18 research outputs found
Reducing episodes of diabetic ketoacidosis within a youth population: a focus group study with patients and families
Full text linkYouth and Parent Knowledge and Communication About Major Complications of Type 1 Diabetes
No full textValidation of the Diabetes Family Impact Scale: a new measure of diabetes-specific family impact
No full textMaternal depressive symptoms predict acute hospitalization among children with type 1 diabetes
No full textDifficult conversations: adults with diabetes and the discussion of microvascular complications
No full textDiabetes Complications in Youth: Qualitative analysis of parents' perspectives of family learning and knowledge
No full textFive Points and a Lament About Range and Cotton's "Reports of Assent and Permission in Research With Children: Illustrations and Suggestions"
No full textYoung adults’ management of Type 1 diabetes during life transitions
Full text linkAim. To identify life transitions likely to impact diabetes self-care among young adults with Type 1 diabetes and their coping strategies during transition events.Background. Relationships among psychosocial stress, adjustment, coping and metabolic control affect clinical outcomes and mental health. Life transitions represent major change and are associated with stress that temporarily affects individuals’ problem-solving, coping abilities and blood glucose levels.Design. A qualitative interpretive inquiry.Method. Semi-structured interviews were conducted with 20 young adults with Type 1 diabetes and a constant comparative analysis method. Data and analysis was managed using QSR NVIVO 7 software.Results. Participants identified two significant transition groups: life development associated with adolescence, going through the education system, entering new relationships, motherhood and the workforce and relocating. Diabetes-related transitions included being diagnosed, developing diabetes complications, commencing insulin pump treatment and going on diabetes camps. Participants managed transitions using ‘strategic thinking and planning’ with strategies of ‘self-negotiation to minimise risks’; ‘managing diabetes using previous experiences’; ‘connecting with others with diabetes’; ‘actively seeing information to ‘patch’ knowledge gaps’; and ‘putting diabetes into perspective’.Conclusions. Several strategies are used to manage diabetes during transitions. Thinking and planning strategically was integral to glycaemic control and managing transitions. The impact of transitions on diabetes needs to be explored in larger and longitudinal studies to identify concrete strategies that assist diabetes care during life transitions.Relevance to clinical practice. It is important for health professionals to understand the emotional, social and cognitive factors operating during transitions to assist young adults with Type 1 diabetes to achieve good health outcomes by prioritising goals and plan flexible, timely, individualised and collaborative treatment.<br /
