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Satisfaction with the Health Care Provider and Regimen Adherence in Minority Youth with Type 1 Diabetes

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Abstract

To assess whether satisfaction with the health-care provider is related to regimen adherence among primarily minority youth with type 1 diabetes. Youth with type 1 diabetes (n = 169; M age = 13.88; 52 % female; 70 % Hispanic) and their parents completed questionnaires that assessed their own satisfaction with the health-care provider and youths’ adherence to diabetes self-care behaviors. Higher youth and parent patient-provider relationship satisfaction was associated with higher regimen adherence. Gender affected the relationship between satisfaction and regimen adherence, such that for girls, greater satisfaction was associated with better adherence; this was not the case for boys. Patient satisfaction with the health care provider is important for regimen adherence among primarily minority youth with type 1 diabetes, particularly for girls. Future research might focus on improving youths’ relationships with their health care providers as a potential pathway to improve regimen adherence.

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Acknowledgments

This project was supported by the following training grants from the National Institutes of Health F31-DK-072580 and T32-HD-07510. We would also like to express appreciation for the families involved, as well as the health care providers who supported this research, including Drs. Sanchez, Gonzalez-Mendoza, Richton, and Motzkin-Kava.

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Authors and Affiliations

  1. Department of Pediatrics, Psychology Section, Baylor College of Medicine/Texas Children’s Hospital, 1102 Bates Ave., Ste. 245, Houston, TX, 77030, USA

    Cortney J. Taylor

  2. Department of Psychology, University of Miami, Coral Gables, FL, 33146, USA

    Annette La Greca & Alan M. Delamater

  3. Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, FL, 33314, USA

    Jessica M. Valenzuela

  4. Rady Children’s Hospital, San Diego, CA, 92123, USA

    Olivia Hsin

  5. Miller School of Medicine, Department of Pediatrics, University of Miami, Miami, FL, 33136, USA

    Alan M. Delamater

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  1. Cortney J. Taylor
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  4. Olivia Hsin
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Correspondence to Cortney J. Taylor.

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Conflict of Interest

Cortney J. Taylor, Annette M. La Greca, Jessica M. Valenzuela, Olivia Hsin, and Alan Delamater declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsiniki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for which identifying information is used in this article.

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Taylor, C.J., La Greca, A., Valenzuela, J.M. et al. Satisfaction with the Health Care Provider and Regimen Adherence in Minority Youth with Type 1 Diabetes. J Clin Psychol Med Settings 23, 257–268 (2016). https://doi.org/10.1007/s10880-016-9460-0

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  • DOI: https://doi.org/10.1007/s10880-016-9460-0

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