Habit and diabetes self-management in adolescents with type 1 diabetes.

OBJECTIVE: The development of habit (i.e., behavioral automaticity, the extent to which a behavior is performed with decreased thresholds for time, attention [effort], conscious awareness, and goal dependence), for goal-directed health behaviors facilitates health behavior engagement in daily life. However, there is a paucity of research examining automaticity for Type 1 diabetes self-management in adolescence. This study examined if greater perceived automaticity for diabetes self-management was associated with increased daily self-management, decreased daily self-regulation failures in glucose checking, and more optimal daily glycemic levels in adolescents with Type 1 diabetes. METHOD: Adolescents aged 13-17 and diagnosed with Type 1 diabetes (n = 79) completed the Self-Report Behavioral Automaticity Index, a measure of automaticity of diabetes self-management (i.e., automaticity of glucose checking, carbohydrate counting, and insulin dosing), and a measure of perceived self-management at baseline. One to 3 months later, a subsample of teens (n = 42) also completed a daily diary for a 7-day period including perceptions of daily self-management, daily self-regulation failures in glucose checking, and daily glucose levels. RESULTS: Greater overall automaticity of diabetes self-management was associated with greater baseline and daily self-management, fewer daily self-regulation failures in glucose checking, and lower average daily mean blood glucose levels but not more optimal daily variations in blood glucose levels. CONCLUSIONS: Greater automaticity for diabetes self-management may support more optimal daily diabetes self-management in adolescence. Further research is needed to clarify the benefits and mechanisms of automaticity and explore possible interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Pay to play: Children's emerging ability to use acts of generosity for selfish ends.

Adults will offer favors to advance their standing and solicit a favor in return, using ostensibly prosocial acts strategically for selfish ends. Here we assessed the developmental emergence of such strategic behaviors in which individuals are generous to elicit future reciprocation from others. In a novel experimental paradigm with children aged 3 to 7 years, we tested whether children are willing to share more valuable resources when this act could prompt subsequent reciprocation. In an Experimental condition, children could share a more attractive or less attractive resource with a person who they knew would subsequently choose to play a game with either the children or another individual. In the Control condition, children knew the person would play alone. Across two studies, we found that over repeated trials, 5- and 7-year-olds, but not 3-year-olds, learned to share more valuable resources in the Experimental condition than in the Control condition. This shows that older age groups were able to quickly learn how to influence the subsequent partner choice in a novel situation. We address theoretical questions about the various types of reciprocity as being supported by different psychological mechanisms and discuss whether the current results could be explained by children's emerging ability for future-directed thinking.