The impact of parental involvement in goal setting on treatment adherence for children with insulin -dependent diabetes mellitus
Abstract
The current study assessed the effects of a collaborative goal setting intervention for children with type I diabetes on self-care behaviors. Sixty-six children (ages 8–12) diagnosed with diabetes were randomly assigned to either a 12-week collaborative parent child goal setting intervention [the Collaborative Goal Setting (CGS) condition] or to a goal setting-only (GSO) control condition. The differential effects of the CGS program were assessed using goal attainment scores on four critical self-care behaviors (i.e., insulin administration, food intake, physical activity, self-monitoring), and glycemic control. At both posttesting and the 3-month follow-up, we found substantially higher levels of self-care behaviors for CGS families than for GSO controls. However, contrary to expectations, GSO families showed significant increases in goal attainment scores across both assessment intervals. Regarding glycemic control measures, CGS families did not demonstrate significantly greater posttest or 3-month follow-up gains than GSO families. Additionally, both CGS and GSO families failed to show improvements on these measures from pre- to posttesting or from pretesting to the 3-month follow-up. Future research on the active ingredients of the CGS intervention are proposed.
Degree
Ph.D.
Advisors
Glueckauf, Purdue University.
Subject Area
Psychotherapy|Behaviorial sciences|Surgery
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