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

Study Overview
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Brief Summary
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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.

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

Conditions
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Type1diabetes

Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Self Efficacy, Resiliency, Attachment style and youth with type 1 diabetes