scholarly journals Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

2012 ◽  
Vol 08 (02) ◽  
pp. 77 ◽  
Author(s):  
Jessica C Kichler ◽  
Ashley Moss ◽  
Astrida S Kaugars ◽  
◽  
◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Health Outcomes ◽  
Metabolic Control ◽  
Self Management ◽  
Future Research ◽  
Behavioral Factors ◽  
Empirically Supported ◽  
Adherence Assessment ◽  
Management Behaviors

The Pediatric Self-Management Model provides an overview of how behavioral factors influence children’s chronic medical illnesses. This general framework is used to organize the present review of how self-management behaviors, contextual factors, and processes impact health outcomes for adolescent youth with type 1 diabetes. Adherence has been widely studied in the diabetes literature, and there are consistent findings demonstrating associations between aspects of self-management, adherence, and metabolic control, yet there are still equivocal approaches to adherence assessment methodology (e.g. global versus specific measures). Metabolic control is a hallmark health outcome for youth with type 1 diabetes, but additional outcomes need to be further explored. Future research should utilize the Pediatric Self-Management Model’s operational definitions to guide empirically-supported interventions for youth with type 1 diabetes.

Habit and Routine Interventions with Emerging Adults with Diabetes: An Integrative Review

2021 ◽  
pp. 019394592110322
Author(s):  
Kathleen M. Hanna ◽  
Jed R. Hansen ◽  
Kim A. Harp ◽  
Kelly J. Betts ◽  
Diane Brage Hudson ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Health Outcomes ◽  
Emerging Adults ◽  
Text Messaging ◽  
Integrative Review ◽  
Self Management ◽  
Future Research ◽  
Medical Librarian

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.

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

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

scholarly journals Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes

2013 ◽  
Vol 36 (9) ◽  
pp. 1254-1271 ◽  
Author(s):  
Robin Whittemore ◽  
Lauren Liberti ◽  
Sangchoon Jeon ◽  
Ariana Chao ◽  
Sarah S. Jaser ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Depressive Symptoms ◽  
Family Functioning ◽  
Health Outcomes ◽  
Self Management

Working Toward an mHealth Platform for Adolescents with Type 1 Diabetes: Focus Groups With Teens, Parents, and Providers

2020 ◽  
Vol 46 (5) ◽  
pp. 444-454
Author(s):  
Manuela Sinisterra ◽  
Katherine Patterson Kelly ◽  
Caitlin Shneider ◽  
Ashley El-Zein ◽  
Ellen Swartwout ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Focus Groups ◽  
Health Care Providers ◽  
Diabetes Management ◽  
Self Management ◽  
Care Providers ◽  
Open Communication ◽  
Management Behaviors

Purpose The purpose of the study was to explore facilitators and barriers to self-management behaviors in adolescents with type 1 diabetes (T1D) to inform the development of an mHealth platform. Methods Eight adolescents with T1D, 9 parents, and 13 health care providers participated in separate focus groups that explored teen self-management behaviors. Results Adolescents and their parents have distinct preferences for handling diabetes management and use of mHealth technologies. Health care providers support the use of new technologies yet acknowledge concern meeting the potential increased volume of communication requests from teens and families. Conclusion Stakeholders agreed that an ideal mHealth platform would facilitate open communication between teens and their care network and easily integrate with other diabetes technologies. Future directions include incorporating additional feedback from stakeholders to build and modify the mHealth platform. The use of mHealth platforms could be integrated into clinical practice to optimize self-management and support communication between educators, providers, and families in between clinic visits.

Developing the “Healthcare CEO App” for Patients with Type 1 Diabetes Transitioning from Adolescence to Young Adulthood: A Mixed-Methods Study (Preprint)

2021 ◽  
Author(s):  
Yueh-Tao Chiang ◽  
Chi-Wen Chang ◽  
Hsing-Yi Yu ◽  
Pei-Kwei Tsay ◽  
Fu-Sung Lo ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Mixed Methods ◽  
Transition Period ◽  
Controlled Trial ◽  
Early Adulthood ◽  
Blood Glucose Control ◽  
Self Management ◽  
Future Research ◽  
Positive Interaction

BACKGROUND Adolescents with type 1 diabetes face various challenges which are often associated with poor blood glucose control during their transition to early adulthood. Using appropriate mobile applications for health management can improve the efficiency of disease self-management. OBJECTIVE To develop and test a mobile application that supports the disease self-management of adolescents with type 1 diabetes during their transition to early adulthood. METHODS A sequential mixed-methods design was employed. The application content was designed according to previously identified care needs and expectations, followed by application development on the Android operating system. From the outpatient clinic of the Department of Pediatric Endocrinology and Metabolism at a medical center in northern Taiwan, 35 individuals aged between 16 and 25 years participated in application testing. RESULTS The final application consisted of 11 interfaces, namely: CEO’s Profile, Health Tracking, CEO Knowledge Base, Barrier-free Communication, See Here: Diet and Exercise, Help Me, Detective!, CEO Chat Room, CEO's Secretary, SOS Calls, Q & A, and Who’s the Best CEO . The average user interaction satisfaction score of the application was 4.54 (± 0.41), indicating positive interaction satisfaction. CONCLUSIONS In this study, we developed the Healthcare Chief Executive Officer application tailored to the needs of patients with type 1 diabetes in the transition period. The application can support the disease self-management of adolescents with type 1 diabetes in the transition period, as well as provide references for clinical intervention. CLINICALTRIAL Future research will use a randomized controlled trial (RCT) design to evaluate the effectiveness of the application. Trial registration: listed on ClinicalTrials.gov, identifier: NCT05022875.

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

2020 ◽  
Vol 21 (6) ◽  
pp. 979-986
Author(s):  
Ashley M. Butler ◽  
Bridget E. Weller ◽  
Caryn R. R. Rodgers ◽  
Ashley E. Teasdale
Keyword(s):  
Type 1 Diabetes ◽  
Emerging Adults ◽  
Ethnic Differences ◽  
Self Management ◽  
Racial Ethnic ◽  
Management Behaviors

Diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes

2014 ◽  
Vol 24 (9-10) ◽  
pp. 1258-1268 ◽  
Author(s):  
Jia Guo ◽  
Robin Whittemore ◽  
Sangchoon Jeon ◽  
Margaret Grey ◽  
Zhi-Guang Zhou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Depressive Symptoms ◽  
Metabolic Control ◽  
Self Management ◽  
Chinese Youth ◽  
Over Time

scholarly journals Promoting Self-Management Behaviors In Adolescents With Type 1 Diabetes, Using Digital Storytelling: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Nahid Zarifsanaiey ◽  
Masoomeh Otrodi Shirazi ◽  
Manoosh Mehrabi ◽  
Zahra Bagheri
Keyword(s):  
Type 1 Diabetes ◽  
Digital Storytelling ◽  
The Self ◽  
Self Management ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Management Behavior ◽  
Randomized Controlled ◽  
Management Behaviors

Abstract Background: This study aimed to assess the effects of digital storytelling on the self-management behavior of adolescents with type 1 diabetes (TID). Methods: In this randomized controlled clinical trial, 60 adolescents with TID were randomly allocated into two parallel groups: intervention (training with digital storytelling method, n=33) or control (training with a conventional method, n=33). The primary outcome was the assessment of the Self-Management behavior of adolescents with TID (SMOD-A), at baseline and three months after the intervention.Results: The results revealed that digital storytelling can lead to significant improvement in self-management behaviors amongst the adolescents with TID (P=0.005), while in the control group no significant changes were observed (P>0.05). The results also showed that the level of collaboration with parent’s dimension scores had a significant reverse relationship with the adolescent age after digital storytelling (p = 0.048). With respect to HbA1c levels, significant changes were not observed in any of the groups (P>0.05).Conclusions: Digital storytelling is practicable and a potentially beneficial training modality for adolescents with TID.Trial registration: This trial was respectively registered.ClinicalTrials.gov Identifier: IRCT20191220045828N1. Date of registration: Oct 29. 2020(https://clinicaltrials.gov/ct2/show/NCT04608058?term=zarifsanaiey&draw=2&rank=1)

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