Factors Related to Self-Management Behaviors in Adolescent with Type 1 Diabetes
Keywords:
Self-management behaviors, Adolescent with type 1 diabetes, Factors relatedAbstract
Proper self-management behaviors in adolescents with type 1 diabetes will lead to good health outcomes and proceed to productive adults. The objective of this correlational descriptive
research was to examine factors related to self-management behaviors in adolescents with type 1 diabetes. Self-management concept of Schilling, Grey, and Knafl (2002) with a review of literature were used as framework. The participants were 68 adolescents with type 1 diabetes aged 13 to 18 years old who visited the tertiary hospital in the north, and northeastern, Thailand. The research instruments included the personnel information questionnaire, the perceived self-efficacy of adolescents with type 1 diabetes questionnaire, the family support of adolescent with type 1 diabetes questionnaire and the self-management behaviors in adolescents with type 1 diabetes questionnaire, developed by the researcher based on the framework and the purpose of a research study. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, the Spearman rank correlation coefficient, and Point biserial correlation coefficient
The results were as follows:
- The mean score of self-management behaviors in adolescents with type 1 diabetes was at a high level (= 70.26, S.D.= 12.81) of 64.71 %
- Economic status of the family, perceived self-efficacy, and family support showed statistically significant positive relationship with self-management behaviors in adolescents with type 1 diabetes (r = .34, p < .05, r = .69, p <.01, r = .58, p <.01), respectively.
The results of this research serve as the preliminary information of self-management behaviors in adolescents with type 1 diabetes and could be used to promote effective self-management behaviors in adolescents with type 1 diabetes.
References
Abolhassani, S., Babaee, S., & Eghbali, M. (2013). Mothers’ experience of having children with diabetes. Iranian Journal of Nursing and Midwifery Research, 18(4), 304.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman.
Carcone, A. I., Ellis, D. A., Weisz, A., & Naar-King, S. (2011). Social support for diabetes illness management: Supporting adolescents and caregivers. Journal of Developmental and Behavioral Pediatrics, 32(8), 581.
Chao, A., Whittemore, R., Minges, K. E., Murphy, K. M., & Grey, M. (2014). Self-management in early adolescence and differences by age at diagnosis and duration of type 1 diabetes. The Diabetes Educator, 40(2), 167-177. doi: 10.1177/0145721713520567
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A.,… Schatz, D. (2018). Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association. Diabetes care, 41(9), 2026–2044. doi.org/10.2337/dci18-0023
Chih, A.-H., Jan, C.-F., Shu, S.-G., & Lue, B.-H. (2010). Self-efficacy affects blood sugar control among adolescents with type I diabetes mellitus. Journal of the Formosan Medical Association,109(7), 503-510.
Cohen, J. (1988). Statistical power analysis for the behavioural sciences. Hillside. NJ:
Lawrence Earlbaum Associates.
Costa, M., & Gameiro, M. G. H. (2016). Self-care of adolescents with type 1 diabetes: Responsibility for disease management. Revista de Enfermagem Referência, 4(9), 9-19.
Diabetes Association of Thailand, The Endocirne Society of Thailand, Ministry of Public
Health, & National Health Security Office. (2017). Clinical practice guideline for diabetes 2017. Retrieved from https://www.dmthai.org/attachments/article/443/
guideline-diabetes-care-2017.pdf
Guo, J., Whittemore, R., Grey, M., Wang, J., Zhou, Z. G., & He, G. P. (2013). Diabetes self-
management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China. Journal of Clinical Nursing, 22(1-2), 69–79. doi.org/10.1111/j.1365-2702.2012.04299.x
House, J. S. (1981). Work stress and social support. MA: Addison- Wesley.
Jacobson, A. M., Braffett, B. H., Cleary, P. A., Gubitosi-Klug, R. A., & Larkin, M. E. (2013). The
long-term effects of type 1 diabetes treatment and complications on health-related quality of life. Diabetes Care, 36(10), 3131-3138.
Kakleas, K., Kandyla, B., Karayianni, C., & Karavanaki, K. (2009). Psychosocial problems in
adolescents with type 1 diabetes mellitus. Diabetes & Metabolism, 35(5), 339–350. doi.org/10.1016/j.diabet.2009.05.002
Karlsson, A., Arman, M., & Wikblad, K. (2008). Teenagers with type 1 diabetes-a phenomenological study of the transition towards autonomy in self-management. International Journal of Nursing Studies, 45(4), 562-570.
Law, G. U., Kelly, T. P., Huey, D., & Summerbell, C. (2002). Self-management and well-being in adolescents with diabetes mellitus: Do illness representations play a regulatory role?: The Journal of Adolescence Health, (31), 381-385.
Madsen, S. D., Roisman, G. I., & Collins, W. A. (2002). The intersection of adolescent development and intensive intervention: Age-related psychosocial correlates of treatment regimens in the diabetes control and complication trial. Journal of Pediatric Psychology, 27(5), 451-459.
Narit, N. (2007). Perceived self-efficacy, social support and factors related self-care behavior
of adolescents with type 1 diabetes mellitus (Master of Science of Public Health Nursing). Graduate Study, Mahidol University. (in Thai).
Ouzouni, A., Galli-Tsinopoulou, A., Kazakos, K., Dimopoulos, E., Kleisarchaki, A. N., Mouzaki,
K., & Lavdaniti, M. (2018). The intervention of parents in supporting of diabetes type 1 in adolescents. Materia socio-medica, 30(2), 98–102. doi.org/10.5455/msm.2018.30.98-102
Patterson, C. C., Karuranga, S., Salpea, P., Saeedi, P., Dahlquist, G., Soltesz, G., & Ogle, G. D.
(2019). Worldwide estimates of incidence, prevalence and mortality of type 1 diabetes in children and adolescents: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice, 157, 107842.
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2006). Health promotion in nursing practice
(4th ed.). New Jersey: Upper Saddle River.
Rankin, D., Harden, J., Barnard, K., Bath, L., Noyes, K., Stephen, J., & Lawton, J. (2018).
Barriers and facilitators to taking on diabetes self-management tasks in pre-adolescent children with type 1 diabetes: A qualitative study. BMC endocrine disorders, 18(1), 71. doi.org/10.1186/s12902-018-0302-y
Ryan, P., & Sawin, K. J. (2009). The individual and family self-management theory: Background
and perspectives on context, process, and outcomes. Nursing Outlook, 57(4), 217-225.
Sanders, R. A. (2013). Adolescent psychosocial, social, and cognitive development. Pediatrics
in Review, 34(8), 354-358. doi: 10.1542/pir.34-8-354
Santiprabhob, J., Kiattisakthavee, P., Likitmaskul, S., Chaichanwattanakul, K., Wekawanich, J.,
Dumrongphol, H., ... Nitiyanant, W. (2012). Glycemic control, quality of life and self-care behavior among adolescents with type 1 diabetes who attended a diabetes camp. The Southeast Asian Journal of Tropical Medicine and Public Health, 43(1), 172-184.
Schilling, L. S., Grey, M., & Knafl, K. A. (2002). The concept of self-management of type 1
diabetes in children and adolescents: An evolutionary concept analysis. Journal of Advanced Nursing, 37(1), 87-99.
Schilling, L. S., Dixon, J. K., Knafl, K. A., Lynn, M. R., Murphy, K., Dumser, S., & Grey, M. (2009). A new self-report measure of self-management of type 1 diabetes for adolescents. Nursing Research, 58(4), 228-236.
Skinner, T. C., John, M., & Hampson, S. E. (2000). Social support and personal models of
diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology, 25(4), 257-267.
Wherrett, D. K., Ho, J., Huot, C., Legault, L., Nakhla, M., & Rosolowsky, E. (2018). Type 1
Diabetes in Children and Adolescents. Canadian Journal of Diabetes, 42(S1), S234–S246. doi.org/10.1016/j.jcjd.2017.10.036
Ziegler, R., Heidtmann, B., Hilgard, D., Hofer, S., Rosenbauer, J., & Holl, R. (2011). Frequency
of SMBG correlates with HbA1c and acute complications in children and adolescents with type 1 diabetes. Pediatric diabetes, 12(1), 11–17. doi.org/10.1111/j.1399-5448.2010.00650.x
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman.
Carcone, A. I., Ellis, D. A., Weisz, A., & Naar-King, S. (2011). Social support for diabetes illness management: Supporting adolescents and caregivers. Journal of Developmental and Behavioral Pediatrics, 32(8), 581.
Chao, A., Whittemore, R., Minges, K. E., Murphy, K. M., & Grey, M. (2014). Self-management in early adolescence and differences by age at diagnosis and duration of type 1 diabetes. The Diabetes Educator, 40(2), 167-177. doi: 10.1177/0145721713520567
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A.,… Schatz, D. (2018). Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association. Diabetes care, 41(9), 2026–2044. doi.org/10.2337/dci18-0023
Chih, A.-H., Jan, C.-F., Shu, S.-G., & Lue, B.-H. (2010). Self-efficacy affects blood sugar control among adolescents with type I diabetes mellitus. Journal of the Formosan Medical Association,109(7), 503-510.
Cohen, J. (1988). Statistical power analysis for the behavioural sciences. Hillside. NJ:
Lawrence Earlbaum Associates.
Costa, M., & Gameiro, M. G. H. (2016). Self-care of adolescents with type 1 diabetes: Responsibility for disease management. Revista de Enfermagem Referência, 4(9), 9-19.
Diabetes Association of Thailand, The Endocirne Society of Thailand, Ministry of Public
Health, & National Health Security Office. (2017). Clinical practice guideline for diabetes 2017. Retrieved from https://www.dmthai.org/attachments/article/443/
guideline-diabetes-care-2017.pdf
Guo, J., Whittemore, R., Grey, M., Wang, J., Zhou, Z. G., & He, G. P. (2013). Diabetes self-
management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China. Journal of Clinical Nursing, 22(1-2), 69–79. doi.org/10.1111/j.1365-2702.2012.04299.x
House, J. S. (1981). Work stress and social support. MA: Addison- Wesley.
Jacobson, A. M., Braffett, B. H., Cleary, P. A., Gubitosi-Klug, R. A., & Larkin, M. E. (2013). The
long-term effects of type 1 diabetes treatment and complications on health-related quality of life. Diabetes Care, 36(10), 3131-3138.
Kakleas, K., Kandyla, B., Karayianni, C., & Karavanaki, K. (2009). Psychosocial problems in
adolescents with type 1 diabetes mellitus. Diabetes & Metabolism, 35(5), 339–350. doi.org/10.1016/j.diabet.2009.05.002
Karlsson, A., Arman, M., & Wikblad, K. (2008). Teenagers with type 1 diabetes-a phenomenological study of the transition towards autonomy in self-management. International Journal of Nursing Studies, 45(4), 562-570.
Law, G. U., Kelly, T. P., Huey, D., & Summerbell, C. (2002). Self-management and well-being in adolescents with diabetes mellitus: Do illness representations play a regulatory role?: The Journal of Adolescence Health, (31), 381-385.
Madsen, S. D., Roisman, G. I., & Collins, W. A. (2002). The intersection of adolescent development and intensive intervention: Age-related psychosocial correlates of treatment regimens in the diabetes control and complication trial. Journal of Pediatric Psychology, 27(5), 451-459.
Narit, N. (2007). Perceived self-efficacy, social support and factors related self-care behavior
of adolescents with type 1 diabetes mellitus (Master of Science of Public Health Nursing). Graduate Study, Mahidol University. (in Thai).
Ouzouni, A., Galli-Tsinopoulou, A., Kazakos, K., Dimopoulos, E., Kleisarchaki, A. N., Mouzaki,
K., & Lavdaniti, M. (2018). The intervention of parents in supporting of diabetes type 1 in adolescents. Materia socio-medica, 30(2), 98–102. doi.org/10.5455/msm.2018.30.98-102
Patterson, C. C., Karuranga, S., Salpea, P., Saeedi, P., Dahlquist, G., Soltesz, G., & Ogle, G. D.
(2019). Worldwide estimates of incidence, prevalence and mortality of type 1 diabetes in children and adolescents: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice, 157, 107842.
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2006). Health promotion in nursing practice
(4th ed.). New Jersey: Upper Saddle River.
Rankin, D., Harden, J., Barnard, K., Bath, L., Noyes, K., Stephen, J., & Lawton, J. (2018).
Barriers and facilitators to taking on diabetes self-management tasks in pre-adolescent children with type 1 diabetes: A qualitative study. BMC endocrine disorders, 18(1), 71. doi.org/10.1186/s12902-018-0302-y
Ryan, P., & Sawin, K. J. (2009). The individual and family self-management theory: Background
and perspectives on context, process, and outcomes. Nursing Outlook, 57(4), 217-225.
Sanders, R. A. (2013). Adolescent psychosocial, social, and cognitive development. Pediatrics
in Review, 34(8), 354-358. doi: 10.1542/pir.34-8-354
Santiprabhob, J., Kiattisakthavee, P., Likitmaskul, S., Chaichanwattanakul, K., Wekawanich, J.,
Dumrongphol, H., ... Nitiyanant, W. (2012). Glycemic control, quality of life and self-care behavior among adolescents with type 1 diabetes who attended a diabetes camp. The Southeast Asian Journal of Tropical Medicine and Public Health, 43(1), 172-184.
Schilling, L. S., Grey, M., & Knafl, K. A. (2002). The concept of self-management of type 1
diabetes in children and adolescents: An evolutionary concept analysis. Journal of Advanced Nursing, 37(1), 87-99.
Schilling, L. S., Dixon, J. K., Knafl, K. A., Lynn, M. R., Murphy, K., Dumser, S., & Grey, M. (2009). A new self-report measure of self-management of type 1 diabetes for adolescents. Nursing Research, 58(4), 228-236.
Skinner, T. C., John, M., & Hampson, S. E. (2000). Social support and personal models of
diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology, 25(4), 257-267.
Wherrett, D. K., Ho, J., Huot, C., Legault, L., Nakhla, M., & Rosolowsky, E. (2018). Type 1
Diabetes in Children and Adolescents. Canadian Journal of Diabetes, 42(S1), S234–S246. doi.org/10.1016/j.jcjd.2017.10.036
Ziegler, R., Heidtmann, B., Hilgard, D., Hofer, S., Rosenbauer, J., & Holl, R. (2011). Frequency
of SMBG correlates with HbA1c and acute complications in children and adolescents with type 1 diabetes. Pediatric diabetes, 12(1), 11–17. doi.org/10.1111/j.1399-5448.2010.00650.x
Downloads
Published
2021-06-11
How to Cite
Ontrakrai , N. . . . . . . . . . ., Jintrawet , U. . . . . . . . . . . . . . ., & Chotibang , J. . . . . . . . (2021). Factors Related to Self-Management Behaviors in Adolescent with Type 1 Diabetes. Nursing Journal CMU, 48(2), 246–258. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/251812
Issue
Section
Research Article
License
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
