Abstract

Session presented on Friday, July 25, 2014:

Purpose: To explore family support and it effects on diabetes management of adults with type 1 diabetes.

Methods: This study consisted of two in-depth interviews of 23 adult females and 12 adult males ranging in age from 19 to 70 years (M=36.54, SD=16.65). Participants' ages at diagnosis with type 1 diabetes ranged from two to 35 years (M=15.06, SD=9.84) with one to 54 years since diagnosis (M=21.46, SD=12.87). This qualitative study, using the biographical method, consisted of two in-depth interviews. The first interview allowed the participant to answer the prompt "tell me about growing up and living with type 1 diabetes". The interviewers used additional prompts such as "tell me more about" or "can you explain that further" but the participant directed the interview. The second interview took place approximately one week later. This interview began by the interviewers soliciting clarification, if needed, from the first interview. Then interviewers asked questions including: a) Tell us about when you were diagnosed with type 1 diabetes; b) How were your family and friends supportive/non-supportive? c) How compliant have you been throughout your lifetime to your health care regime? d) What were the biggest factors in helping you stay compliant?

Results: Factors that increased compliance included: positive family involvement both with siblings and parents; increased early independence in managing their diabetes; education about type 1 diabetes for both children and families; involvement of other influential adults in teaching the importance of diabetes management; motivation to live up to their dreams; and, increased knowledge that compliance was possible. Factors that decreased compliance included: children viewing diabetes as a chore; feeling different from other children and family members; over protective parents who did not encourage independent self-management of diabetes; changing routines such as going on vacation or transitioning to college; and, being stressed due to the emphasis on diabetes management and health.

Conclusion: Participants described that at the time of their diagnosis with type 1 diabetes they believed that their life was over and they would never be able to do the things they wanted to do. Children with type 1 diabetes need clear education about their disease, how they can still participate in favorite activities and their role in assuming independent self-management skills. Children and their families all need to be taught that they can lead healthy and normal lives and that they should be optimistic about the future. Type 1 diabetes is a life-time condition and those living with the disease, whether they be children or adults, need support to manage the condition and live healthy, active lives.

Author Details

Donna Freeborn, PhD, FNP, CNM; Susanne Olsen Roper, PhD; Barbara Mandleco, RN, PhD; Jordan Scanlon, RN; Tina Dyches, PhD

Sigma Membership

Iota Iota

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Increased Compliance, Supportive/Non-supportive Families, Type 1 Diabetes

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Adults with type 1 diabetes: Lifetime support and management

Hong Kong

Session presented on Friday, July 25, 2014:

Purpose: To explore family support and it effects on diabetes management of adults with type 1 diabetes.

Methods: This study consisted of two in-depth interviews of 23 adult females and 12 adult males ranging in age from 19 to 70 years (M=36.54, SD=16.65). Participants' ages at diagnosis with type 1 diabetes ranged from two to 35 years (M=15.06, SD=9.84) with one to 54 years since diagnosis (M=21.46, SD=12.87). This qualitative study, using the biographical method, consisted of two in-depth interviews. The first interview allowed the participant to answer the prompt "tell me about growing up and living with type 1 diabetes". The interviewers used additional prompts such as "tell me more about" or "can you explain that further" but the participant directed the interview. The second interview took place approximately one week later. This interview began by the interviewers soliciting clarification, if needed, from the first interview. Then interviewers asked questions including: a) Tell us about when you were diagnosed with type 1 diabetes; b) How were your family and friends supportive/non-supportive? c) How compliant have you been throughout your lifetime to your health care regime? d) What were the biggest factors in helping you stay compliant?

Results: Factors that increased compliance included: positive family involvement both with siblings and parents; increased early independence in managing their diabetes; education about type 1 diabetes for both children and families; involvement of other influential adults in teaching the importance of diabetes management; motivation to live up to their dreams; and, increased knowledge that compliance was possible. Factors that decreased compliance included: children viewing diabetes as a chore; feeling different from other children and family members; over protective parents who did not encourage independent self-management of diabetes; changing routines such as going on vacation or transitioning to college; and, being stressed due to the emphasis on diabetes management and health.

Conclusion: Participants described that at the time of their diagnosis with type 1 diabetes they believed that their life was over and they would never be able to do the things they wanted to do. Children with type 1 diabetes need clear education about their disease, how they can still participate in favorite activities and their role in assuming independent self-management skills. Children and their families all need to be taught that they can lead healthy and normal lives and that they should be optimistic about the future. Type 1 diabetes is a life-time condition and those living with the disease, whether they be children or adults, need support to manage the condition and live healthy, active lives.