Blood glucose monitoring and glycemic control in adolescents with type 1 diabetes: meter downloads versus self-report

Guilfoyle, Shanna M.; Crimmins, Nancy A.; Hood, Korey K.

doi:10.1111/j.1399-5448.2010.00735.x

Cited by 45 publications

(50 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are six reporting on various stages of a longitudinal study involving two sites. Three of the studies (Guilfoyle, Crimmins, & Hood, 2011;McGrady, Peugh, & Hood, 2014; report data from one location and the others report results from both locations (McGrady, Laffel, Drotar, Repaske, & Hood, 2009;Herzer, Vesco, Ingerski, Dolan, & Hood, 2010;Sander, Odell, & Hood, 2010). For the purposes of this review, these will be considered as one study, referred to as the Depression & Diabetes study.…”

Section: Resultsmentioning

confidence: 99%

“…Data from the Depression & Diabetes study found a small, negative relationship between depressive symptoms and frequency of BGM (average correlation = .21) (Herzer et al, 2011;Wu et al, 2013), and in regression analyses, adolescents reporting more depressive symptoms reported less frequent BGM (McGrady et al, 2009;Guilfoyle et al; 2011).…”

Section: Emotional Variablesmentioning

confidence: 99%

See 1 more Smart Citation

Psychological factors associated with diabetes self-management among adolescents with Type 1 diabetes: A systematic review

et al. 2016

View full text Add to dashboard Cite

This review aims to synthesise the literature examining the psychosocial variables related to self-management (insulin adherence, non-adherence and administration, blood sugar monitoring, dietary behaviour, exercise behaviour) in adolescents with type 1 diabetes.A systematic search of three electronic databases was carried out and, after the application of eligibility criteria, 21 articles were assessed for quality prior to data extraction. Numerous psychological factors were found to be associated with self-management; however, correlations were typically small to moderate. The strongest associations were found between social anxiety and diet (among males); greater intrinsic motivation, conscientiousness and diet; and extraversion and exercise. Keywords:Diabetes; adolescence; adherence; diet; exercise behaviour Running head: Psychological factors and adolescent diabetes 3 Type 1 diabetes is a common chronic illness affecting young people in the UK, and its incidence is increasing (Patterson et al., 2012). Although the importance of good glycaemic control to prevent vascular complications (such as retinopathy, neuropathy, and nephropathy) is well recognised, currently in the UK fewer than 25% of children and young adults achieve the target for long-term glycaemic control (HbA1c < 7.5 without frequent hypoglycaemia) (Health & Social Care Information Centre, 2013). Given the plethora of short and long term physical health difficulties related to Type 1 diabetes, it is crucial that young people learn to manage their diabetes effectively, as any decrease in HbA1c decreases the risk of complications (Lind et al., 2009).However, diabetes management in the adolescent age group presents a more complex set of challenges given the range of physiological, social and emotional changes which occur between childhood and adulthood, including puberty, peer pressure, a desire to be "normal", identity formation and, often, testing of boundaries set by healthcare professionals, parents and caregivers .Interventions have focused on enabling young people to better manage their condition. Historically, this has taken the form of educational programmes aimed at teaching specific diabetes management skills and fostering independence with these tasks (for example, carbohydrate counting, blood glucose monitoring), or psychosocial interventions aiming to address self-care and emotional difficulties through a variety of problem-solving and emotion-focused techniques (Peyrot & Rubin, 2007).In 2000, the UK National Health Service Health Technology Assessment programme published a systematic review of the literature on the effectiveness of psychosocial and educational interventions for adolescents with diabetes . The review described small to medium-sized beneficial effects on diabetes management outcomes, but highlighted numerous weaknesses within the literature -more than half the studies (55%) had Running head: Psychological factors and adolescent diabetes 4 no theoretical basis underlying the intervention. A subsequent review (Mur...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Emotional Variablesmentioning

confidence: 99%

Psychological factors associated with diabetes self-management among adolescents with Type 1 diabetes: A systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…3,4 Adolescents with type 1 diabetes demonstrate poorer adherence to treatment regimens compared to other age-groups, and there are limited data on specific methods to improve adherence among adolescents. 5,6 Driving is one of the most anticipated privileges for many adolescents.…”

Section: License To Drive: Type 1 Diabetes Management and Obtaining Amentioning

confidence: 99%

License to Drive: Type 1 Diabetes Management and Obtaining a Learner's Permit in Maryland and Virginia

Monaghan¹,

Hoffman²,

Cogen³

2013

Diabetes Spectrum

View full text Add to dashboard Cite

“…55,61 Despite this lack of consensus on how to best assess BGM, BGM is still often utilized as an indicator of a patient's overall adherence to one's diabetes-specific medical regimen.…”

Section: -60mentioning

confidence: 99%

Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

Kichler¹,

Moss²,

Kaugars³

2012

US Endocrinology

View full text Add to dashboard Cite

Adherence to medical regimen is often identified as a hallmark modifiable factor that impacts health outcomes for those with chronic medical illnesses. Rapoff suggests that adherence to medical regimens is estimated to be between 50-55 % for all chronically ill patients. 1 He describes a number of patient and family (e.g., demographic, adjustment/coping, family involvement), disease-and regimen-related correlates to adherence; however, correlates do not imply causation and should be interpreted cautiously.1 Researchers have rated non-adherence rates to be between 20 to 93 % 1-3 for youth with type 1 diabetes and have found that adherence is widely accepted as related to diabetes control. 4In a recent review article, Modi et al. make a distinction between two constructs: self-management (i.e., the interactions of health behaviors and related processes that patients and families engage in to carefor chronic medical conditions) and adherence (i.e., the extent to which a person's behavior coincides with medical or health advice). 5 In their Pediatric Self-Management Model, self-management influences adherence, which then affects outcomes, including health outcomes. The authors also suggest that there may be certain self-management factors that impact outcomes without the mediating role of adherence in pediatric conditions. 5This present review article will focus on the first two of three stages in the Pediatric Self-Management Model, self-management and adherence, to discuss the behavioral factors that may influence health outcomes for youth with type 1 diabetes during adolescence (see Figure 1). Findings from individual, family, peer, and group therapy interventions that have targeted these behavioral factors in order to improve health outcomes will then be outlined. Self-managementModi et al. describe the construct of self-management as having three components. 5 The first component is self-management behaviors, which are the actual behaviors performed by the youth and/or family in order to care for a chronic medical illness. Secondly, there are contextual variables, which are four systems that impact how the self-management behaviors occur. These include individual, family, community, and healthcare domains. Finally, there are processes that link the self-management behaviors with the contextual systems.These processes include individuals' cognitive, emotional, and social perceptions. Three components of self-management, self-management behaviors, contextual variables, and processes as they relate to youth with type 1 diabetes, will be reviewed below (see Table 1). Self-management BehaviorsSelf-management behaviors, defined as examples of the 'neutral'behaviors that are employed to help manage a chronic medical illness, have been widely examined in youth with type 1 diabetes.Some examples of self-management behaviors that researchers have repeatedly identified as relevant to the management of diabetes are parental involvement and collaboration, the division of diabetes responsibility in the family and subsequent ...

show abstract

Blood glucose monitoring and glycemic control in adolescents with type 1 diabetes: meter downloads versus self-report

Abstract: Meter downloads have the most robust association with glycemic control when contextual variables are considered. Caregiver-reported BGM frequencies can serve as reliable substitutes in the absence of meter download, but they may not be as reliable in adolescents with depressive symptoms.

Cited by 45 publications

References 30 publications

Psychological factors associated with diabetes self-management among adolescents with Type 1 diabetes: A systematic review

Psychological factors associated with diabetes self-management among adolescents with Type 1 diabetes: A systematic review

License to Drive: Type 1 Diabetes Management and Obtaining a Learner's Permit in Maryland and Virginia

Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

Contact Info

Product

Resources

About