Secondary outcomes include adolescent behavioral ( diabetes self-management and risk taking behavior ) , psychosocial ( diabetes relevant quality of life , parent reported child well-being , self-efficacy , resilience , and perceived illness benefits and burdens ) ; metabolic ( HbA@c ) outcomes ; parent psychosocial outcomes ( negative affect and fatigue , self-efficacy , and parent experience of child illness ) ; and family outcomes ( parent and adolescent reported parent-adolescent communication , responsibility for diabetes care , diabetes related conflict ) .