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A qualitative comparison of needles and insulin pump use in children with type 1 diabetes

Madeleine Ferrari1, Doris Jf McIlwain2, Geoffrey Ambler3,4

  • 11 Australian Catholic University, Australia.

Journal of Health Psychology
|June 25, 2016
PubMed

Insights

Children with type 1 diabetes mellitus experienced treatment regimens differently, with insulin pump therapy enabling better body cue trust. Shame hindered support engagement, highlighting children as experts in their own diabetes management.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Psychology

Background:

  • Managing type 1 diabetes mellitus (T1DM) presents ongoing challenges for children.
  • Understanding children's lived experiences with T1DM treatment is crucial for effective care.

Purpose of the Study:

  • To explore how children aged 7-15 years experience different type 1 diabetes mellitus treatment regimens.
  • To identify factors influencing children's interpretation of bodily cues and engagement with support.

Main Methods:

  • Grounded theory approach used to analyze interviews with 17 children at two time points.
  • Qualitative data explored children's perspectives on illness phase and treatment regimen impact.

Main Results:

  • Illness phase and treatment regimen influenced interpretation of bodily cues.
  • Insulin pump therapy facilitated greater trust in bodily signals compared to other regimens.
  • Shame emerged as a significant barrier to seeking and engaging with support systems.
  • Children demonstrated varied internalized and externalized views of their T1DM.

Conclusions:

  • Children with T1DM are insightful experts of their own experiences.
  • Psychological interventions tailored to address shame and support engagement may improve T1DM management.
  • Further empirical testing of psychological interventions is recommended.

Keywords:
childrendiabetesgrounded theoryhealth psychologytreatment

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