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The Perceived Self-Efficacy and Its Interrelation With Communication in Family and Glycemic Control in Adolescents With Type 1 Diabetes Publisher



Najmi SB1 ; Marasi MR2 ; Hashemipour M3 ; Hovsepian S4 ; Ghasemi M5
Authors
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Authors Affiliations
  1. 1. Department of Psychology, Nour Hospital, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Dept. of Epidemiology and Biostatistics, School of Public Health, Isfahan, Iran
  3. 3. Child Growth and Development Research Center, Endocrine and Metabolism Research Center, Isfahan, Iran
  4. 4. Child Growth and Development Research Center, Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Pediatrics Department, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Pakistan Journal of Medical Sciences Published:2013


Abstract

Objective: In this study the effect of self -efficacy and family functioning on glycemic control of adolescence with Type 1 Diabetes (T1D) in Isfahan was investigated. Methodology: In this Randomized Controlled Open Trial, adolescence with type 1 DM were studied. Selected patients were randomized in four intervention groups including group counselling with Cognitive Behavioural Therapy (CBT) approach for self-efficacy enhancement for diabetic patients, group training for Communication Skills Training (CST) for parents of diabetic patients, combination of CBT+ CST and routine diabetes management. Family functioning, selfefficacy for diabetes self-management and glycemic control of diabetic patients was measured using The McMaster Family Assessment Device (FAD), self-efficacy scale and HbA1c, respectively. Mentioned variables in all studied groups were measured before and after intervention and three months after intervention. Results: CBT increased self -efficacy of studied population significantly which decrease the mean of HbA1c in studied population (P < 0.05).CBT + CST and CST had not significant effect on HbA1c (P > 0.05). HbA1c was not significantly different in different stages of evaluation in each group, but it was significantly different between CBT and control groups (P=0.07). Conclusion: In order to obtain more conclusive results it is recommended to study larger sample size of patients with T1D with consideration of their demographic and cultural factors, to design and implement multicomponent studies to determine the relation between different psychosocial factors and their adherence to treatment regimens and metabolic control. Designing relatively long term multi-component and compilation strategies would be helpful in this regard also.
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