Substance Use Among Adolescents and Young Adults With Type 1 Diabetes: Discussions in Routine Diabetes Care

Bento, Samantha P.; Campbell, MaryJane S; Soutullo, Olivia R.; Cogen, Fran R.; Monaghan, Maureen

doi:10.1177/0009922820902433

Cited by 11 publications

(14 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the psychometric properties of this measure require further investigation, this study has important clinical implications that could be immediately considered and addressed in routine care. For example, the International Society of Pediatric and Adolescent Diabetes (ISPAD) recommends that adolescents with diabetes receive education around "driving, alcohol, drugs, sexual health, and contraception" (22), but these topics are often skipped during busy clinical appointments (23). The findings from this study highlight the importance of assessing risk-taking in youths with type 1 diabetes and thus support ISPAD's recommendations for diabetes health care providers to discuss these topics in their clinic appointments.…”

Section: Discussionmentioning

confidence: 52%

The Diabetes-Specific Risk-Taking Inventory: Piloting a New Measure for Adolescents With Type 1 Diabetes

Wasserman¹,

Schwartz

Anderson

2021

Diabetes Spectrum

View full text Add to dashboard Cite

OBJECTIVE | We sought to develop and pilot a new measure, the Diabetes-Specific Risk-Taking Inventory (DSRI), to assess unhealthy risk-taking behaviors among adolescents with type 1 diabetes.METHODS | Thirteen diabetes health care providers, 30 adolescents with type 1 diabetes (aged 15-19 years, 60% female, mean A1C 8.7% [72 mmol/mol], and 33% on insulin pumps), and the adolescents' caregivers rated the perceived riskiness of each item on the DSRI. Adolescents completed the DSRI, for which they reported how often they engaged in 34 behaviors that could place them at risk for acute complications of type 1 diabetes or out-of-range blood glucose levels. Adolescents also completed the risk-taking subscale from the Risk-Taking and Self-Harm Inventory for Adolescents, and parents completed the parent-proxy Diabetes Management Questionnaire. Mean A1C during the previous year was obtained via medical chart review.RESULTS | Results indicated good content validity and feasibility for using the DSRI in a research context, as 100% of adolescents who consented to the study completed the measure. The DSRI was positively correlated with general risktaking and negatively correlated with diabetes management, indicating preliminary evidence of convergent validity. The DSRI also correlated with A1C.CONCLUSION | This pilot study extends our previous work in developing a conceptual model for illness-specific risk-taking. The DSRI is a promising new measure to assess illness-specific risk-taking, including unhealthy risk-taking behaviors, for adolescents with type 1 diabetes.

show abstract

Section: Discussionmentioning

confidence: 52%

The Diabetes-Specific Risk-Taking Inventory: Piloting a New Measure for Adolescents With Type 1 Diabetes

Wasserman¹,

Schwartz

Anderson

2021

Diabetes Spectrum

View full text Add to dashboard Cite

show abstract

“…YAs with diabetes are at increased risk of psychosocial concerns and engagement in risky behaviors, including those related to substance use, sexual behaviors, and diabetes self-management challenges (35,36). Starting in adolescence, having time alone with HCPs is recommended to facilitate the discussion of sensitive topics such as sexual health, substance use, mood/emotional concerns, and other questions that have direct relevance for daily diabetes management (37,38) but may be infrequently discussed in routine diabetes care (39,40). Trust in the HCP and expectations for privacy and confidentiality also influence YA disclosure of sensitive information (41).…”

Section: Visit Structure and Topics Discussedmentioning

confidence: 99%

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

et al. 2021

Self Cite

View full text Add to dashboard Cite

Young adults with diabetes assume increasing responsibility for communicating with their health care providers, and engaging in high-quality health communication is an integral component of overall diabetes self-management. This article provides an overview of the main features of health communication, factors that may influence communication quality, interventions to promote communication skills, and practical strategies for clinicians working with young adults with diabetes. The review concludes with a comprehensive summary of future directions for health communication research.

show abstract

“…Pediatric endocrinologists and those who treat diabetes are in a unique position to offer counseling regarding tobacco use 18 . While information about patient reported rates of provider screening and counseling have been published, 11,18 little is known about how providers approach this screening.…”

Section: Introductionmentioning

confidence: 99%

“…17 Pediatric endocrinologists and those who treat diabetes are in a unique position to offer counseling regarding tobacco use. 18 While information about patient reported rates of provider screening and counseling have been published, 11,18 little is known about how providers approach this screening. Given the risks of combustible tobacco use and the acute rise in e-cigarette use over the past decade, we sought to assess current practice patterns and identify knowledge gaps among pediatric endocrinologists in the United States regarding screening and counseling for combustible tobacco and e-cigarette use in youth with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Screening and counseling for nicotine use in youth with diabetes

et al. 2021

View full text Add to dashboard Cite

Objective To assess current practice patterns and identify knowledge gaps among pediatric endocrinologists in the United States regarding screening and counseling for combustible tobacco and e‐cigarette use in youth with diabetes. Introduction Electronic cigarettes (e‐cigarettes) are the most used tobacco product among adolescents and may be associated with an increased risk of progression to combustible cigarette smoking, cardiovascular disease, and stroke. Diabetes mellitus is a known risk factor for cardiovascular disease, and nicotine products can increase this risk. We sought to assess current practice patterns and identify knowledge gaps among pediatric endocrinologists in the United States regarding screening and counseling for combustible tobacco and e‐cigarette use in youth with diabetes. Research Design and Methods We conducted an anonymous, online‐based survey of Pediatric Endocrine Society members who provide care to youth with Type 1 or Type 2 diabetes. The survey collected information about provider demographics and smoking habits, knowledge and attitudes regarding screening and counseling for combustible tobacco and e‐cigarette use, and current practice patterns. Results The survey was completed by 106 individuals of whom 64 reported providing care to youth with diabetes mellitus and ever asking about combustible tobacco or e‐cigarette use. The majority of respondents were female, attending providers, and working in academic medical centers. None reported a history of formal training in e‐cigarette counseling but recognized the harms of e‐cigarette use. Nearly all (98%) who ever screen for nicotine use reported routinely screening for combustible tobacco use, while 18% never screen for e‐cigarette use (p < 0.01). Over 80% of respondents reported feeling confident or very confident about discussing the harms of combustible tobacco, compared to 58% reporting the same confidence in discussing harms of e‐cigarette use (p < 0.0001). Over 90% of respondents agreed that pediatric endocrinology providers should ask about nicotine use with over half agreeing that counseling reduces the risk of initiating nicotine product use, and 30% reported lack of change with counseling as a barrier to discussing nicotine use. Lack of visit time was the most reported barrier to discussing nicotine use. More providers cited lack of knowledge regarding e‐cigarettes compared to combustible tobacco as a barrier to discussing its use. Conclusions Pediatric endocrinology providers recognize the harms of e‐cigarette use, but more frequently ask about combustible tobacco use compared to e‐cigarette use. This may be related to lower reported confidence and provider knowledge in counseling about e‐cigarette use. Increased utilization of existing resources and expanding opportunities for providers to learn more about e‐cigarettes may increase provider confidence and comfort in screening and counseling.

show abstract

Substance Use Among Adolescents and Young Adults With Type 1 Diabetes: Discussions in Routine Diabetes Care

Cited by 11 publications

References 28 publications

The Diabetes-Specific Risk-Taking Inventory: Piloting a New Measure for Adolescents With Type 1 Diabetes

The Diabetes-Specific Risk-Taking Inventory: Piloting a New Measure for Adolescents With Type 1 Diabetes

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

Screening and counseling for nicotine use in youth with diabetes

Contact Info

Product

Resources

About