Title page for ETD etd-32198-94710


Type of Document Dissertation
Author Lilly, Mary Kristine M.S.
Author's Email Address MKLILLY@aol.com
URN etd-32198-94710
Title An Analysis of Adherence in Childhood Diabetes: Social Learning and Family Systems Variables
Degree PhD
Department Psychology
Advisory Committee
Advisor Name Title
Finney, Jack W. Committee Chair
Cooper, Robin K. Panneton Committee Member
Ollendick, Thomas H. Committee Member
Stephens, Robert S. Committee Member
Winett, Richard A. Committee Member
Keywords
  • diabetes
  • adherence
  • metabolic control
  • pediatrics
Date of Defense 1998-03-30
Availability unrestricted
Abstract
The purpose of the current study was threefold: 1) to assess youths' and parents' perceptions of their competency in managing diabetes, 2) to assess family flexibility and cohesiveness, and 3) to assess the utility of self-efficacy and family factors as predictors of adherence and metabolic control. Participants included 62 youths with insulin-dependent diabetes mellitus (IDDM) and their parents. Parents' and youths' perceptions of their abilities in diabetes and related situations, family cohesion and adaptability, and perceptions of the family's ability to integrate the demands of the diabetes regimen into general family routines were assessed. Results suggested that both social learning factors and general family relations were important in the prediction of youths' adherence to the treatment regimen for diabetes and metabolic control. Moreover, family efficacy and family cohesion were related, suggesting the need for models of assessment and intervention that include both social learning and general family functioning variables.
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