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Predictors of self-management in pediatric type 1 diabetes: individual, family, systemic, and technologic influences
Diana Naranjo1, Shelagh Mulvaney, Maureen McGrath
1University of California, 3333 California St. Suite 245, Box 0503, San Francisco, CA, 94118, USA, NaranjoD@peds.ucsf.edu.
Insights
Effective self-management is key for children and adolescents with type 1 diabetes (T1D). Individual, family, and systemic factors all impact T1D management, guiding future interventions.
Area of Science:
- Endocrinology
- Pediatrics
- Behavioral Science
Background:
- Type 1 diabetes (T1D) is a chronic condition requiring lifelong self-management.
- The responsibility for T1D management significantly impacts individuals and families.
- Successful T1D self-management is crucial for long-term health outcomes in youth.
Purpose of the Study:
- To explore individual, family, and systemic/technologic factors influencing T1D self-management.
- To review research supporting interventions for T1D self-management.
- To enhance understanding of T1D self-management for healthcare providers and researchers.
Main Methods:
- Literature review of factors affecting T1D self-management.
- Analysis of research on interventions targeting self-management.
- Synthesis of information for clinical and research application.
Main Results:
- Identified key individual, family, and systemic/technologic influences on T1D self-management.
- Highlighted evidence-based interventions for improving T1D self-management.
- Demonstrated the multifaceted nature of T1D self-management.
Conclusions:
- Individual, family, and systemic factors are critical determinants of T1D self-management success.
- Targeted interventions can bolster T1D self-management in pediatric populations.
- Improved understanding of these factors can advance T1D care and research.
Abstract:
Type 1 diabetes (T1D) is a complex chronic disease that has many facets for successful management. The burden of this management falls largely on the individual and their family members. Self-management has a major influence on T1D health outcomes, and with successful management, children and adolescents with T1D can lead long and healthy lives. We discuss how various individual, family, and systemic/technologic factors influence T1D self-management, providing research that supports interventions targeting each of these factors. With this information, health care practitioners and researchers can better understand the role of T1D self-management and bolster this important aspect of T1D care.
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