AIMS Identify the prevalence of health psychology use in children with type 1 diabetes (T1D) and evaluate how individual and contextual characteristics are associated with use. METHODS Children ages 8-16 years with T1D and their parents were recruited from two tertiary diabetes clinics. Cross-sectional data included parent and adolescent surveys and hemoglobin A1c. Parents self-reported the child's use of health psychology in the last year along with individual factors (e.g., predisposing factors including demographics, enabling factors including health insurance type, evaluated need including mental health diagnoses and perceived need including self-management barriers). Association of health psychology use with individual (e.g., demographics, enabling factors, evaluated and perceived need) and contextual (e.g., clinical site) characteristics was evaluated using logistic regression. RESULTS Of 363 eligible participants, 267 (74%) participated. Health psychology use was reported by only 8.2% (n = 22) of participants and was significantly associated with evaluated need factor of mental health diagnosis (OR 5.8; p < 0.001) and perceived need factor of parent-reported self-management barriers. Use was not associated with other individual or contextual factors. CONCLUSIONS Though infrequent, health psychology use was positively associated with mental health diagnoses and self-management barriers.

中文翻译：

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与健康心理学相关的因素在儿科 1 型糖尿病中的应用。

目的 确定 1 型糖尿病 (T1D) 儿童使用健康心理学的流行程度，并评估个人和背景特征如何与使用相关联。方法 从两家三级糖尿病诊所招募 8-16 岁的 T1D 患儿及其父母。横断面数据包括父母和青少年调查以及血红蛋白 A1c。父母自我报告了孩子在过去一年中使用的健康心理学以及个人因素（例如，包括人口统计在内的易感因素、包括健康保险类型在内的促成因素、包括心理健康诊断在内的评估需求以及包括自我管理障碍在内的感知需求）。健康心理学使用与个人（例如，人口统计、促成因素、评估和感知需求）和上下文（例如，使用逻辑回归评估临床站点）特征。结果 在 363 名符合条件的参与者中，267 名 (74%) 参加。仅 8.2% (n = 22) 的参与者报告了健康心理学的使用，并且与心理健康诊断的评估需求因素 (OR 5.8; p < 0.001) 和父母报告的自我管理障碍的感知需求因素显着相关。使用与其他个人或背景因素无关。结论 虽然不常见，但健康心理学的使用与心理健康诊断和自我管理障碍呈正相关。2% (n = 22) 的参与者，与评估的心理健康诊断需求因素（OR 5.8；p < 0.001）和父母报告的自我管理障碍的感知需求因素显着相关。使用与其他个人或背景因素无关。结论 虽然不常见，但健康心理学的使用与心理健康诊断和自我管理障碍呈正相关。2% (n = 22) 的参与者，与评估的心理健康诊断需求因素（OR 5.8；p < 0.001）和父母报告的自我管理障碍的感知需求因素显着相关。使用与其他个人或背景因素无关。结论 虽然不常见，但健康心理学的使用与心理健康诊断和自我管理障碍呈正相关。