Self Efficacy Levels, Attachment Style and Resiliency of Youth With Type 1 Diabetes

Association Of Self Efficacy Levels, Resiliency Levels and Attachment Styles of Adolescents With Type 1 Diabetes and Their Caregivers

This project will assess self-efficacy levels(SE) ,resiliency and attachment style of adolescent with type 1 diabetes and their caregivers.SE and attachment style of patients and parents will be compared with each other as well as correlated with diabetes management as assessed by A1C and self inventory scale.

Study Overview

• Status: Completed
• Conditions: Type1diabetes

• Study Type: Observational
• Enrollment (Actual): 170

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Toronto, Ontario, Canada, M5G1X8
      • The Hospital for Sick Children

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

T1DM patients aged 12 - 18 yrs from Sick Kids Diabetes Clinic and their primary caregiver.

Description

Inclusion Criteria:

• T1DM patients age 12 - 18 yrs from Sick Kids Diabetes Clinic and a primary caregiver
• T1DM > 1yr and able to communicate in English

Exclusion Criteria:

• Families who cannot communicate in English (read, write, speak)
• Diagnosed less than 1 year diabetes
• Transient form of Diabetes (such as medication induced diabetes)
• Exclude type 2 Diabetes and CFRD (cystic fibrosis related diabetes)

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Examine the effects of patients' attachment styles (secure, mixed and fearful) on their type one diabetes management represented by A1C level	The following tool will be used - Relationship Scale Questionnaire (RSQ): The 30-item RSQ is valid and reliable. 76 Re-test reliability of the RSQ ranged from 0.54 to 0.78 and correlation coefficients of RSQ and RQ ranged from 0.41 to 0.6191. Adolescent Relationship Scale Questionnaire (A-RSQ): Sümer & Güngör (1999) used the A-RSQ and report validity of 0.7-0.95 as well as an internal consistency of 0.82.	25 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
a) Effect of attachment style on self efficacy level in patients.	The following tool will be used - Self-Efficacy of Diabetes Self-Management (SEDM): This is a 10-item questionnaire that is used to assess perceived self-efficacy to preform diabetes care behaviours. Respondents are asked to score responses on a 1-10 Likert scale in which '1= not at all sure' to '10= completely sure'.	25 minutes
a) Effect of attachment style on self efficacy level in parents.	The following tool will be used - Self-Efficacy of Diabetes Self-Management (SEDM): This is a 10-item questionnaire that is used to assess perceived self-efficacy to preform diabetes care behaviours. Respondents are asked to score responses on a 1-10 Likert scale in which '1= not at all sure' to '10= completely sure'.	25 minutes
b)Compare diabetes management self-efficacy and attachment style in patients.	To compare diabetes self-efficacy (SEDM) in patients and their parents, paired t-tests will be calculated. In addition, to compare attachment styles in patients and their parents, McNemar's test will be used. Paired t-tests and McNemar's tests effectively take into account the correlations between parent-adolescent measures from the same family.	25 minutes
b)Compare diabetes management self-efficacy and attachment style in parents	To compare diabetes self-efficacy (SEDM) in patients and their parents, paired t-tests will be calculated. In addition, to compare attachment styles in patients and their parents, McNemar's test will be used. Paired t-tests and McNemar's tests effectively take into account the correlations between parent-adolescent measures from the same family.	25 minutes

Collaborators and Investigators

• Sponsor: The Hospital for Sick Children
• Investigators: Principal Investigator: Vanita Pais, BSc,CDE, Sick Kids Hospital; Study Director: Christabelle Almeida, MSc,CDE, Sick Kids Hospital

Study record dates

Study Major Dates

• Study Start (Actual): September 18, 2019
• Primary Completion (Actual): January 30, 2020
• Study Completion (Actual): January 30, 2020

Study Registration Dates

• First Submitted: March 9, 2018
• First Submitted That Met QC Criteria: November 19, 2019
• First Posted (Actual): November 21, 2019

Study Record Updates

• Last Update Posted (Actual): July 8, 2021
• Last Update Submitted That Met QC Criteria: July 7, 2021
• Last Verified: July 1, 2021

More Information

Terms related to this study

• Keywords: Self Efficacy; Resiliency; Attachment style and youth with type 1 diabetes
• Additional Relevant MeSH Terms: Glucose Metabolism Disorders; Metabolic Diseases; Immune System Diseases; Autoimmune Diseases; Endocrine System Diseases; Diabetes Mellitus; Diabetes Mellitus, Type 1
• Other Study ID Numbers: 1000059604

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No