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[Psychological aspects of treatment compliance in the insulin- dependent diabetic child]

D Castro1

  • 1Unité d'Endocrinologie Pédiatrique et Diabète, Hôpital des Enfants Malades, Paris.

Annales De Pediatrie
|September 1, 1991
PubMed

Insights

Children with insulin-dependent diabetes mellitus (IDDM) often simplify complex treatments, adhering strictly to their own regimens. Improving patient education requires acknowledging this tendency for better metabolic control.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Science
  • Diabetes Mellitus Research

Context:

  • Investigated cognitions regarding treatment and compliance in children with insulin-dependent diabetes mellitus (IDDM).
  • Study included 39 children with a mean age of 13.8 years and a mean diabetes duration of 5.1 years.

Purpose:

  • To explore children's conceptualizations of diabetes treatment and their adherence to medical recommendations.
  • To understand the cognitive factors influencing treatment compliance in pediatric IDDM patients.

Summary:

  • 90% of children perceived treatment complexity as the primary barrier to compliance.
  • Children developed simplified, idiosyncratic treatment regimens, adhering meticulously to these personal constructions despite possessing adequate knowledge of prescribed therapies.
  • Complex elements like glucose monitoring and dietary management were often simplified or omitted in their self-devised plans.

Impact:

  • Patient education strategies should incorporate children's tendency for simplification to enhance regimen acceptance.
  • Collaborative development of acceptable, individualized treatment plans can improve metabolic control in pediatric diabetes management.
  • Understanding cognitive representations is key to optimizing therapeutic outcomes in adolescents with IDDM.

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