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

Valenzuela, Jessica M.; Smith, Laura B.; Stafford, Jeanette M.; Andrews, S.; D’Agostino, Ralph B.; Lawrence, Jean M.; Yi-Frazier, Joyce P.; Seid, Michael; Dolan, Lawrence M.

doi:10.1007/s10880-014-9400-9

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

9 2014
By Valenzuela, Jessica M. ; Smith, Laura B. ; Stafford, Jeanette M. ; ...
http://dx.doi.org/10.1007/s10880-014-9400-9
Source: J Clin Psychol Med Settings. 21(3):234-243

[PDF-152.82 KB]

English

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Details:

Alternative Title:

J Clin Psychol Med Settings
Personal Author:

Valenzuela, Jessica M. ; Smith, Laura B. ; Stafford, Jeanette M. ; Andrews, S. ; D’Agostino, Ralph B. ; ... More +

Valenzuela, Jessica M. ; Smith, Laura B. ; Stafford, Jeanette M. ; Andrews, S. ; D’Agostino, Ralph B. ; Lawrence, Jean M. ; Yi-Frazier, Joyce P. ; Seid, Michael ; Dolan, Lawrence M. Less -
Description:

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.
Subjects:

[+]

Adolescent Age Factors Caregivers Child Child, Preschool Communication Decision Making Diabetes Mellitus, Type 1 Female Health Personnel Humans Male Patient Participation Professional-Family Relations Self Care Socioeconomic Factors
Keywords:

[+]

Communication Patient Participation Shared Decision-making Type 1 Diabetes
Source:

J Clin Psychol Med Settings. 21(3):234-243
Pubmed ID:

24952739
Pubmed Central ID:

PMC4135709
Document Type:

Journal Article
Funding:

U18DP002708/DP/NCCDPHP CDC HHSUnited States/ ; UL1TR000154/TR/NCATS NIH HHSUnited States/ ; P30 DK057516/DK/NIDDK NIH HHSUnited States/ ; 1U18DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; ... More +

U18DP002708/DP/NCCDPHP CDC HHSUnited States/ ; UL1TR000154/TR/NCATS NIH HHSUnited States/ ; P30 DK057516/DK/NIDDK NIH HHSUnited States/ ; 1U18DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU419249/PHS HHSUnited States/ ; UL1 TR000154/TR/NCATS NIH HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU919219/PHS HHSUnited States/ ; P30 DK57516/DK/NIDDK NIH HHSUnited States/ ; UL1 TR00423/TR/NCATS NIH HHSUnited States/ ; U48/CCU519239/PHS HHSUnited States/ ; U18DP002710-01/DP/NCCDPHP CDC HHSUnited States/ ; UL1 RR029882/RR/NCRR NIH HHSUnited States/ ; UL1 TR001082/TR/NCATS NIH HHSUnited States/ ; UL1 TR000077/TR/NCATS NIH HHSUnited States/ ; UL1 TR000423/TR/NCATS NIH HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; HIR 10-001/HX/HSRD VAUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; U18DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000245/DP/NCCDPHP CDC HHSUnited States/ ; DP-05-069/DP/NCCDPHP CDC HHSUnited States/ ; DP-10-001/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; U58CCU919256/PHS HHSUnited States/ ; U18DP000247-06A1/DP/NCCDPHP CDC HHSUnited States/ ; U58/CCU019235-4/PHS HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/ ; UL1 RR026314/RR/NCRR NIH HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; UL1RR029882/RR/NCRR NIH HHSUnited States/ Less -
Volume:

21
Issue:

3
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:8028c35ac84d1ab706e63a4665fcab679af6c31dd4368d7d2a5a1b5b2ec56dc7
Download URL:

https://stacks.cdc.gov/view/cdc/30083/cdc_30083_DS1.pdf
File Type:

nihms607571.nxml

xml

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