Shared Decision-Making Among Caregivers and Health Care Providers of Youth with Type 1 Diabetes

被引：21

作者：

Valenzuela, Jessica M. ^{[1
]}

Smith, Laura B. ^{[2
]}

Stafford, Jeanette M. ^{[3
]}

D'Agostino, Ralph B., Jr. ^{[3
]}

Lawrence, Jean M. ^{[4
]}

Yi-Frazier, Joyce P. ^{[5
]}

Seid, Michael ^{[6
]}

Dolan, Lawrence M. ^{[7
]}

机构：

[1] Nova SE Univ, Ctr Psychol Studies, Ft Lauderdale, FL 33314 USA

[2] Univ S Florida, Dept Pediat, Morsani Coll Med, Ctr Diabet, Tampa, FL 33620 USA

[3] Wake Forest Sch Med, Div Publ Hlth Sci, Dept Biostat Sci, Winston Salem, NC USA

[4] Kaiser Permanente So Calif, Dept Res & Evaluat, Pasadena, CA 91101 USA

[5] Univ Washington, Sch Med, Dept Pediat, Seattle, WA 98195 USA

[6] Cincinnati Childrens Hosp Med Ctr, Div Pulm Med, Dept Pediat, Cincinnati, OH 45229 USA

[7] Cincinnati Childrens Hosp Med Ctr, Div Endocrinol, Dept Pediat, Cincinnati, OH 45229 USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2014年 / 21卷 / 03期

关键词：

Shared decision-making; Type; 1; diabetes; Communication; Patient participation; SELF-CARE; CHILDREN; COMMUNICATION; ADOLESCENTS; PARENTS; PARTICIPATION; BEHAVIORS; OUTCOMES; DOCTORS; QUALITY;

D O I：

10.1007/s10880-014-9400-9

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The present study aimed to examine perceptions of shared decision-making (SDM) in caregivers of youth with type 1 diabetes (T1D). Interview, survey data, and HbA1c assays were gathered from caregivers of 439 youth with T1D aged 3-18 years. Caregiver-report indicated high perceived SDM during medical visits. Multivariable linear regression indicated that greater SDM is associated with lower HbA1c, older child age, and having a pediatric endocrinologist provider. Multiple logistic regression found that caregivers who did not perceive having made any healthcare decisions in the past year were more likely to identify a non-pediatric endocrinologist provider and to report less optimal diabetes self-care. Findings suggest that youth whose caregivers report greater SDM may show benefits in terms of self-care and glycemic control. Future research should examine the role of youth in SDM and how best to identify youth and families with low SDM in order to improve care.

引用

页码：234 / 243

页数：10

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