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Participants with SB completed the Adolescent\/Young Adult Self\u2010Management and Independence Scale (AMIS II) interview across four time points. Family functioning, family\u2010related stress, and perceived family support were assessed by multiple reporters and multiple methods. Growth in AMIS II total self\u2010management and the AMIS II subscales (Condition and Independent Living) were estimated using linear mixed effect models as a function of family factors, after controlling for socio\u2010demographic, condition\u2010related, and neuropsychological variables that had been found to be significant predictors of self\u2010management in prior studies. Model fit and parsimony were assessed using Akaike's information criterion (AIC). This diverse community sample included 99 respondents aged 18\u201327 years old. About half were female (52.5%) and White (52.5%); 15.2% were Black, and 32.3% were Hispanic\/Latino. Observed family cohesion at baseline was associated with all self\u2010management scales at age 18 (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Growth in self\u2010management was associated with parent\u2010reported number of family stress events. For growth in total self\u2010management, the best model included age, race\/ethnicity, family income, shunt status, lesion level, neuropsychological function, observed family cohesion, and an age\u2010by\u2010number of family stress events interaction effect. The study findings suggested that family factors were important predictors of self\u2010management trajectories, even after controlling for socio\u2010demographic, condition\u2010related, and neuropsychological covariates. Risk and protective factors identified in families of youth with SB can inform family\u2010focused interventions for self\u2010management.\n                  <\/jats:p>","DOI":"10.1002\/nur.22387","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T10:28:26Z","timestamp":1713263306000},"page":"435-449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trajectories of self\u2010management and independence in youth with spina bifida: Family\u2010related predictors of growth"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2621-6710","authenticated-orcid":false,"given":"Monique M.","family":"Ridosh","sequence":"first","affiliation":[{"name":"Family and Community Health Nursing Department Marcella Niehoff School of Nursing Loyola University Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Medicine Stritch School of Medicine Loyola University Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen F. 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