Self-Care of Young Adolescents With Type 1 Diabetes

Dashiff, Carol; McCaleb, Alberta; Cull, Vera V.

doi:10.1016/j.pedn.2005.07.013

Cited by 54 publications

(54 citation statements)

References 45 publications

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“…Of note, the majority of adolescents in this study felt that their parents should not be involved in SDE. This finding differs from past research showing that parental involvement during adolescence is associated with improved metabolic control5 6 and is needed during the transition to independent self-care 7…”

Section: Commentarycontrasting

confidence: 99%

Interviews of 21 adolescents reveal a desire for structured education programme specifically tailored to their needs

Smaldone

Massingham

2012

Evid Based Nurs

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Section: Commentarycontrasting

confidence: 99%

Interviews of 21 adolescents reveal a desire for structured education programme specifically tailored to their needs

Smaldone

Massingham

2012

Evid Based Nurs

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“…2007). In the US, in adolescents between 11 and 15 years with T1D, self‐management has been reported to be significantly lower than optimal (Dashiff et al. 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Age is an important factor in diabetes self‐management of youth, where increase in age is associated with poorer self‐management behaviours (Stewart et al. 2003, Dashiff et al. 2006, Greening et al.…”

Section: Resultsmentioning

confidence: 99%

The relationship between diabetes self-management and metabolic control in youth with type 1 diabetes: an integrative review

Guo

Whittemore

2011

Journal of Advanced Nursing

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“…In comparison to adolescents 11–14 years of age in the US, adolescents in China had lower diabetes care activities (20.68 vs. 32.3) (Chao, Whittemore, Minges, Murphy, & Grey, ). Data from large scale clinical and epidemiological studies show that deteriorations in diabetes self‐management are common during adolescents, because diabetes mismanagement frequently accompanies increased independence in diabetes care and psychological challenges during adolescents (Anderson & Wolpert 2004, Dashiff, Mccaleb, & Cull, , Wysocki, Harris, Buckloh, Wilkinson, & White, ). Similar declines in self‐management were reported in adolescents with T1D from Southern England (Skinner & Hampson, ).…”

Section: Discussionmentioning

confidence: 99%

Perceived stress and self‐efficacy are associated with diabetes self‐management among adolescents with type 1 diabetes: A moderated mediation analysis

Guo

Yang

Wiley

et al. 2019

Journal of Advanced Nursing

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Aims The aims of this study were to: (a) determine if self‐efficacy mediates the relationship between perceived stress and diabetes self‐management in adolescents with type 1 diabetes (T1D); and (b) explore whether perceived stress moderated the self‐efficacy and diabetes self‐management relationship. Design Non‐experimental, descriptive correlational design, conducted from January–December 2016. Methods Guided by the Adaptation to Diabetes framework, data on demographic and clinical characteristics, perceived stress, self‐efficacy and diabetes self‐management were collected. Descriptive analyses and regression analyses were generated by SPSS Version 22. Structural equation modelling was implemented with the MPlus program. Results There was no direct effect of perceived stress on diabetes self‐management; however, self‐efficacy mediated the relationship between perceived stress and diabetes self‐management. Adolescents who had high self‐efficacy and low perceived stress demonstrated better diabetes care activities and diabetes communication than would be predicted from the main effects of self‐efficacy and perceived stress alone. Conclusions Decreasing perceived stress and improving self‐efficacy are important strategies to improve diabetes self‐management in adolescents with T1D. Impact Adolescents with T1D experience considerable stress with daily self‐management demands. This study highlights the mediating role of self‐efficacy on perceived stress and diabetes self‐management. Assessment of perceived stress and self‐efficacy in self‐management tasks in adolescents with T1D may help nurses individualize self‐management education and support. Incorporating strategies to promote stress management and self‐efficacy in diabetes education may also improve diabetes self‐management.

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Self-Care of Young Adolescents With Type 1 Diabetes

Cited by 54 publications

References 45 publications

Interviews of 21 adolescents reveal a desire for structured education programme specifically tailored to their needs

Interviews of 21 adolescents reveal a desire for structured education programme specifically tailored to their needs

The relationship between diabetes self-management and metabolic control in youth with type 1 diabetes: an integrative review

Perceived stress and self‐efficacy are associated with diabetes self‐management among adolescents with type 1 diabetes: A moderated mediation analysis

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