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Full-Text Articles in Education

Merging Acceptance And Commitment Therapy With Exposure Exercises To Treat Social Anxiety In A Teen, Caleb D. Farley, Michael P. Twohig Nov 2023

Merging Acceptance And Commitment Therapy With Exposure Exercises To Treat Social Anxiety In A Teen, Caleb D. Farley, Michael P. Twohig

Psychology Faculty Publications

Social anxiety disorder (SAD) often develops during teenager years, and it is important to conceptualize developmentally appropriate interventions. Exposure therapy framed from a perspective of acceptance and commitment therapy (ACT) shows promise for decreasing pathology and increasing wellbeing. This case illustrates the process through which exposure therapy was integrated with ACT to elicit meaningful outcomes in a case of SAD with a 16-year-old female. Treatment outcomes assessed included engagement in values-based activities as well as assessments of depression, social anxiety, separation anxiety, generalized anxiety, experiential avoidance, and contextually targeted school-based wellbeing. Intervention centered on learning ACT principles through relatable metaphors …


Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady Mar 2022

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy and Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.


The Effects Of Mental Health In Students’ Academic And Social Success, Matthew Evans Apr 2021

The Effects Of Mental Health In Students’ Academic And Social Success, Matthew Evans

Master's Theses & Capstone Projects

The percentage of children experience mental health issues such as anxiety, behavior disorders and depression have continued to become more prevalent in the last twenty years. The purpose of this literature review is to examine the prevalence and contributing factors of mental health disorders in school aged children and the effects it has on their social success and academic achievement and what can be done to support children to be successful and improve their mental health. Educators are a key factor in improving a child’s mental health, with much of a child’s time being spent in school, educators are more …


The Meaning Of Javanese Adolescents' Involvement In Youth Gangs During The Discoveries Of Youth Identity: A Phenomenological Study, Enung Hasanah, Supardi Supardi Oct 2020

The Meaning Of Javanese Adolescents' Involvement In Youth Gangs During The Discoveries Of Youth Identity: A Phenomenological Study, Enung Hasanah, Supardi Supardi

The Qualitative Report

Yogyakarta is a part of Javanese society. Javanese culture, which always enforces moral values, has a practical implication toward adolescents' views about their self-identity. Yogyakarta adolescents are well known to have positive self-identity, good behavior, and tend to become successful persons in their youth. In the past years, a phenomenon of youth gangs that often conduct irresponsible acts such as brawls, stabbing terror, and even murder has emerged. The question of the research is how adolescent members of a youth gang give meaning to their involvement in a youth gang. To answer the question, we used a phenomenological research method. …


School-Wide Implementation Of Positive Behavioral Interventions And Supports In An Alternative School Setting: A Case Study, Amy-Jane Griffiths, Elena Lilles Diamond, James Alsip, Michael Furlong, Gale M. Morrison, Bich Do Jun 2019

School-Wide Implementation Of Positive Behavioral Interventions And Supports In An Alternative School Setting: A Case Study, Amy-Jane Griffiths, Elena Lilles Diamond, James Alsip, Michael Furlong, Gale M. Morrison, Bich Do

Education Faculty Articles and Research

Aims

The purpose of this 1‐year case study was to identify how School‐Wide Positive Behavioral Interventions and Supports (SW‐PBIS) can be adapted to meet the needs of students in alternative schools and to evaluate the early impact of SW‐PBIS on discipline outcomes.

Methods

Suggestions for adaptations are provided at each stage of the intervention process with a focus on buy‐in, training, data collection, and resource allocation.

Results

Data from this case study included information about key components of the implementation process as well as initial outcomes. Process data revealed the importance of stakeholder buy‐in, training opportunities, and potential adaptations to …


Stress Management: A Group Curriculum For Female Adolescents, Taylor Schaible May 2019

Stress Management: A Group Curriculum For Female Adolescents, Taylor Schaible

Dissertations, Theses, and Projects

In recent years, research has found that adolescents are experiencing stress at an astounding rate, even compared to adults. With a thorough review of the literature, it has been found that schools in the United States are experiencing an adolescent stress epidemic. Furthermore, students are experiencing stress in ways beyond an academic arena. With that being said, there seems to be a connection between stress leading to anxiety, as well as stress having a profound affect for students who have experienced traumatic experiences. Additionally, the research has shown that there are structural differences within a developing brain that may cause …


An Iranian Study Of Group Acceptance And Commitment Therapy Versus Group Cognitive Behavioral Therapy For Adolescents With Obsessive-Compulsive Disorder On An Optimal Dose Of Selective Serotonin Reuptake Inhibitors, Mohammad Javad Shabani, Hamid Mohsenabadi, Abdollah Omidi, Eric B. Lee, Michael P. Twohig, Afshin Ahmadvand, Zahra Zanjani Apr 2019

An Iranian Study Of Group Acceptance And Commitment Therapy Versus Group Cognitive Behavioral Therapy For Adolescents With Obsessive-Compulsive Disorder On An Optimal Dose Of Selective Serotonin Reuptake Inhibitors, Mohammad Javad Shabani, Hamid Mohsenabadi, Abdollah Omidi, Eric B. Lee, Michael P. Twohig, Afshin Ahmadvand, Zahra Zanjani

Psychology Faculty Publications

Conducted in Iran, participants included 69 adolescents with obsessive-compulsive disorder (OCD) who were on a stable selective serotonin reuptake inhibitor (SSRI) dose and were randomly assigned to one of three conditions: group acceptance and commitment therapy (ACT)+SSRI, group cognitive behavioral therapy (CBT)+SSRI, or continued SSRI treatment. Assessment occurred at pre-, post-treatment, and three-month follow-up and included the Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS), Children’s Depression Inventory (CDI), Avoidance and Fusion Questionnaire for Youth (AFQ-8), Valued Living Questionnaire (VLQ), and Child and Adolescent Mindfulness Measure (CAMM). ACT+SSRI and CBT+SSRI conditions demonstrated significant reductions in OCD severity that were maintained at follow-up …


A Phenomenological Study Examining The Journey Of Identity Development For Internationally Adopted Adolescents In The United States, Susan Schrank May 2018

A Phenomenological Study Examining The Journey Of Identity Development For Internationally Adopted Adolescents In The United States, Susan Schrank

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the perspectives of young adults who were internationally adopted to the United States during their adolescent years and to describe the experiences that contributed to their identity development. Erikson’s psychosocial development theory guided this study as it examined the relationships, roles, and values that humans commit to during the critical period of adolescence. Social identity theory furthered insight as to how individuals have defined themselves and their social categorization within groups, while the multiple dimensions of identity model helped define the key categories, themes, and contextual influences that have contributed …


An Exploration Of Gifted Adolescent Motivation In Academic Learning Experiences, Vicki Ann Phelps Jan 2018

An Exploration Of Gifted Adolescent Motivation In Academic Learning Experiences, Vicki Ann Phelps

Graduate Research Theses & Dissertations

The purpose of this qualitative case study was to examine gifted adolescents’ perspectives on motivation in regard to academic learning experiences. Participants were selected based on having at least one year of attendance at a midwestern private school for the gifted, having a full-scale IQ of at least 125, and being between the ages of 11-17. This study focused on six gifted adolescents who committed to participating in one personal interview, completing two student response journals, and submitting work samples with reflection tags that were found to be examples of motivational academic learning experiences.

Data from the interviews, student response …


Ethnic Identity Development Among 1.5 And 2nd Generation Immigrants Across Ten Years : A Discriminant Analysis, Hirah Mir Jan 2018

Ethnic Identity Development Among 1.5 And 2nd Generation Immigrants Across Ten Years : A Discriminant Analysis, Hirah Mir

Legacy Theses & Dissertations (2009 - 2024)

Ethnic identity is a major component of the psychological development and well-being of adolescents and adults. In the United States, immigrants are often tasked with balancing their minority culture and a dominant White American culture. This study used the two-dimensional Racial/Cultural Identity Development (R/CID) Model to illustrate progression toward an integrated ethnic identity, in which individuals identify with and integrate their minority ethnic group and the dominant group. An integrated identity is achieved at the Integrative Awareness status of the R/CID Model. Individuals at this status are found to possess more psychological resources to cope with psychosocial crises as compared …


Examining The Protective Effect Of Ethnic Identity On Drug Attitudes And Use Among A Diverse Youth Population, Tamika C. B. Zapolski, Sycarah Fisher, Devin E. Banks, Devon J. Hensel, Jessica Barnes-Najor Aug 2017

Examining The Protective Effect Of Ethnic Identity On Drug Attitudes And Use Among A Diverse Youth Population, Tamika C. B. Zapolski, Sycarah Fisher, Devin E. Banks, Devon J. Hensel, Jessica Barnes-Najor

Educational, School, and Counseling Psychology Faculty Publications

Ethnic identity is an important buffer against drug use among minority youth. However, limited work has examined pathways through which ethnic identity mitigates risk. School-aged youth (N = 34,708; 52 % female) of diverse backgrounds (i.e., African American (n = 5333), Asian (n = 392), Hispanic (n = 662), Multiracial (n = 2129), Native American (n = 474), and White (n = 25718) in grades 4–12 provided data on ethnic identity, drug attitudes, and drug use. After controlling for gender and grade, higher ethnic identity was associated with lower past month drug use …


A Meta-Analysis Of The Longitudinal Relationship Between Adolescent Depression And Academic Achievement., Rachel E. Buehner May 2017

A Meta-Analysis Of The Longitudinal Relationship Between Adolescent Depression And Academic Achievement., Rachel E. Buehner

Electronic Theses and Dissertations

Researchers in the fields of both education and mental health endeavor to develop and implement interventions which will bring children and adolescents greater academic success and optimally address mental health issues. Educators seek to target risk factors which might impede a student’s success in the classroom, while mental health providers seek to reduce issues within a child’s environment which might be risk factors for depression. Evidence for a cross-sectional relationship between adolescent depression and academic achievement is well-supported, with depression and achievement being negatively correlated in adolescents. The longitudinal relationship between these two variables is not fully understood, however. While …


Effects Of Grading On Student Learning And Alternative Assessment Strategies, Roxanna M. Krawczyk May 2017

Effects Of Grading On Student Learning And Alternative Assessment Strategies, Roxanna M. Krawczyk

Masters of Arts in Education Action Research Papers

The purpose of this study was to investigate what effect an alternative assessment strategy would have on students’ engagement, motivation, and overall learning in an urban, private Montessori middle school program located in the Midwest. Two teachers and 13 students participated in two phases (one social studies and one science unit) over the course of six weeks. Teacher-assigned grades on class and homework were removed and replaced with student-determined final grades based on self-assessment using collaboratively created rubrics and individual portfolios. Students kept daily learning logs and completed a pre- and post-unit survey designed to measure their level of engagement, …


School Climate, Stigma By Association, And Adolescent Psychological Distress, Kathryn D. Ferdon Apr 2017

School Climate, Stigma By Association, And Adolescent Psychological Distress, Kathryn D. Ferdon

Theses and Dissertations

This thesis reports the results of a research project that examined whether school climate has a moderating effect on the relation between Stigma-by-Association and psychological distress among adolescents in a rural Midwestern county.


Online Students' Perceptions And Utilization Of A Proximate Community Of Engagement At An Online Independent Study Program, Darin Reed Oviatt Apr 2017

Online Students' Perceptions And Utilization Of A Proximate Community Of Engagement At An Online Independent Study Program, Darin Reed Oviatt

Theses and Dissertations

Distance learning has provided solutions for students for more than a century. Students access distance learning due to issues with access, credit recovery need, or need for flexibility in location, time, pace, or duration of instruction. Recent advances in technology and instructional designs allow more interactive and synchronous instruction. Researchers suggest that designs using collaborative-constructivist approaches result in deeper learning and increased student satisfaction. Such courses implement theories based on interactions, creation of communities, and learner-centered design. The increase in online curriculum offered and, in some cases, required for K-12 students indicates a need to consider learning characteristics of adolescent …


Violent Aggression Exposure, Psychoemotional Distress, Aggressive Behavior, And Academic Performance Among Adolescents, Joyce Renee Evans Jan 2017

Violent Aggression Exposure, Psychoemotional Distress, Aggressive Behavior, And Academic Performance Among Adolescents, Joyce Renee Evans

Walden Dissertations and Doctoral Studies

Sixty percent of youth indicate exposure to violence. Such exposure is a noted risk factor for youths' well-being, including cognitive, emotional, and behavioral development. However, there is a gap in the literature regarding whether exposure to violence predicts impaired academic performance. The purpose of this quantitative study was to test a model with cognitive, behavioral, and emotional sequelae of exposure as mediators of the relationship between exposure to violence and academic performance among adolescents who are at risk for exposure and attend inner-city high schools. Ninety-nine students, primarily female and African-American, in Grades 10 to 12 at two public schools …


Reducing Adolescent Anger And Aggression With Biofeedback: A Mixed-Methods Multiple Case Study, Jedidiah S. Savard Jan 2017

Reducing Adolescent Anger And Aggression With Biofeedback: A Mixed-Methods Multiple Case Study, Jedidiah S. Savard

Antioch University Full-Text Dissertations & Theses

Adolescent anger, aggression, and violent outbursts are social problems significantly affecting each of us. Individual therapeutic management of pathological anger is treated in various ways depending on practitioners’ theoretical orientations and competency levels. Popular psychological individual and group therapies addressing anger and aggression in adolescents focus primarily on cognitive-behavioral techniques that manage anger’s symptoms. Evidence-based cognitive-behavioral therapies often require clients to self-identify emerging antecedents of anger without assistance; such therapies employ predetermined strategies to assist the client to emotionally de-escalate prior to an angry or aggressive episode. However, cognitive responses to an emotional upheaval stemming from an emergence of anger …


Gambling Education Programs For Adolescents: A Systematic Review, Brittany Keen, Alex Blaszczynski, Fadi Anjoul Jun 2016

Gambling Education Programs For Adolescents: A Systematic Review, Brittany Keen, Alex Blaszczynski, Fadi Anjoul

International Conference on Gambling & Risk Taking

Around two thirds of Australian adolescents aged 10-14 years old have gambled in the last year, and rates of problem gambling are up to four times higher among adolescents than in the adult population. Schools provide a unique opportunity to intervene in cognitive and behavioural development, and while several gambling education programs exist in schools across Australia and internationally, few have been empirically evaluated. The purpose of this review was to provide a systematic appraisal of the published research on gambling education programs for adolescents. The review aimed to identify the number and quality of studies that have evaluated gambling …


The Role Of Individual Character Strengths In Adolescent Academic Achievement And Risky School Behavior, Paul Deschamps Jan 2016

The Role Of Individual Character Strengths In Adolescent Academic Achievement And Risky School Behavior, Paul Deschamps

Wayne State University Dissertations

Adolescent achievement is a major developmental task in adolescence and reducing Risky School Behaviors is an important part of the process. Patterns of adolescent achievement and general development are the result of the cumulative process that includes a long history of experience and socialization in school, in the family, in the peer group, and in the community. This study is the first to expand understanding of these key interrelated but unique outcome variables of both Academic Achievement and risky School Behavior through examination of individual Character Strengths in the presence of other key intrapersonal and contextual variables from multiple systems …


High School Teachers' Perceptions Of Mental Health And Adolescent Depression, Christine Ann Breuer Jan 2016

High School Teachers' Perceptions Of Mental Health And Adolescent Depression, Christine Ann Breuer

Walden Dissertations and Doctoral Studies

Adolescents have a high rate of untreated mental health issues, specifically related to depression. Current literature does not indicate the impact of teachers' attitudes toward mental health on their decisions to refer students for services. This study provides understanding specifically, how teachers' beliefs about mental health, as well as their age, gender, ethnicity, years of education, and years of teaching, were analyzed to determine the impact each these characteristics had on the decision to refer a student for services. 92 high school teachers participated in this quantitative study by completing a survey measuring their attitudes of mental health, and then …


Middle School Teachers' Experiences With Teaching Self-Regulation Skills To Adolescents With Disabilities, Jessica Traylor Jan 2016

Middle School Teachers' Experiences With Teaching Self-Regulation Skills To Adolescents With Disabilities, Jessica Traylor

Walden Dissertations and Doctoral Studies

Research shows that adolescents with disabilities often lack self-regulated learning skills. Current research further indicates that explicit teaching of self-regulation skills is beneficial to adolescents with disabilities. The site of this study was a local middle school in rural Georgia that did not assess whether or not teachers were explicitly teaching self-regulation skills to adolescents with disabilities. It was unknown, therefore, whether adolescents with disabilities were learning self-regulation skills in school and whether teachers faced problems in teaching these skills. The study sought to explore this gap in knowledge and practice. Zimmerman's self-regulated learning theory and Bandura's self-efficacy theory served …


Early Adverse Experiences And Health: The Transition To College, Kelly B. Filipkowski, Kristin E. Heron, Joshua M. Smyth Jan 2016

Early Adverse Experiences And Health: The Transition To College, Kelly B. Filipkowski, Kristin E. Heron, Joshua M. Smyth

Psychology Faculty Publications

Objective: This study cross-sectionally and prospectively examined the impact of adversity experienced prior to college on the health and well-being of students adjusting to their first college semester. Methods: Two-hundred sixteen (216) first-year students completed measures of adverse life experiences, perceived stress, physical symptoms, and health-related behaviors during the first 2 weeks of college entry and again at the end of the first semester. Results: Reported adversity prior to college predicted greater perceived stress and physical symptoms at college entry and an increase in physical symptoms over the semester; perceived stress mediated the prospective changes. Early adversity …


Adolescent Racial Identity Self-Identification Of Multiple And “Other” Race/Ethnicities, Bryn Harris, Russell Ravert, Amanda Sullivan Sep 2015

Adolescent Racial Identity Self-Identification Of Multiple And “Other” Race/Ethnicities, Bryn Harris, Russell Ravert, Amanda Sullivan

Bryn Harris

This mixed methods study focused on adolescents who rejected conventional singular racial/ethnic categorization by selecting multiple race/ethnicities or writing descriptions of “Other” racial/ethnic identities in response to a survey item asking them to identify their race/ethnicity. Written responses reflected eight distinct categories ranging from elaborative descriptions of conventional race categories to responses refusing the construct of race/ethnicity. Students’ endorsement of multiple or “Other” ethnicities, and the resultant categories, differed by gender, grade, school type, and school compositions. Findings support scholars’ concern that common conceptualizations of race may not capture the complexity of self-identified racial categories among youth.


The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick Jan 2015

The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick

Walden Dissertations and Doctoral Studies

Bullying has become a widespread social issue. Previous research has focused on both genders and various grade levels; it has shown that programs reduce bullying and improve social climates and attitudes toward academics. The effect of these programs, specifically on female youth, has not been studied. This study addressed the effect of bullying prevention programs on perceptions of bullying among female youth in Grades 5-7 in 2 schools in rural eastern Pennsylvania. One school utilized a prevention program while the other did not. Teachers and administrators were also interviewed to gain insight regarding their perceived effectiveness of the program. The …


Relationship Between Community Violence Exposure, Gender, And Social Information Processing, Yvonne Twana Bell Jan 2015

Relationship Between Community Violence Exposure, Gender, And Social Information Processing, Yvonne Twana Bell

Walden Dissertations and Doctoral Studies

Violent behaviors among adolescents serve as a disruption to many aspects of society. If these behaviors remain uncorrected, there is increased potential for serious self-harm, harm to others, incarceration, and escalation of violence into homicide or suicide. The purpose of this study was to examine the relationship between youth exposure to community violence and adolescents' social information processing underlying aggressive responses, as well as the potential role of gender in moderating this relationship. A sample of 160 male and female 18-year-olds from the Midwestern United States completed an online survey, which included the Things I Have Seen and Heard (TISH) …


High School Teacher And Administrator Perceptions Of Student Health Promotion: An Exploratory Study, Sarah B. Conklin Jan 2015

High School Teacher And Administrator Perceptions Of Student Health Promotion: An Exploratory Study, Sarah B. Conklin

Theses and Dissertations

The current study explored the high school health promotion environment with regards to physical activity, nutrition, and sedentary behaviors from the perspective of high school health and physical education teachers and administrators. Specifically, potential strategies for a prevention program to promote student physical activity participation and healthy eating, and decrease student sedentary time were explored.

Individual semi-structured interviews were conducted with physical education teachers to explore potential strategies to promote student health behaviors. Next, interviews were conducted with high school administrators to determine the feasibility of recommended strategies. Teachers and administrators in the current study expressed a need for strategies …


Predicting Outcome At Posttreatment For Adolescent Obsessive-Compulsive Disorder In A Residential Treatment Setting, Heather M. Jones Dec 2014

Predicting Outcome At Posttreatment For Adolescent Obsessive-Compulsive Disorder In A Residential Treatment Setting, Heather M. Jones

Theses and Dissertations

Exposure and response prevention (ERP) paired with psychopharmacological interventions are considered first line treatments for pediatric obsessive compulsive disorder (OCD). Recent literature has emphasized the importance of investigating effectiveness and treatment outcomes for difficult-to-treat cases of pediatric OCD who do not respond to outpatient treatment. Effectiveness studies have found that adolescent patients treated in residential settings have demonstrated gains comparable to those patients included in published outpatient outcomes studies (Bjorgvinsson et al., 2008; Leonard et al., 2014). Current research efforts are needed to 1) better predict gains in real-world clinical settings and 2) identify risk factors for difficult-to-treat patients who …


Cyberbullying, Bullying, And Victimization Among Adolescents: Rates Of Occurrence, Internet Use And Relationship To Parenting Styles, Michelle Pearl Black Aug 2014

Cyberbullying, Bullying, And Victimization Among Adolescents: Rates Of Occurrence, Internet Use And Relationship To Parenting Styles, Michelle Pearl Black

Doctoral Dissertations

Cyberbullying has evolved from the increasing use of technology, specifically electronic communication and social networking. Cyberbullying is defined as a means of bullying in which peers use electronic devices "to taunt, insult, threaten, harass, and/or intimidate a peer" (Raskauskas & Stoltz, 2007, p. 565). This could occur through a number of different electronic formats or devices such as email, social networking sites, cell phones, etc. In this study, participants included a total of 77 students attending a Southeastern Tennessee City Middle and High School. This included 23 seventh-grade students, 31 eighth-grade students and 23 ninth grade students. Participants were administered …


A Week In Your Shoes: The Impacts Of A Visual Art Program Informed By Clinical Art Therapy With Adolescents In A School Setting, Jessica Bianchi Jul 2014

A Week In Your Shoes: The Impacts Of A Visual Art Program Informed By Clinical Art Therapy With Adolescents In A School Setting, Jessica Bianchi

LMU/LLS Theses and Dissertations

This study looked at the impact of a weeklong visual art program informed by clinical art therapy on empathy development with two groups of adolescents in their school setting. The study used a mixed-methods approach to uncover any quantitative change in empathy as well as identify emergent themes seen through qualitative data. Quantitative outcomes indicated no change in empathy development as seen through analysis of a survey measure. Qualitative analysis uncovered several key findings seen through observations, participant interviews, and visual art data; most specifically, participants illustrated beginning levels of empathy by way of increased self-awareness and several cognitive functions …


The Mediating Role Of Self-Efficacy Beliefs, Perceptions Of Diabetes Responsibility, And Their Impact On Treatment Adherence Among Adolescents With Type 1 Diabetes, Richard Wayne Wooten Jan 2014

The Mediating Role Of Self-Efficacy Beliefs, Perceptions Of Diabetes Responsibility, And Their Impact On Treatment Adherence Among Adolescents With Type 1 Diabetes, Richard Wayne Wooten

Wayne State University Dissertations

Treatment non-adherence for Type 1 patients; especially during adolescence, is viewed as the precursor for healthy, or unhealthy patterns of self-care in adulthood. The risk for long-term health problems such as blindness, renal failure, heart attack, lower limb amputations, and stroke are exacerbated if healthy monitoring of the condition is not adhered to consistently, and early after diagnosis. The present study sought to examine theoretical constructs which are important to overall treatment adherence among adolescents with Type 1 diabetes and their maternal caregivers. Self-efficacy and perceptions of diabetes self care between child and mother were disseminated through the inclusion of …