Satisfaction with the Health Care Provider and Regimen Adherence in Minority Youth with Type 1 Diabetes

J Clin Psychol Med Settings. 2016 Sep;23(3):257-68. doi: 10.1007/s10880-016-9460-0.


To assess whether satisfaction with the health-care provider is related to regimen adherence among primarily minority youth with type 1 diabetes. Youth with type 1 diabetes (n = 169; M age = 13.88; 52 % female; 70 % Hispanic) and their parents completed questionnaires that assessed their own satisfaction with the health-care provider and youths' adherence to diabetes self-care behaviors. Higher youth and parent patient-provider relationship satisfaction was associated with higher regimen adherence. Gender affected the relationship between satisfaction and regimen adherence, such that for girls, greater satisfaction was associated with better adherence; this was not the case for boys. Patient satisfaction with the health care provider is important for regimen adherence among primarily minority youth with type 1 diabetes, particularly for girls. Future research might focus on improving youths' relationships with their health care providers as a potential pathway to improve regimen adherence.

Keywords: Adherence; Adolescents; Diabetes; Patient-physician relationship; Satisfaction; Youth.

MeSH terms

  • Adolescent
  • Diabetes Mellitus, Type 1 / therapy*
  • Female
  • Health Personnel*
  • Humans
  • Male
  • Parents
  • Patient Satisfaction*
  • Self Care
  • Surveys and Questionnaires