The Relationship of Regimen Adherence with Family Resilience and Parenting Style among Adolescents with Type 2 Diabetes

The prevalence of diabetes mellitus is rising rapidly. Adolescence is also related to weaker medication adherence and increased risk of psychiatric disorders. This study aims to investigate the relationship between parenting style, family resilience, and regimen adherence.
This research is a descriptive cross-sectional study. 180 adolescents with type 2 diabetes and their parents were selected through convenience sampling at Mofid and Taleghani Hospitals, Tehran, Iran. The instruments were "Summary of Diabetes Self-Care Activities," "the Family Resilience Assessment Scale," and "Parenting Style and Dimensions Questionnaire". The sampling duration was from February to April 2021; descriptive statistics and Pearson correlation coefficient were performed using SPSS version 2021.
The results showed that family resilience was moderate in most participants (80%). The mean score of family resilience was 2.94±0.29 and among the subcomponents of this scale, “family Belief systems” was found to have the highest mean score (3.05±0.347). Regimen adherence was moderate in most participants (60%). Parents of Adolescents had higher uses of authoritative parenting styles (3.70± 0.54). Adherence to non-smoking (6.31± 1.23) and specific medications (5.55 ± 1.28) were higher than adherence to diet, physical exercise, blood glucose monitoring, and foot care. Authoritative parenting styles (r=0.524, P=0.000) and total family resilience (r=0. 599 P=0.000) were positively related to total regimen adherence. Family resilience was positively correlated with authoritative parenting styles (r=0.385 p=0.000). Authoritarian and permissive styles were not correlated with regimen adherence (p>0.05).
Adherence to the regimen positively correlated with family resilience and authoritative parenting styles for adolescents with type 2 diabetes.