College of Psychology: Faculty Articles

Title

Shared Decision-Making among Caregivers and Health Care Providers of Youth with Type 1 Diabetes.

Document Type

Article

Publication Date

1-1-2016

Publication Title

Journal of Clinical Psychology in Medical Settings

ISSN

1068-9583,

Volume

21

Issue/No.

3

Abstract

The present study aimed to examine perceptions of shared decision-making (SDM) in caregivers of youth with type 1 diabetes (T1D). Interview, survey data, and HbA1c assays were gathered from caregivers of 439 youth with T1D aged 3-18 years. Caregiver-report indicated high perceived SDM during medical visits. Multivariable linear regression indicated that greater SDM is associated with lower HbA1c, older child age, and having a pediatric endocrinologist provider. Multiple logistic regression found that caregivers who did not perceive having made any healthcare decisions in the past year were more likely to identify a non-pediatric endocrinologist provider and to report less optimal diabetes self-care. Findings suggest that youth whose caregivers report greater SDM may show benefits in terms of self-care and glycemic control. Future research should examine the role of youth in SDM and how best to identify youth and families with low SDM in order to improve care.

DOI

10.1007/s10880-014-9400-9

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