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The Status and Influencing Factors of Health Behavior Self-Management in Children With Type 1 Diabetes Mellitus: A
Jin-Xia Yang1,2, Yue Liu1,3, Su-Ying Cao2
1Basic Medical Science Tongji University School of Medicine Shanghai China.
Insights
Children with Type 1 diabetes mellitus show moderate-low self-management skills for health behaviors. Factors like age and family income influence these skills, necessitating individualized interventions for better disease management.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Self-management is crucial for children with Type 1 diabetes mellitus (T1DM).
- Understanding the status and influencing factors of health behavior self-management in pediatric T1DM is essential for effective disease management.
- This study investigates these aspects in a cohort of children with T1DM.
Purpose of the Study:
- To assess the current level of health behavior self-management in children with T1DM.
- To identify factors influencing self-management skills in this population.
- To inform the development of targeted interventions to improve T1DM management in children.
Main Methods:
- A cross-sectional study involving 132 children with T1DM.
- Data collected via a general information questionnaire and the Type 1 Diabetes Behavioral Rating Scale.
- Convenience sampling was employed at a tertiary children's hospital.
Main Results:
- The overall mean health behavior self-management score was 0.60 ± 0.15, indicating a middle-low level.
- Significant differences in self-management scores were observed based on age, years since diagnosis, only child status, family structure, family history of diabetes, parental literacy, and family income (p < 0.05).
- Age, only child status, family structure, family history of diabetes, and family income were identified as significant influencing factors (p < 0.05).
Conclusions:
- Children with T1DM exhibit a middle-low level of health behavior self-management.
- Individualized interventions tailored to children's specific characteristics are recommended.
- Improving self-management abilities can enhance disease control and quality of life for children with T1DM.
Background And Aims:
To investigate the status of self-management of health behaviors in children with Type 1 diabetes mellitus and to analyze their influencing factors. Self-management skills are essential for disease management in children with Type 1 diabetes.
Methods:
This cross-sectional study was conducted on 132 children with Type 1 diabetes mellitus hospitalized in the Department of Endocrinology and Genetic Metabolism of a tertiary children's hospital. Children were selected from September 2023 to March 2024 by convenience sampling method. A general information questionnaire and the Type 1 Diabetes Behavioral Rating Scale were used to conduct the questionnaire survey.
Results:
The mean of health behavior self-management score was (0.60 ± 0.15), and the mean scores of the four dimensions were: daily care behaviors (0.74 ± 0.16), adjustment of diabetes care behaviors (0.29 ± 0.24), diabetes care behavior intervention (0.52 ± 0.25), and other diabetes care behaviors (0.61 ± 0.27) points; one-way analysis of variance showed that the differences in self-management scores of health behaviors of children with Type 1 diabetes mellitus were statistically significant when comparing children with different ages, years since diagnosis, whether they were only children, family structure, whether there was a family member with a diagnosis of diabetes mellitus, literacy level of the parents, and average monthly family income (p < 0.05); the differences between age, whether they were only children, family structure, whether there was a family member with a diagnosed with diabetes mellitus, and average monthly family income were influential factors in the self-management of health behaviors of children with Type 1 diabetes mellitus (p < 0.05).
Conclusion:
The level of health behavior self-management of children with Type 1 diabetes mellitus is in the middle-low level, and individualized interventions can be carried out for children with different characteristics to promote the improvement of children's ability to manage their disease and improve their quality of life.
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