Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Objective. to evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior,diabetes parenting behavior,and parental diabetes-distress influence this relationship. research design and methods. parents of youth 8-15 yrs (at baseline) (n=174) participating in the dino study completed questionnaires at three time waves (1 yr interval). using generalized estimating equations,the relationship between parental well-being (who-5) and youth's hba1c was examined. second,relationships between who-5,strength and difficulties questionnaire (sdq),diabetes family behavior checklist (dfbc),problem areas in diabetes-parent revised (paid-pr) scores,and hba1c were analyzed. results. low well-being was reported by 32% of parents. no relationship was found between parents' who-5 scores and youth's hba1c (β=-0.052,p=0.650). who-5 related to sdq (β=-0.219,p<0.01),dfbc unsupportive scale (β=-0.174,p<0.01),and paid-pr (β=-0.666,p<0.01). both dfbc scales (supportive β=-0.259,p=0.01; unsupportive β=0.383,p=0.017),paid-pr (β=0.276,p<0.01),and sdq (β=0.424,p<0.01) related to hba1c. conclusions. over time,reduced parental well-being relates to increased problem behavior in youth,unsupportive parenting,and parental distress,which negatively associate with hba1c. more unsupportive diabetes parenting and distress relate to youth's problem behavior. © 2017 minke m. a. eilander et al.