Communication matters: The role of autonomy-supportive communication by health care providers and parents in adolescents with type 1 diabetes.
Identifieur interne : 000269 ( Main/Exploration ); précédent : 000268; suivant : 000270Communication matters: The role of autonomy-supportive communication by health care providers and parents in adolescents with type 1 diabetes.
Auteurs : Eveline R. Goethals [États-Unis] ; Sarah S. Jaser [États-Unis] ; Chris Verhaak [Pays-Bas] ; Sofie Prikken [Belgique] ; Kristina Casteels [Belgique] ; Koen Luyckx [Afrique du Sud] ; Alan M. Delamater [États-Unis]Source :
- Diabetes research and clinical practice [ 1872-8227 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- normes : Personnel de santé.
- psychologie : Adhésion et observance thérapeutiques, Parents.
- thérapie : Diabète de type 1.
- Adolescent, Communication, Enfant, Femelle, Humains, Mâle, Études transversales.
English descriptors
- KwdEn :
- MESH :
- psychology : Parents, Treatment Adherence and Compliance.
- standards : Health Personnel.
- therapy : Diabetes Mellitus, Type 1.
- Adolescent, Child, Communication, Cross-Sectional Studies, Female, Humans, Male.
Abstract
AIMS
Although research exists on parental communication in adolescents with type 1 diabetes (T1D), the role of communication by health care providers remains understudied. Grounded in Self-Determination Theory, this study examined the role of autonomy-supportive communication (i.e., providing meaningful rationale and offering choices with regard to treatment recommendations) by providers and parents, and how they interact in the prediction of diabetes outcomes.
METHODS
In this cross-sectional study, 135 adolescents (mean age 14.3 ± 2.1SD years), 171 mothers, and 121 fathers reported on autonomy-supportive communication from health care providers and parents, and on adolescent treatment adherence. HbA1c values were retrieved from the medical record.
RESULTS
In adolescent reports, perceived autonomy-supportive communication from providers but not from parents was positively related to treatment adherence. A significant interaction between autonomy-supportive communication from providers and parents pointed to the highest level of treatment adherence when adolescents perceived both providers and parents as autonomy-supportive. In contrast, parental reports revealed that parental autonomy-supportive communication was positively related to treatment adherence, whereas autonomy-supportive communication by providers was not.
CONCLUSIONS
Autonomy-supportive communication by providers and parents is associated with better treatment adherence in adolescents with T1D. Interventions to improve autonomy-supportive communication by parents and providers may improve treatment adherence of adolescents (e.g., communication training).
DOI: 10.1016/j.diabres.2020.108153
PubMed: 32325107
Affiliations:
- Afrique du Sud, Belgique, Pays-Bas, États-Unis
- Floride, Gueldre, Massachusetts, Région de Bruxelles-Capitale, Tennessee
- Bruxelles, Nimègue
Links toward previous steps (curation, corpus...)
Le document en format XML
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Goethals</name><affiliation wicri:level="2"><nlm:affiliation>KU Leuven, Leuven, Belgium; Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA. Electronic address: Eveline.Goethals@kuleuven.be.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>KU Leuven, Leuven, Belgium; Joslin Diabetes Center, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Jaser, Sarah S" sort="Jaser, Sarah S" uniqKey="Jaser S" first="Sarah S" last="Jaser">Sarah S. Jaser</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt University Medical Center, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vanderbilt University Medical Center, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Verhaak, Chris" sort="Verhaak, Chris" uniqKey="Verhaak C" first="Chris" last="Verhaak">Chris Verhaak</name><affiliation wicri:level="3"><nlm:affiliation>Radboud University Medical Center Nijmegen, Nijmegen, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud University Medical Center Nijmegen, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Prikken, Sofie" sort="Prikken, Sofie" uniqKey="Prikken S" first="Sofie" last="Prikken">Sofie Prikken</name><affiliation wicri:level="3"><nlm:affiliation>KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Casteels, Kristina" sort="Casteels, Kristina" uniqKey="Casteels K" first="Kristina" last="Casteels">Kristina Casteels</name><affiliation wicri:level="1"><nlm:affiliation>University Hospitals Leuven, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>University Hospitals Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Luyckx, Koen" sort="Luyckx, Koen" uniqKey="Luyckx K" first="Koen" last="Luyckx">Koen Luyckx</name><affiliation wicri:level="1"><nlm:affiliation>KU Leuven, Leuven, Belgium; UNIBS, University of the Free State, Bloemfontein, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>KU Leuven, Leuven, Belgium; UNIBS, University of the Free State, Bloemfontein</wicri:regionArea><wicri:noRegion>Bloemfontein</wicri:noRegion></affiliation></author><author><name sortKey="Delamater, Alan M" sort="Delamater, Alan M" uniqKey="Delamater A" first="Alan M" last="Delamater">Alan M. Delamater</name><affiliation wicri:level="2"><nlm:affiliation>University of Miami Miller School of Medicine, Mailman Center for Child Development, Miami, FL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Miami Miller School of Medicine, Mailman Center for Child Development, Miami, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author></analytic><series><title level="j">Diabetes research and clinical practice</title><idno type="eISSN">1872-8227</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Child (MeSH)</term><term>Communication (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Diabetes Mellitus, Type 1 (therapy)</term><term>Female (MeSH)</term><term>Health Personnel (standards)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Parents (psychology)</term><term>Treatment Adherence and Compliance (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion et observance thérapeutiques (psychologie)</term><term>Adolescent (MeSH)</term><term>Communication (MeSH)</term><term>Diabète de type 1 (thérapie)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Parents (psychologie)</term><term>Personnel de santé (normes)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Adhésion et observance thérapeutiques</term><term>Parents</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parents</term><term>Treatment Adherence and Compliance</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Diabetes Mellitus, Type 1</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Diabète de type 1</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Communication</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Communication</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>Although research exists on parental communication in adolescents with type 1 diabetes (T1D), the role of communication by health care providers remains understudied. Grounded in Self-Determination Theory, this study examined the role of autonomy-supportive communication (i.e., providing meaningful rationale and offering choices with regard to treatment recommendations) by providers and parents, and how they interact in the prediction of diabetes outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In this cross-sectional study, 135 adolescents (mean age 14.3 ± 2.1SD years), 171 mothers, and 121 fathers reported on autonomy-supportive communication from health care providers and parents, and on adolescent treatment adherence. HbA1c values were retrieved from the medical record.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In adolescent reports, perceived autonomy-supportive communication from providers but not from parents was positively related to treatment adherence. A significant interaction between autonomy-supportive communication from providers and parents pointed to the highest level of treatment adherence when adolescents perceived both providers and parents as autonomy-supportive. In contrast, parental reports revealed that parental autonomy-supportive communication was positively related to treatment adherence, whereas autonomy-supportive communication by providers was not.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Autonomy-supportive communication by providers and parents is associated with better treatment adherence in adolescents with T1D. Interventions to improve autonomy-supportive communication by parents and providers may improve treatment adherence of adolescents (e.g., communication training).</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32325107</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>31</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-8227</ISSN><JournalIssue CitedMedium="Internet"><Volume>163</Volume><PubDate><Year>2020</Year><Month>May</Month></PubDate></JournalIssue><Title>Diabetes research and clinical practice</Title><ISOAbbreviation>Diabetes Res Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Communication matters: The role of autonomy-supportive communication by health care providers and parents in adolescents with type 1 diabetes.</ArticleTitle><Pagination><MedlinePgn>108153</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0168-8227(20)30403-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.diabres.2020.108153</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Although research exists on parental communication in adolescents with type 1 diabetes (T1D), the role of communication by health care providers remains understudied. Grounded in Self-Determination Theory, this study examined the role of autonomy-supportive communication (i.e., providing meaningful rationale and offering choices with regard to treatment recommendations) by providers and parents, and how they interact in the prediction of diabetes outcomes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In this cross-sectional study, 135 adolescents (mean age 14.3 ± 2.1SD years), 171 mothers, and 121 fathers reported on autonomy-supportive communication from health care providers and parents, and on adolescent treatment adherence. HbA1c values were retrieved from the medical record.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In adolescent reports, perceived autonomy-supportive communication from providers but not from parents was positively related to treatment adherence. A significant interaction between autonomy-supportive communication from providers and parents pointed to the highest level of treatment adherence when adolescents perceived both providers and parents as autonomy-supportive. In contrast, parental reports revealed that parental autonomy-supportive communication was positively related to treatment adherence, whereas autonomy-supportive communication by providers was not.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Autonomy-supportive communication by providers and parents is associated with better treatment adherence in adolescents with T1D. Interventions to improve autonomy-supportive communication by parents and providers may improve treatment adherence of adolescents (e.g., communication training).</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier B.V.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Goethals</LastName><ForeName>Eveline R</ForeName><Initials>ER</Initials><AffiliationInfo><Affiliation>KU Leuven, Leuven, Belgium; Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA. Electronic address: Eveline.Goethals@kuleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jaser</LastName><ForeName>Sarah S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Vanderbilt University Medical Center, Nashville, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaak</LastName><ForeName>Chris</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Radboud University Medical Center Nijmegen, Nijmegen, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prikken</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>KU Leuven, Leuven, Belgium; Research Foundation Flanders, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Casteels</LastName><ForeName>Kristina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>University Hospitals Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Luyckx</LastName><ForeName>Koen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>KU Leuven, Leuven, Belgium; UNIBS, University of the Free State, Bloemfontein, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delamater</LastName><ForeName>Alan M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>University of Miami Miller School of Medicine, Mailman Center for Child Development, Miami, FL, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Diabetes Res Clin Pract</MedlineTA><NlmUniqueID>8508335</NlmUniqueID><ISSNLinking>0168-8227</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003142" MajorTopicYN="Y">Communication</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003922" MajorTopicYN="N">Diabetes Mellitus, Type 1</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010290" MajorTopicYN="N">Parents</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000074822" MajorTopicYN="N">Treatment Adherence and Compliance</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adolescents</Keyword><Keyword MajorTopicYN="N">Communication</Keyword><Keyword MajorTopicYN="N">Health care providers</Keyword><Keyword MajorTopicYN="N">Parents</Keyword><Keyword MajorTopicYN="N">Self-Determination theory</Keyword><Keyword MajorTopicYN="N">Type 1 diabetes</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>12</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>03</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32325107</ArticleId><ArticleId IdType="pii">S0168-8227(20)30403-4</ArticleId><ArticleId IdType="doi">10.1016/j.diabres.2020.108153</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Belgique</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Floride</li><li>Gueldre</li><li>Massachusetts</li><li>Région de Bruxelles-Capitale</li><li>Tennessee</li></region><settlement><li>Bruxelles</li><li>Nimègue</li></settlement></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Goethals, Eveline R" sort="Goethals, Eveline R" uniqKey="Goethals E" first="Eveline R" last="Goethals">Eveline R. Goethals</name></region><name sortKey="Delamater, Alan M" sort="Delamater, Alan M" uniqKey="Delamater A" first="Alan M" last="Delamater">Alan M. Delamater</name><name sortKey="Jaser, Sarah S" sort="Jaser, Sarah S" uniqKey="Jaser S" first="Sarah S" last="Jaser">Sarah S. Jaser</name></country><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Verhaak, Chris" sort="Verhaak, Chris" uniqKey="Verhaak C" first="Chris" last="Verhaak">Chris Verhaak</name></region></country><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Prikken, Sofie" sort="Prikken, Sofie" uniqKey="Prikken S" first="Sofie" last="Prikken">Sofie Prikken</name></region><name sortKey="Casteels, Kristina" sort="Casteels, Kristina" uniqKey="Casteels K" first="Kristina" last="Casteels">Kristina Casteels</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Luyckx, Koen" sort="Luyckx, Koen" uniqKey="Luyckx K" first="Koen" last="Luyckx">Koen Luyckx</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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