Fathers' involvement in preadolescents' diabetes adherence and glycemic control

J Pediatr Psychol. 2011 Sep;36(8):911-22. doi: 10.1093/jpepsy/jsr020. Epub 2011 Apr 22.

Abstract

Objective: To examine the relationship of paternal involvement in diabetes care with adherence and glycemic control.

Methods: One hundred and thirty-six mothers and fathers of preadolescents (aged 9-12 years) with type 1 diabetes reported on paternal involvement. Adherence was measured by interview and blood glucose meter downloads. Mothers' and fathers' ratings of paternal involvement in diabetes care were compared. We evaluated three structural equation models linking paternal involvement with adherence and glycemic control.

Results: Mothers and fathers reported similar amounts of paternal involvement, yet mothers rated paternal involvement as more helpful. The data supported a model indicating links between more paternal involvement and higher HbA1c and between lower adherence and higher HbA1c. Mediation and moderation models were not supported.

Discussion: Although paternal involvement was not directly associated with treatment adherence, it was associated with poorer glycemic control. Some fathers may increase their involvement in response to suboptimal glycemic outcomes.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Child
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Father-Child Relations*
  • Fathers*
  • Female
  • Glycated Hemoglobin A
  • Helping Behavior*
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Male
  • Medication Adherence*
  • Parenting*
  • Prospective Studies

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents