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A theoretical model of compliance in young diabetics
1University of Oulu, Department of Nursing, University Hospital, Finland.
Insights
This study presents a model for diabetes management in young patients, highlighting that compliance is an active process. Key factors like motivation, parental support, and a sense of normality enhance self-care in young diabetics.
Area of Science:
- Pediatric Endocrinology
- Behavioral Medicine
- Health Psychology
Background:
- Adherence to treatment regimens is crucial for managing chronic conditions like diabetes in adolescents.
- Understanding the psychosocial factors influencing self-management in young diabetics is essential for effective care planning.
Purpose of the Study:
- To introduce a theoretical model explaining compliance in young diabetics.
- To identify key factors that promote or hinder adherence to diabetes care in adolescents.
Main Methods:
- Development of a theoretical framework based on existing literature and clinical observations.
- Analysis of factors influencing compliance, including motivation, perceived results of care, sense of normality, and personal resources.
Main Results:
- Compliance is conceptualized as an active, intentional process involving young diabetics and healthcare providers.
- Positive influences on compliance include motivation, perceived care outcomes, normality, and sufficient energy/willpower.
- Parental support and encouragement significantly boost motivation and energy for self-care.
- Reduced fear of complications correlates with better energy and willpower, though fear can paradoxically enhance compliance.
Conclusions:
- The proposed model offers a comprehensive view of compliance in young diabetics.
- Findings can inform the development of targeted interventions and educational programs for pediatric diabetes care.
- The model serves as a foundation for creating tools to measure diabetes compliance and related factors.
Abstract:
The purpose of this paper is to present a theoretical model of compliance in young diabetics. According to the model, compliance is an active, intentional and responsible process in which young diabetics work to maintain their health in collaboration with the physician. Factors which improved compliance were motivation, the results of care, a sense of normality and adequate energy and will-power for care. Motivation was improved by support and encouragement given by parents and was found to influence energy and will-power for care. Energy and will-power for care were increased through the support of parents, encouragement and the results of care. Furthermore it was found that when young diabetics were not afraid of complications, their energy and will-power for care were better. Fear may, however, improve compliance, which is connected with the control of diabetes. The results of the study can be used to plan and implement care in young diabetics. In addition to this, the model is a good starting-point for further development and for developing an instrument to measure compliance and the factors related to it.