Role of parental autonomy support on self-determination in influencing diet and exercise motivation in older adolescents

Shannon A Morrison, Carol J Dashiff, David E Vance School of Nursing, University of Alabama, Birmingham, AL, USA Abstract: Parental influence to promote autonomy and self-determination in their children as they grow up may also motivate them to exercise and eat healthily. Unfortunately, nutritious dietary consumption and physical activity frequency tend to decline during the adolescent years and reaches its lowest level as the adolescent nears adulthood. In this study of 132 freshman and sophomore college students, the influence of parental autonomy support on overall adolescents self-determination was examined to determine whether self-determination influences adolescents&#39; motivation to engage in healthy diet and exercise behaviors. Utilizing hierarchical multiple regression analyses, parental autonomy support was not predictive of older adolescents&#39; motivation for diet and exercise; however, study results did indicate that parental autonomy support remains highly influential in adolescent self-determination (F[2, 130] = 22.21; P = 0.001) during early college years and that in this sample, adolescent self-determination is predictive of motivation for diet (t = 2.21; P < 0.05), but not exercise. Findings suggest that parental autonomy support continues to influence adolescent internalization of attitudes and behaviors during latter adolescence, but may play a lessor role in motivation for specific health-related behaviors as the adolescent nears adulthood. A better understanding of health motivation antecedents of adolescents may facilitate nurses develop new approaches to health-promotion strategies. Keywords: parental autonomy support, self-determination, adolescent health behaviors, motivatio

“The Logic of Care” – Parents’ perceptions of the educational process when a child is newly diagnosed with type 1 diabetes

<p>Abstract</p> <p>Background</p> <p>The number of new cases of type 1 diabetes mellitus (T1DM) has increased substantially in recent years and it is now one of the most common long-term endocrine disorders in childhood. In Sweden the child and family are hospitalised in accordance with the national guidelines for one to two weeks at diagnosis. The purpose of this study was to describe parents’ perceptions of the educational process when their child is newly diagnosed with T1DM.</p> <p>Methods</p> <p>Qualitative interviews were performed in the south western part of Sweden with ten mothers and eight fathers of children, diagnosed with T1DM, at three to six months after they had received the diagnosis. The interviews were analysed using deductive content analysis and Mol’s philosophical theory.</p> <p>Results</p> <p>The results show that almost all parents had experienced the educational process as being satisfactory. However, most parents felt that the teaching needed to be adapted to the individual families and to help them to learn to live with diabetes in their everyday lives. Rather than merely teaching according to a fixed schedule and cramming knowledge, the education should be parent-centered and provide time for grief and shock. There should also be a greater emphasis on why certain things should be done rather than on what should be done. The routines learned at the hospital made the efforts to be good parents managing the child’s disease, and continuing to lead a normal family life, a difficult task.</p> <p>Conclusions</p> <p>In order to optimize the educational process for families with children newly diagnosed with T1DM an increased focus on the families’ perceptions might be helpful in that this could lead to further revelations of the educational process thus making it more understandable for the family members involved.</p