Glycemic control in young children with diabetes: The role of parental health literacy

Elizabeth R. Pulgarón, Lee M. Sanders, Anna Maria Patiño-Fernandez, Diana Wile, Janine Sanchez, Russell L. Rothman, Alan M. Delamater

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Objective: This cross sectional study examined the relationship between parental health literacy (HL), diabetes related numeracy, and parental perceived diabetes self-efficacy on glycemic control in a sample of young children with Type 1 DM. Methods: Seventy primary caregivers of children (age 3-9 years) with Type 1 DM were recruited and surveyed at diabetes outpatient clinic visits. Patients' medical histories were obtained by medical chart review. Results: Parental diabetes related numeracy (r= -52, p < 01), but not reading skills (r= -25, p= NS) were inversely correlated with the child's glycemic control (HbA1c). Parental perceived diabetes self-efficacy was also negatively correlated to their child's HbA1c (r= -47, p < 01). When numeracy and parental perceived diabetes self-efficacy were included as predictors of HbA1c, the model was significant (F= 12.93, p < .01) with both numeracy (β= -46, p < .01) and parental perceived diabetes self-efficacy (β= -36, p = .01) as significant predictors of HbA1c. Conclusions: Data from this study highlight the importance of considering the role of parental numeracy, in health outcomes for children with Type 1 DM. Practice implications: Practitioners should assess parental health literacy and consider intervention when needed.

Original languageEnglish (US)
Pages (from-to)67-70
Number of pages4
JournalPatient Education and Counseling
Volume94
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Children
  • Glycemic control
  • Health literacy
  • Numeracy
  • Parents
  • Type 1 diabetes

ASJC Scopus subject areas

  • Medicine(all)

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