Type 1 diabetes
            self‐management
            behaviors among emerging adults: Racial/ethnic differences

Although theoretical and empirical writings on habits and routines are a promising body of science to guide interventions, little is known about such interventions among emerging adults with type 1 diabetes. Thus, an integrative review was conducted to describe interventions in relation to habits and routines, their influence on outcomes, and users’ perspectives. A medical librarian conducted a search. Teams screened titles, abstracts, and articles based upon predefined criteria. Evidence from the final 11 articles was synthesized. A minority of investigators explicitly articulated habits and routines theoretical underpinnings as part of the interventions. However, text messaging or feedback via technology used in other interventions could be implicitly linked to habits and routines. For the most part, these interventions positively influenced diabetes self-management-related behaviors and health outcomes. In general, the interventions were perceived positively by users. Future research is advocated using habit and routine theoretical underpinnings to guide interventions.

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Pump It Up! A randomized clinical trial to optimize insulin pump self-management behaviors in adolescents with type 1 diabetes

Contemporary Clinical Trials ◽

10.1016/j.cct.2021.106279 ◽

2021 ◽

Vol 102 ◽

pp. 106279

Author(s):

Holly K. O'Donnell ◽

Tim Vigers ◽

Suzanne Bennett Johnson ◽

Laura Pyle ◽

Nancy Wright ◽

...

Keyword(s):

Clinical Trial ◽

Type 1 Diabetes ◽

Randomized Clinical Trial ◽

Insulin Pump ◽

Self Management ◽

Management Behaviors

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The Relationship Between Executive Functioning, Type 1 Diabetes Self-Management Behaviors, and Glycemic Control in Adolescents and Young Adults

Current Diabetes Reports ◽

10.1007/s11892-021-01379-3 ◽

2021 ◽

Vol 21 (3) ◽

Author(s):

Ke Ding ◽

Cheyenne M. Reynolds ◽

Kimberly A. Driscoll ◽

David M. Janicke

Keyword(s):

Type 1 Diabetes ◽

Young Adults ◽

Glycemic Control ◽

Executive Functioning ◽

Adolescents And Young Adults ◽

Self Management ◽

The Relationship ◽

Management Behaviors

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Experiences and perspectives of the parents of emerging adults living with type 1 diabetes

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2019-001125 ◽

2020 ◽

Vol 8 (1) ◽

pp. e001125

Author(s):

Cheryl Pritlove ◽

Benjamin Markowitz ◽

Geetha Mukerji ◽

Andrew Advani ◽

Janet A Parsons

Keyword(s):

Type 1 Diabetes ◽

Emerging Adulthood ◽

Emerging Adults ◽

Diabetes Management ◽

Self Management ◽

Comparative Approach ◽

Transition To Adult Care ◽

Adult Care ◽

Difficult Time

IntroductionWhereas it is widely recognized that emerging adulthood can be a difficult time in the life of an individual living with type 1 diabetes, relatively little is known about the experiences of their parents or guardians. These individuals once shouldered much of the burden for their child’s diabetes ‘self’-management, yet their contribution is often overlooked by the adult healthcare system. Here, we set out to gain an understanding of the perspectives of parents of emerging adults living with type 1 diabetes.Research design and methodsSemi-structured interviews were performed with a purposeful sample of parents of emerging adults with type 1 diabetes recruited from two urban young adult diabetes clinics and through a national diabetes charity. Thematic coding was derived using a constant comparative approach.ResultsAnalysis of interviews with 16 parents of emerging adults with type 1 diabetes identified three themes: parental experiences of the transition to adult care; negotiating parent–child roles, responsibilities and relationships; and new and evolving fears. Parents spoke in detail about the time surrounding their child’s diagnosis of type 1 diabetes to emphasize the complexity of diabetes care and the need to establish a ‘new normal’ for the family. In turn, adolescence and emerging adulthood required a renegotiation of roles and responsibilities, with many parents continuing to play a role in high-level diabetes management. Several parents of emerging adults with type 1 diabetes (particularly those of young men) vocalized worries about their child’s readiness to assume responsibility for their self-care, and some expressed frustration with the apparent dichotomy in the role expectations of parents between the pediatric and adult care settings.ConclusionsAdult healthcare providers should recognize both the ongoing involvement of parents in the ‘self’-management of emerging adults with type 1 diabetes and the unique aspects of the caregiver burden that they experience.

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