Does Type 1 Diabetic Adolescents’ Fear of Stigmatization Predict a Negative Perception Insulin Treatment?

Sürücü, Hamdiye Arda; Durmaz, Gülbeyaz Baran; Turan, Engin

doi:10.1177/1054773818815258

Cited by 9 publications

(16 citation statements)

References 26 publications

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“…In the study, as the insulin-treated type 2 diabetic individuals felt more fear of stigmatization, their negative perception of insulin treatment increased. This finding is consistent with those reported in the related literature [13,14]. In one qualitative study, diabetic individuals experienced stigmatization when they felt rejected or experienced rejection or blame due to their illness or their self-care behaviors which were necessary for the management of the illness [16].…”

Section: Negative Perception Of Insulin Among Adultssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

“…Initiation of insulin treatment is one of the most important, difficult and necessary decisions that diabetic patients have to make because there are a number of factors causing diabetic individuals to resist starting insulin treatment [7,13,14]. One of the factors causing PIR is fear of stigmatization [13,14]. "Stigmatization" refers to isolating an individual or a specific group from society, subjecting them to discrimination, devaluing and blaming them and generally treating them in a negative way [15].…”

Section: Introductionmentioning

confidence: 99%

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Self-care, A1C and stigmatization as predictors of a negative perception of insulin among adults with type 2 diabetes: a hospital-based study in Turkey

Sürücü

Arslan

Çetik

2020

JHR

Self Cite

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PurposeThe purpose of this study was to investigate diabetes self-care behaviors, stigmatization and A1C as predictors of a negative perception of insulin treatment in insulin-treated type 2 diabetic patients.Design/methodology/approachA descriptive cross-sectional and relational design was used. The study was carried out in the Diabetes Training Centre and Endocrine and Metabolism Clinic of a university hospital in the southeast of Turkey between May and October 2017. The research sample consisted of 100 type 2 diabetic patients determined by using a convenience sampling method. An introductory information form for type 2 diabetic patients, the Insulin Treatment Appraisal Scale (ITAS), Diabetes Self-Care Activities Survey (DSCAS) and Barriers to Insulin Treatment Scale (BIT) were used to collect the research data. The data were analyzed using descriptive statistics, correlations and step wise multi-linear regression.FindingsThe number of daily insulin injections, training received about insulin and stigmatization was significant predictors of a negative perception of insulin treatment.Originality/valueStrategies to decrease diabetic individuals' fear of stigmatization should be utilized to minimize their negative insulin treatment perception (giving diabetic individuals training about diabetes, planning public training to inform society and using mass media tools). Diabetes educators should know that diabetic individuals' perception of the severity of the illness could influence the daily number of injections applied and decrease the negative perception regarding insulin.

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Section: Negative Perception Of Insulin Among Adultssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self-care, A1C and stigmatization as predictors of a negative perception of insulin among adults with type 2 diabetes: a hospital-based study in Turkey

Sürücü

Arslan

Çetik

2020

JHR

Self Cite

View full text Add to dashboard Cite

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“…Young people's expectations of technology often diverge from those of their caregivers, and priorities are set differently (eg, independence versus reduced fear of hypoglycemia and improved sleep). Moreover, stigmatization [56] and judgement [57] by family members or peers can affect relationships and overall diabetes management. Thus, the nature of relationships between young people with T1DM and their caregivers, peers, and health professionals needs to be accounted for in the design of these technologies, particularly the relationship between youth with T1DM and their parents, which is characterized by a fine balance between autonomy and dependence (interdependence, also termed as transactional) [58].…”

Section: Principal Findingsmentioning

confidence: 99%

Experiences of Young People and Their Caregivers of Using Technology to Manage Type 1 Diabetes Mellitus: Systematic Literature Review and Narrative Synthesis

Brew‐Sam¹,

Chhabra²,

Parkinson³

et al. 2021

JMIR Diabetes

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Background In the last decade, diabetes management has begun to transition to technology-based care, with young people being the focus of many technological advances. Yet, detailed insights into the experiences of young people and their caregivers of using technology to manage type 1 diabetes mellitus are lacking. Objective The objective of our study was to describe the breadth of experiences and perspectives on diabetes technology use among children and adolescents with type 1 diabetes mellitus and their caregivers. Methods This systematic literature review used integrated thematic analysis to guide a narrative synthesis of the included studies. We analyzed the perspectives and experiences of young people with type 1 diabetes mellitus and their caregivers reported in qualitative studies, quantitative descriptive studies, and studies with a mixed methods design. Results Seventeen articles met the inclusion criteria, and they included studies on insulin pump, glucose sensors, and remote monitoring systems. The following eight themes were derived from the analysis: (1) expectations of the technology prior to use, (2) perceived impact on sleep and overnight experiences, (3) experiences with alarms, (4) impact on independence and relationships, (5) perceived usage impact on blood glucose control, (6) device design and features, (7) financial cost, and (8) user satisfaction. While many advantages of using diabetes technology were reported, several challenges for its use were also reported, such as cost, the size and visibility of devices, and the intrusiveness of alarms, which drew attention to the fact that the user had type 1 diabetes mellitus. Continued use of diabetes technology was underpinned by its benefits outweighing its challenges, especially among younger people. Conclusions Diabetes technologies have improved the quality of life of many young people with type 1 diabetes mellitus and their caregivers. Future design needs to consider the impact of these technologies on relationships between young people and their caregivers, and the impact of device features and characteristics such as size, ease of use, and cost.

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“…It was sleek and discretely covered by my shirt sleeve, an aspect which I recognized to be of importance to adolescents who often face stigmatization or isolation for non-conformism. 5 Although the design of the IP allowed me to periodically forget its presence, I could not shake the responsibility which it represented. The IP was scheduled to release a basal level of 'insulin' continuously and allowed for pre-meal boluses which I would calculate according to my glucose levels and predicted carbohydrate intake.…”

Section: Innovationmentioning

confidence: 99%

Inside the skin of a patient with diabetes: Fostering cognitive empathy through insulin pump simulation

Ryan

2020

Can. Med. Ed. J

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In order to best treat a patient, the carer must be able to clearly see their point of view. In the case of the complexities of insulin pump therapy, physicians may not fully understand the common challenges that drive patients to non-adherence. The author undertook a three-day simulation using wearable technology to explore this experience. This form of simulation represents a simple yet effective means by which to foster cognitive empathy in undergraduate and postgraduate medical education settings alike.

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Does Type 1 Diabetic Adolescents’ Fear of Stigmatization Predict a Negative Perception Insulin Treatment?

Cited by 9 publications

References 26 publications

Self-care, A1C and stigmatization as predictors of a negative perception of insulin among adults with type 2 diabetes: a hospital-based study in Turkey

Self-care, A1C and stigmatization as predictors of a negative perception of insulin among adults with type 2 diabetes: a hospital-based study in Turkey

Experiences of Young People and Their Caregivers of Using Technology to Manage Type 1 Diabetes Mellitus: Systematic Literature Review and Narrative Synthesis

Inside the skin of a patient with diabetes: Fostering cognitive empathy through insulin pump simulation

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