The role of social adjustment on glycemic control and physical activity in youth with type 1 diabetes.

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Title: The role of social adjustment on glycemic control and physical activity in youth with type 1 diabetes.
Authors: Smith, Nicholas David W., Faith, Melissa A., Boone, Dianna M., Healy, Ashly S., Feldman, Marissa A., Swartz, Melissa A., Sobalvarro, Sarah
Source: Children's Health Care. Jul-Sep2025, Vol. 54 Issue 3, p277-295. 19p.
Subjects: Type 1 diabetes, Pearson correlation (Statistics), Self-efficacy, Glycosylated hemoglobin, Academic medical centers, Glycemic control, Affinity groups, Questionnaires, Descriptive statistics, Crime victims, Social adjustment, Bullying, Factor analysis, Confidence intervals, Physical activity
Geographic Terms: United States
Abstract: Peer victimization (PV) is linked with glycemic deviations among youth with type 1 diabetes (T1D). The role of social self-efficacy remains understudied. We examined social self-efficacy as a mediator in the relation between PV and hemoglobin A1c (HbA1c), and as a mediator in the relation between PV and physical activity. Participants were 198 youth (M(SD) age = 13.82 (2.70)) with T1D. A serial mediation model demonstrated social self-efficacy and diabetes embarrassment mediated the relation between PV and HbA1c. Social self-efficacy mediated the relation between PV and physical activity. Providers should consider physical activity and social adjustment when evaluating youths' treatment adherence. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Peer victimization (PV) is linked with glycemic deviations among youth with type 1 diabetes (T1D). The role of social self-efficacy remains understudied. We examined social self-efficacy as a mediator in the relation between PV and hemoglobin A1c (HbA1c), and as a mediator in the relation between PV and physical activity. Participants were 198 youth (M(SD) age = 13.82 (2.70)) with T1D. A serial mediation model demonstrated social self-efficacy and diabetes embarrassment mediated the relation between PV and HbA1c. Social self-efficacy mediated the relation between PV and physical activity. Providers should consider physical activity and social adjustment when evaluating youths' treatment adherence. [ABSTRACT FROM AUTHOR]
ISSN:02739615
DOI:10.1080/02739615.2023.2253149