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Jennifer M. Rohan, Bin Huang, Jennifer Shroff Pendley, Alan Delamater, Lawrence Dolan, Grafton Reeves, Dennis Drotar, Predicting Health Resilience in Pediatric Type 1 Diabetes: A Test of the Resilience Model Framework, Journal of Pediatric Psychology, Volume 40, Issue 9, October 2015, Pages 956–967, https://doi.org/10.1093/jpepsy/jsv061
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Abstract
Objectives This research examined whether individual and family-level factors during the transition from late childhood to early adolescence protected individuals from an increased risk of poor glycemic control across time, which is a predictor of future diabetes-related complications (i.e., health resilience). Methods This longitudinal, multisite study included 239 patients with type 1 diabetes and their caregivers. Glycemic control was based on hemoglobin A1c. Individual and family-level factors included: demographic variables, youth behavioral regulation, adherence (frequency of blood glucose monitoring), diabetes self-management, level of parental support for diabetes autonomy, level of youth mastery and responsibility for diabetes management, and diabetes-related family conflict. Results Longitudinal mixed-effects logistic regression indicated that testing blood glucose more frequently, better self-management, and less diabetes-related family conflict were indicators of health resilience. Conclusions Multiple individual and family-level factors predicted risk for future health complications. Future research should develop interventions targeting specific individual and family-level factors to sustain glycemic control within recommended targets, which reduces the risk of developing future health complications during the transition to adolescence and adulthood.