Pathways of emotional autonomy, self-care behaviors, and depressive symptoms on health adaptation in adolescents with type 1 diabetes

Chen, Chia-Ying; Lo, Fu‐Sung; Chen, Bai-Hsiun; Lu, Ming-Huei; Hsin, Yu-Mei; Wang, Ruey‐Hsia

doi:10.1016/j.outlook.2016.07.015

Cited by 20 publications

(27 citation statements)

References 32 publications

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“…In this study, 81.9% of participants had HbA1c levels higher than 7.5%. This finding echoes previous study findings that more than two‐thirds of adolescents with T1D have poor glycaemic control (Berg et al, ; Chen et al, ). Improving glycaemic control in adolescents with T1D remains an important health issue for nurses.…”

Section: Discussionsupporting

confidence: 90%

“…The findings further confirmed that self‐management is a crucial factor influencing subsequent glycaemic control in adolescents with T1D (American Diabetes Association, ). In this prospective study, baseline diabetes distress did not directly affect 3‐month self‐management; however, a cross‐sectional study in Taiwan found that diabetes distress directly affected self‐management (Chen et al, ). Combining the findings of these two studies, diabetes distress might affect concurrent rather than subsequent self‐management; nevertheless, this hypothesis needs further studies for confirmation.…”

Section: Discussionmentioning

confidence: 62%

“…A previous study in Taiwan indicated that school support, resilience, self‐management and quality of life could explain 11.3% of the variance for HbA1c levels (Lo et al, ). In another study in Taiwan, diabetes distress, self‐management and quality of life could explain 7.7% of the variance for HbA1c levels (Chen et al, ). Comparing these two previous studies, involving peer and parental factors besides individual factors might explain more variance of HbA1c levels.…”

Section: Discussionmentioning

confidence: 99%

“…Achieving optimal glycaemic control is a challenge for adolescents with T1D. Studies have shown that more than two‐thirds of adolescents with T1D have HbA1c levels higher than 7.5% (Berg et al, ; Chen et al, ). Optimizing glycaemic control in adolescents with T1D is a crucial responsibility of nurses.…”

Section: Introductionmentioning

confidence: 99%

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Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Lee

Tsai

Chang

et al. 2020

Journal of Advanced Nursing

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Aim To construct a model addressing the pathways from baseline diabetes distress, attribution of peer reactions, parenting style and 3‐month self‐management to 6‐month glycated haemoglobin levels in adolescents with type 1 diabetes. Design A prospective design was adopted. Methods A total of 177 adolescents aged 10–19 with type 1 diabetes were enrolled from four hospitals in Taiwan. Diabetes distress, attribution of peer reactions and parenting style were collected at baseline, self‐management was collected at the third month and glycated haemoglobin levels were collected at the sixth month. Data were collected from May 2015–June 2016. Results Baseline diabetes distress and 3‐month self‐management directly affected 6‐month glycated haemoglobin levels. Baseline attribution of peer reactions directly affected baseline diabetes distress and 3‐month self‐management; also, it indirectly affected 6‐month glycated haemoglobin levels through 3‐month self‐management. Baseline parenting style directly affected baseline diabetes distress, baseline attribution of peer reactions, 3‐month self‐management and 6‐month glycated haemoglobin levels; it also indirectly affected 6‐month glycated haemoglobin levels through baseline diabetes distress and 3‐month self‐management. Conclusion A model simultaneously incorporating individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes has been constructed. Improving diabetes distress and self‐management should be essential strategies to improve glycaemic control in adolescents with type 1 diabetes. Encouraging adolescents with type 1 diabetes to communicate openly with peers about diabetes care and educating their parents to provide more responsive and autonomy‐encouraging parenting style might be vital strategies to improve diabetes distress, 3‐month self‐management and glycaemic control. Impact Individual, parental and peer factors should be simultaneously considered to improve glycaemic control in adolescents with type 1 diabetes. Nurses should evaluate these factors to tailor interventions improving glycaemic control in adolescents with type 1 diabetes.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Lee

Tsai

Chang

et al. 2020

Journal of Advanced Nursing

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“…Type I diabetes might have led to exhibit more depressive symptoms and perceive a poorer quality of life . Consistent with this study’s findings, Chen et al conducted a study with 265 young individuals with diabetes and reported that HbA1c correlated positively with depressive symptoms, and negatively with quality of life. Similarly, a significant association was found between HbA1c and health quality in children with type I diabetes mellitus in another study .…”

Section: Discussionmentioning

confidence: 73%

The relationship between the quality of life and depression levels of young people with type I diabetes

Yayan

Zengin

Karabulut

et al. 2019

Perspect Psychiatr Care

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Purpose The aim of this study is to examine the relationship between the quality of life and depression levels of the youth with type I diabetes. Design and Methods The study was a cross‐sectional descriptive study. Findings It was found that there is a negative correlation between participants’ HbA1c levels and quality of life, and a positive correlation between HbA1c levels and depression. It was determined that quality of life and depression are significant predictors of HbA1c (R 2 = 0.72, P < 0.01). Practice Implications The depression levels of the young people with increased and their metabolic control was affected negatively as the quality of life levels decreased. Depression measurements should be made during the routine control of youth with diabetes who have difficulty in maintaining metabolic control.

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Psychometric testing of the short‐form Chinese version of the self‐management for adolescents with type 1 diabetes scale

Lee

Chen²,

Wong³

et al. 2018

Research in Nursing & Health

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Self-management among adolescents with type 1 diabetes (T1D) is poorer than in other age groups during childhood. A valid and reliable short-form scale to measure selfmanagement in adolescents with T1D is prudent for enhancing their self-management in clinical settings. We used a cross-sectional design to develop a short-form Chinese version of the Self-Management of Type 1 Diabetes for Adolescents Scale (C-SMOD-A) and test its psychometric characteristics. Two hundred adolescents with T1D were recruited from four hospitals in Taiwan through convenience sampling. Content validity, exploratory factor analysis, and corrected item-total correlations were used to shorten the 52-item C-SMOD-A. Confirmatory factor analysis, criterion-related validity, and reliability testing were used to examine the psychometric characteristics of the short-form C-SMOD-A. Finally, the 23-item C-SMOD-A (C-SMOD-A-23) with five inter-correlated factors was developed. Glycated hemoglobin levels were significantly associated with each subscale of the C-SMOD-A-23 with correlation coefficients ranging from −0.18 to −0.31. The composite reliability and test-retest reliability of the five subscales ranged from 0.70 to 0.88 and from 0.78 to 0.93 respectively. Accordingly, the C-SMOD-A-23 has acceptable validity and reliability to measure five specific domains of self-management for adolescents with T1D. Healthcare providers could use the C-SMOD-A-23 as a clinical reference to assess specific domains of self-management and provide interventions to enhance self-management for adolescents with T1D.

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Pathways of emotional autonomy, self-care behaviors, and depressive symptoms on health adaptation in adolescents with type 1 diabetes

Cited by 20 publications

References 32 publications

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

Modelling individual, parental and peer factors to glycaemic control in adolescents with type 1 diabetes: A prospective study

The relationship between the quality of life and depression levels of young people with type I diabetes

Psychometric testing of the short‐form Chinese version of the self‐management for adolescents with type 1 diabetes scale

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