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Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review.

Sara L Davis1, Sarah S Jaser2, Nataliya V Ivankova3

  • 1Maternal Child Health Nursing, University of South Alabama, 5721 USA Dr N, Mobile, AL, 36688, USA. saradavis@southalabama.edu.

Current Diabetes Reports
|April 25, 2023
PubMed
Summary

Mixed methods research (MMR) uniquely examines factors affecting type 1 diabetes (T1D) management in children. Limited studies exist, but future MMR could improve glycemic control and health outcomes.

Keywords:
ChildrenDiabetes managementMixed methods researchSocio-ecological frameworkType 1 diabetes

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Area of Science:

  • Pediatrics
  • Endocrinology
  • Diabetes Research

Background:

  • Type 1 diabetes (T1D) management in children involves complex factors influencing glycemic control.
  • Traditional research methods (qualitative or quantitative) have limitations in studying these intricate aspects in pediatric populations.
  • Mixed methods research (MMR) provides innovative approaches for investigating complex questions in children with T1D and their families.

Purpose of the Study:

  • To review and synthesize existing empirical mixed methods research (MMR) studies involving children with T1D.
  • To identify themes, trends, and inconsistencies in the application of MMR in pediatric T1D research.
  • To highlight the potential of MMR to enhance understanding and management of T1D in children.

Main Methods:

  • A focused, methodological literature review was conducted.
  • Twenty empirical MMR studies including children with T1D and/or their caregivers were identified and analyzed.
  • Synthesis of findings to elicit common themes and methodological trends.

Main Results:

  • Key themes identified in the reviewed MMR studies were disease management, intervention evaluation, and support systems.
  • Significant inconsistencies were found in the reporting of MMR definitions, rationales, and study designs across the literature.
  • A limited number of studies currently employ MMR to investigate concepts pertinent to children with T1D.

Conclusions:

  • MMR offers a valuable framework for studying complex issues in pediatric T1D management.
  • Addressing inconsistencies in MMR reporting is crucial for future research.
  • Future MMR studies, particularly those incorporating child-reported data, hold promise for improving disease management and glycemic outcomes in children with T1D.