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

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.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Author contributions

NDWS conducted study analyses, wrote the literature review, and reviewed the discussion. MAF completed data collection, conceptualized the initial study, interpretation of the results, and reviewed all sections of the manuscript. DMB wrote the discussion and assisted with study analyses. ASH wrote the method section and assisted in writing the introduction. MAF assisted in writing the methods, with study conceptualization, and reviewed the entire manuscript. SS assisted in writing the discussion, interpretation of the results, and in study conceptualization. All authors read and approved the final manuscript.

Ethical approval

All procedures performed in studies involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable clinical standards.

Data availability statement

The data that support the findings of this study are available from the corresponding author, upon reasonable request.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.