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Helping Adolescents with Type 1 Diabetes "Figure It Out".
Elizabeth Babler1, Carolyn June Strickland2
1Franklin, WI.
Journal of Pediatric Nursing
|November 21, 2015
Summary
Adolescents with type 1 diabetes mellitus (T1DM) learn to integrate diabetes into their lives, viewing it as their "new normal." This involves accepting diabetes and developing self-management skills for better coping.
Area of Science:
- Pediatric Endocrinology
- Adolescent Psychology
- Diabetes Self-Management
Background:
- Adolescents with type 1 diabetes mellitus (T1DM) face unique challenges integrating diabetes management with their quest for independence.
- Parental conflict and difficulties in coping are common experiences for adolescents with T1DM.
Purpose of the Study:
- To understand adolescents' lived experiences with T1DM.
- To develop a theoretical framework for future interventions in adolescents with T1DM.
- To explore the concept of 'figuring it out' in the context of T1DM management.
Main Methods:
- Grounded theory approach.
- 15 in-depth interviews conducted with adolescents aged 11-15 years with T1DM.
Main Results:
- A theoretical model of 'normalizing' diabetes was identified, defined as integrating diabetes into daily life.
- The phase 'Figuring it out' emerged, encompassing acceptance, belief in manageability, responsibility, and staying on track.
- The normalizing task was identified as 'accepting the new normal'.
Conclusions:
- Adolescents with T1DM perceive diabetes as their 'new normal'.
- Interventions focusing on motivational interviewing, goal setting, and self-management promotion are crucial for supporting adolescents with T1DM.
- Facilitating the normalization process can improve coping and integration of diabetes into daily life.
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