Diabetes problem solving by youths with type 1 diabetes and their caregivers: Measurement, validation, and longitudinal associations with glycemic control

Tim Wysocki*, Ronald Iannotti, Jill Weissberg-Benchell, Lori Laffel, Korey Hood, Barbara Anderson, Rusan Chen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

63 Scopus citations

Abstract

Objectives: This article introduces a new measure of problem-solving skills of youths with type 1 diabetes (T1DM) and adult caregivers in correcting glycemic fluctuations. Methods: The Diabetes Problem Solving Interview (DPSI), a structured interview, was validated during a pilot study of a behavioral intervention. DPSI data and measures of diabetes management were obtained at baseline from 114 youths (ages 9-14.5) and 109 caregivers. Glycosylated hemoglobin (HbA1c) was measured quarterly over 9 months. Results: Results confirmed the psychometric adequacy of the DPSI. For caregivers, but not youths, low DPSI scores (indicating poor problem-solving skills) were significantly associated with worse HbA1c over 9 months. Conclusions: The DPSI has clinical and research utility as a measure of diabetes problem-solving skills. Identification and targeted remediation of caregivers' deficient diabetes problem-solving skills or promotion of youths' utilization of these skills could possibly enhance glycemic control in youths with T1DM.

Original languageEnglish (US)
Pages (from-to)875-884
Number of pages10
JournalJournal of pediatric psychology
Volume33
Issue number8
DOIs
StatePublished - Sep 2008

Keywords

  • Adolescents
  • Children
  • Diabetes
  • Problem solving

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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