (r = 0.59, P < 0.001) and HbA1c at baseline (r = ‐0.51, P < 0.001) and one year later (r = ‐0.48, P < 0.001). Diabetes‐specific self‐esteem remained a significant correlate of baseline (β = ‐0.41, P < 0.001) and follow‐up HbA1c (β = ‐0.37, P = 0.008) when adjusting for covariates and self‐care. Diabetes‐specific self‐esteem was not significantly associated with change in HbA1c. Conclusions Results suggest that diabetes‐specific self‐esteem is significantly associated with self‐care and glycaemic control among diverse adolescents with Type 1 diabetes. Diabetes‐specific self‐esteem may be more closely related to HbA1c than reports of the frequency of self‐care behaviours, and could represent a useful tool for clinical and research applications.
Source: Diabetic Medicine
DOI: 10.1111/dme.14056
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Function and Emotion in Everyday Life with Type 1 Diabetes: FEEL-T1D, Translating telephonic diabetes self-management support to primary care practice, Emotional Distress in a Comparative Effectiveness Trial of Diabetes Treatments, Training Grant in Diabetes and Metabolism, NYR-Diabetes Research Center (NYR-DRC), New York Regional Center for Diabetes Translation Research
OpenAlex ID: W2949752082