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Predictors of treatment adherence in young children with type 1 diabetes

Vivienne Chisholm1, Leslie Atkinson, Caroline Donaldson

  • 1Psychology, Queen Margaret University College, Edinburgh, UK. vchisholm@qmuc.ac.uk

Journal of Advanced Nursing
|February 8, 2007
PubMed

Insights

Maternal diabetes knowledge and fewer relationship difficulties improve adherence in young children with type 1 diabetes. Nurses can support adherence by addressing blood glucose monitoring and dietary challenges.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Science in Medicine
  • Nursing Research

Background:

  • Pediatric type 1 diabetes rates are rising globally.
  • Young children with diabetes are underrepresented in adherence research.
  • Understanding adherence in this group is crucial for effective nursing care.

Purpose of the Study:

  • To investigate predictors of treatment adherence in young children with type 1 diabetes.
  • To identify diabetes-specific, demographic, and psychosocial factors influencing adherence.
  • To inform tailored nursing interventions for families managing pediatric diabetes.

Main Methods:

  • Cross-sectional study of 65 children (aged 2-8 years) and their mothers in Britain (2001-2003).
  • Data collected via maternal interviews, nutritional analysis, and assessments of maternal knowledge, stress, family functioning, and child adjustment.
  • Demographic and medical data obtained from patient records.

Main Results:

  • Adherence varied, with blood glucose monitoring and diet showing more variability than injections.
  • Maternal diabetes knowledge positively correlated with adherence indicators (e.g., frequent monitoring, lower HbA1c).
  • Psychosocial factors like relationship difficulties and longer diabetes duration influenced adherence.

Conclusions:

  • Nurses play a vital role in facilitating adherence through educational, practical, and emotional support.
  • Interventions should prioritize blood glucose monitoring and dietary adherence.
  • Nurses need to recognize and address the diverse challenges parents face in managing pediatric diabetes regimens.
Abstract

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