Prescribed regimen intensity in diverse youth with type 1 diabetes

Role of family and provider perceptions

Jessica M. Valenzuela, Annette M La Greca, Olivia Hsin, Cortney Taylor, Alan M Delamater

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Recent literature suggests that disparities in prescribed treatments may exist for youth with type 1 diabetes. There is limited research to date examining factors associated with prescribed regimen intensity in this population. In this study, we examined racial/ethnic differences in regimen intensity and predictors of regimen intensity in youth with type 1 diabetes. We expected that minority youth would have less intensive regimens and that caregiver and physician perceptions would be associated with regimen intensity. This cross-sectional study included 178 families of 10- to 17-yr-old youth at three endocrinology clinics. Caregivers reported perceived costs and benefits of intensive regimens. Physicians described the prescribed treatment and their perceptions of family/child competence and self-management. Analyses included analysis of covariance and hierarchical multiple linear regression. Findings indicate a disparity in regimen intensity for minority youth. Caregiver perceptions of costs associated with intensive regimens and physician perceptions of family competence are associated with prescribed regimen intensity. Interventions targeting disparities in prescribed regimen intensity should be considered. Further research is needed to understand the role of family perceptions of treatments and physician clinical decision making in addressing health disparities in type 1 diabetes.

Original languageEnglish
Pages (from-to)696-703
Number of pages8
JournalPediatric Diabetes
Volume12
Issue number8
DOIs
StatePublished - Dec 1 2011

Fingerprint

Type 1 Diabetes Mellitus
Caregivers
Physicians
Mental Competency
Endocrinology
Family Physicians
Self Care
Research
Cost-Benefit Analysis
Linear Models
Therapeutics
Cross-Sectional Studies
Costs and Cost Analysis
Health
Population

Keywords

  • Children
  • Diabetes
  • Disparities
  • Race/ethnicity

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Prescribed regimen intensity in diverse youth with type 1 diabetes : Role of family and provider perceptions. / Valenzuela, Jessica M.; La Greca, Annette M; Hsin, Olivia; Taylor, Cortney; Delamater, Alan M.

In: Pediatric Diabetes, Vol. 12, No. 8, 01.12.2011, p. 696-703.

Research output: Contribution to journalArticle

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