Parental and Adolescent Expectations for Self-Management Behaviors: Do They Differ?
Mentor 1
Kathleen Sawin
Location
Union Wisconsin Room
Start Date
24-4-2015 10:30 AM
End Date
24-4-2015 11:45 AM
Description
Background: More than 2 million adolescents with a chronic health condition (CHC) have significantly longer life expectancies than in the past 20 years dictating the need for them to successfully navigate the transition from adolescence to adulthood while effectively managing their CHC. During adolescence a gradual transition of responsibilities from parent to adolescent should occur and monitoring this success will allow appropriate interventions for a successful outcome. In order to optimize outcomes it is important to understand the expectations that both adolescents and their parents have in regards to the specific age that the adolescent should achieve specific self-management behaviors. / Methods: The purpose of the larger study conducted in two stages, was to evaluate achievement of specific self-management behaviors deemed critically necessary to effectively transition into adulthood while successfully managing a CHC. The first stage involved 25 families with an adolescent 12-21 years old who had a CHC (e.g., cardiac, gastrointestinal, diabetes, asthma). Youths and parents participated in a 60-90 minute telephone computer assisted interview using 6 instruments and a short debriefing interview. Based on data analysis of stage one, 20 families were selected to participate in a follow up interview 2 – 3 weeks later which consisted of a questionnaire with a section for each individual to indicate at what age they (or their adolescent) would be expected to independently perform each of the 17 self-management behaviors. These 17 self- management behaviors were divided into two subscales which measured behaviors performed to manage independent living and behaviors to manage the CHC. Frequencies, reliabilities, and paired t-test were used to analyze the data. / Results: The expectation scales (condition and independent living) had Cronbach alphas from .73 - .88. The mean age for adolescents’ expectation to manage their CHC was 14.5 years of age (SD= 1.8) and the parent mean was 15.2 (SD=1.7). The mean age for adolescents’ expectation for managing independent living was 15.4 years of age (SD=1.2) and the parent mean was 16.1 (SD=1.4). The paired t-test revealed a significant difference between the adolescent and parent expectation of condition management (t= -2.1; p = .050) with parents expecting a later age than their adolescents. However, there was no significant difference between adolescent and parent expectations for managing independent living. / Conclusions: In the future we would like to analyze the impact of parental and adolescent expectations on self-management behaviors. /
Parental and Adolescent Expectations for Self-Management Behaviors: Do They Differ?
Union Wisconsin Room
Background: More than 2 million adolescents with a chronic health condition (CHC) have significantly longer life expectancies than in the past 20 years dictating the need for them to successfully navigate the transition from adolescence to adulthood while effectively managing their CHC. During adolescence a gradual transition of responsibilities from parent to adolescent should occur and monitoring this success will allow appropriate interventions for a successful outcome. In order to optimize outcomes it is important to understand the expectations that both adolescents and their parents have in regards to the specific age that the adolescent should achieve specific self-management behaviors. / Methods: The purpose of the larger study conducted in two stages, was to evaluate achievement of specific self-management behaviors deemed critically necessary to effectively transition into adulthood while successfully managing a CHC. The first stage involved 25 families with an adolescent 12-21 years old who had a CHC (e.g., cardiac, gastrointestinal, diabetes, asthma). Youths and parents participated in a 60-90 minute telephone computer assisted interview using 6 instruments and a short debriefing interview. Based on data analysis of stage one, 20 families were selected to participate in a follow up interview 2 – 3 weeks later which consisted of a questionnaire with a section for each individual to indicate at what age they (or their adolescent) would be expected to independently perform each of the 17 self-management behaviors. These 17 self- management behaviors were divided into two subscales which measured behaviors performed to manage independent living and behaviors to manage the CHC. Frequencies, reliabilities, and paired t-test were used to analyze the data. / Results: The expectation scales (condition and independent living) had Cronbach alphas from .73 - .88. The mean age for adolescents’ expectation to manage their CHC was 14.5 years of age (SD= 1.8) and the parent mean was 15.2 (SD=1.7). The mean age for adolescents’ expectation for managing independent living was 15.4 years of age (SD=1.2) and the parent mean was 16.1 (SD=1.4). The paired t-test revealed a significant difference between the adolescent and parent expectation of condition management (t= -2.1; p = .050) with parents expecting a later age than their adolescents. However, there was no significant difference between adolescent and parent expectations for managing independent living. / Conclusions: In the future we would like to analyze the impact of parental and adolescent expectations on self-management behaviors. /
