Based on the Bruhn and Parcel Model of Health Promotion, this study was conducted to investigate the relationships between three types of parental influences (reinforcement, modeling, and interaction patterns) and various psychosocial characteristics (self-efficacy, coping behaviors, and depressive symptoms) in adolescents with type 1 diabetes. The descriptive and correlational study was conducted using the secondary data from the 117 adolescents in the Adolescents Benefit from the Control of Diabetes Study. The results of the Pearson's product moment correlation analysis indicated that reinforcement was negatively correlated with self-efficacy (r=-.29, p<.01), and positively correlated with depressive symptoms (r=.23, p<.05). Modeling was positively correlated with coping behaviors (r=.32, p<.005) and self-efficacy (r=.32, p<.005), and negatively correlated with depressive symptoms (r=-.36, p<.0001). Interaction patterns were positively correlated with self-efficacy (r=.27, p<.005) and negatively correlated with depressive symptoms (r=-.40, p<.0001). These findings can update the knowledge in the area of type 1 diabetes management. Furthermore, based on the findings, the health care providers can keep parents to get involved in adolescents' DMTs in psychosocially appropriate ways, in order to increase adolescents' coping behaviors and self-efficacy and decrease their depressive symptoms. (Tzu Chi Nursing Journal, 2004; 3:2, 31-40.)
Based on the Bruhn and Parcel Model of Health Promotion, this study was conducted to investigate the relationships between three types of parental influences (reinforcement, modeling, and interaction patterns) and various psychosocial characteristics (self-efficacy, coping behaviors, and depressive symptoms) in adolescents with type 1 diabetes. The descriptive and correlational study was conducted using the secondary data from the 117 adolescents in the Adolescents Benefit from the Control of Diabetes Study. The results of the Pearson's product moment correlation analysis indicated that reinforcement was negatively correlated with self-efficacy (r=-.29, p<.01), and positively correlated with depressive symptoms (r=.23, p<.05). Modeling was positively correlated with coping behaviors (r=.32, p<.005) and self-efficacy (r=.32, p<.005), and negatively correlated with depressive symptoms (r=-.36, p<.0001). Interaction patterns were positively correlated with self-efficacy (r=.27, p<.005) and negatively correlated with depressive symptoms (r=-.40, p<.0001). These findings can update the knowledge in the area of type 1 diabetes management. Furthermore, based on the findings, the health care providers can keep parents to get involved in adolescents' DMTs in psychosocially appropriate ways, in order to increase adolescents' coping behaviors and self-efficacy and decrease their depressive symptoms. (Tzu Chi Nursing Journal, 2004; 3:2, 31-40.)