January 17 , 2007. 3:00-4:30pm. Porter Hall 223D, Carnegie Mellon University

Decisions to Transfer Diabetes Care to Adolescents

Presenter: Kerry Reynolds post-doc at Carnegie Mellon University

Abstract:

Adolescents with diabetes typically experience worse metabolic control than do children or adults, due in part to worse self-care. Self-care behavior may deteriorate because adolescents are taking responsibility for new tasks, which they may not perform as well as their parents did. As adulthood nears, responsibility must shift to the adolescent, but it is unclear how this shift is most effectively navigated. Closer examination of underlying decisions should help to clarify these issues. We expect that different types of decisions will lead to different methods of transferring responsibility, and thus different outcomes. This project aims to identify characteristics of decisions to transfer diabetes responsibility from parents to children, looking at two categories of decisions: developmentally-oriented (e.g., child's ability) and externally constrained (e.g., parent burden). I will present preliminary findings from open-ended interviews with diabetic adolescents and their parents.