Journal articles on the topic 'Adolescent diabetes'
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Goulart Nobre, Camila Magroski, Aline Rodrigues Costa, Alex Sandra Minasi, Silvana Medeiros Possani, Marina Soares Mota, and Giovana Calcagno Gomes. "Cuidado à criança e ao adolescente com diabetes mellitus tipo 1." Revista de Enfermagem UFPE on line 13, no. 1 (January 3, 2019): 111. http://dx.doi.org/10.5205/1981-8963-v13i1a238622p111-117-2019.
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ABSTRACTObjective: to learn about the strategies used by the family for the care of children and adolescents with Type 1 Diabetes Mellitus. Method: this is a qualitative, exploratory and descriptive study developed with 12 family caregivers. The data was collected through semi-structured interviews, subjecting them to the Content Analysis technique. Results: it is related to the main strategy used by the family to care for food adaptation of the child and the adolescent; children and adolescents are encouraged to coexist with others who have diabetes; other families with children with the same condition are sought for the exchange of experience about care. Other strategies are also considered the possibility of family adaptation to care for the child and adolescent and the fact that the adolescents themselves perform their self-care. Conclusion: the educational role of nurses in families is important in helping them to develop effective strategies for the care of children and adolescents with diabetes. Descriptors: Diabetes Mellitus; Child; Adolescent; Family; Quality of life; Nursing.RESUMO Objetivo: conhecer as estratégias utilizadas pela família para o cuidado à criança e ao adolescente com Diabetes Mellitus tipo 1. Método: trata-se de um estudo qualitativo, exploratório e descritivo desenvolvido com 12 familiares cuidadores. Coletaram-se os dados por meio de entrevistas semiestruturadas submetendo-os à técnica de Análise de Conteúdo. Resultados: relaciona-se a principal estratégia utilizada pela família para o cuidado à adaptação alimentar da criança e do adolescente; propicia-se a convivência da criança e do adolescente com outros que tenham diabetes; procuram-se outras famílias com filhos com a mesma condição para se realizar a troca de experiência acerca do cuidado. Consideram-se, também, outras estratégias a possibilidade da adaptação da família ao cuidado à criança e ao adolescente e o fato dos próprios adolescentes realizarem seu autocuidado. Conclusão: conclui-se como importante o papel educativo do enfermeiro junto às famílias no sentido de auxiliá-las no desenvolvimento de estratégias efetivas de cuidado à criança e ao adolescente com diabetes. Descritores: Diabetes Mellitus; Criança; Adolescente; Família; Qualidade de Vida; Enfermagem.RESUMEN Objetivo: conocer las estrategias utilizadas por la familia para el cuidado al niño y al adolescente con Diabetes Mellitus tipo 1. Método: se trata de un estudio cualitativo, exploratorio y descriptivo desarrollado con 12 familiares cuidadores. Se recogen los datos por medio de entrevistas semiestructuradas sometiéndolos a la técnica de Análisis de Contenido. Resultados: se relaciona la principal estrategia utilizada por la familia para el cuidado a la adaptación alimentaria del niño y del adolescente; se propicia la convivencia del niño y del adolescente con otros que tengan diabetes; se buscan otras familias con hijos con la misma condición para realizar el intercambio de experiencia acerca del cuidado. Se considera, también, otras estrategias la posibilidad de la adaptación de la familia al cuidado al niño y al adolescente y el hecho de los propios adolescentes realizar su autocuidado. Conclusión: se concluye como importante el papel educativo del enfermero junto a las familias en el sentido de auxiliarlas en el desarrollo de estrategias efectivas de cuidado al niño y al adolescente con diabetes. Descriptores: Diabetes Mellitus; Niño; Adolescente; Familia; Calidad de Vida; Enfermería.
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Tsur, Avishai M., Shir Hershkovich, Inbar Zucker, Miri Lutski, Orit Pinhas-Hamiel, Asaf Vivante, Maya Fischman, et al. "Stuttering and Incident Type 2 Diabetes: A Population-Based Study of 2.2 Million Adolescents." Journal of Clinical Endocrinology & Metabolism 106, no. 4 (January 15, 2021): 978–87. http://dx.doi.org/10.1210/clinem/dgaa988.
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Abstract Purpose To investigate the association between stuttering in adolescence and incident type 2 diabetes in young adulthood. Methods This nationwide population-based study included 2 193 855 adolescents of age 16 to 20 years who were assessed for military service between 1980 and 2013. Diagnoses of stuttering in adolescence were confirmed by a speech-language pathologist. Diabetes status for each individual as of December 31, 2016, was determined by linkage to the Israeli National Diabetes Registry. Relationships were analyzed using regression models adjusted for socioeconomic variables, cognitive performance, coexisting morbidities, and adolescent body mass index. Results Analysis was stratified by sex (Pinteraction = 0.035). Of the 4443 (0.4%) adolescent men with stuttering, 162 (3.7%) developed type 2 diabetes, compared with 25 678 (2.1%) men without stuttering (adjusted odds ratio [OR] 1.3; 95% CI, 1.1-1.6). This relationship persisted when unaffected brothers of men with stuttering were used as the reference group (adjusted OR = 1.5; 95% CI, 1.01-2.2), or when the analysis included only adolescents with unimpaired health at baseline (adjusted OR = 1.4; 95% CI, 1.1-1.7). The association was stronger in later birth cohorts, with an adjusted OR of 2.4 (1.4-4.1) for cases of type 2 diabetes before age 40. Of the 503 (0.1%) adolescent women with stuttering 7 (1.4%) developed type 2 diabetes, compared with 10 139 (1.1%) women without stuttering (OR = 2.03; 95% CI, 0.48-2.20). Conclusions Adolescent stuttering is associated with an increased risk for early-onset type 2 diabetes among men.
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Blake, Jill Emmett. "A Mentoring Program for Adolescents With Diabetes." Diabetes Educator 23, no. 6 (December 1997): 681–84. http://dx.doi.org/10.1177/014572179702300608.
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Adequate psychosocial support is a major factor in well-managed diabetes, especially with newly-diagnosed adolescents who face many life changes. A review of the literature shows that few psychosocial support systems exist for adolescents with diabetes. Few psychosocial interventions have been tested and shown to be effective in improving the diabetes-related behavior of adolescents. The purpose of this paper is to provide an overview of the emotional and developmental needs of adolescents who are newly diagnosed with insulin-dependent diabetes mellitus and to propose a mentoring program that pairs a qualified, supportive young adult who is knowledgeable about diabetes with a newly diagnosed teenager with a similar socioeconomic background. The trained mentor will provide support to the adolescent regarding diabetes-related issues as well as other issues related to adolescence.
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Hanna, Kathleen M., and Diana Guthrie. "Adolescents' Behavioral Autonomy Related to Diabetes Management and Adolescent Activities/Rules." Diabetes Educator 29, no. 2 (March 2003): 283–91. http://dx.doi.org/10.1177/014572170302900219.
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PURPOSE the purpose of this preliminary study was to describe and explore the behavioral autonomy (both independent functioning and decision making) of adolescents with type 1 diabetes. METHODS A sample of 34 adolescents with type 1 diabetes completed checklists on independent functioning and decision making for daily and nondaily diabetes management as well as typical adolescent activities/rules. RESULTS Independent functioning in daily diabetes management was greater for older adolescents. Independent functioning and decision making for daily diabetes management, nondaily diabetes management, and typical adolescent activities/rules were strongly correlated. Independent decision making, but not independent functioning for daily diabetes management, was significantly correlated to metabolic control. CONCLUSIONS The strong relationship between independent decision making and functioning suggests that both aspects are important parts of behavioral autonomy to be assessed by healthcare professionals working with adolescents with type 1 diabetes. Healthcare professionals should encourage parental involvement that facilitates adolescents' independent decision making, which was related to better metabolic control in this study.
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Whittemore, Robin, Rebekah M. Zincavage, Sarah S. Jaser, Margaret Grey, Julia L. Coleman, David Collett, Roberta Delvy, Bridget Basile Ibrahim, and Lisa D. Marceau. "Development of an eHealth Program for Parents of Adolescents With Type 1 Diabetes." Diabetes Educator 44, no. 1 (December 20, 2017): 72–82. http://dx.doi.org/10.1177/0145721717748606.
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Purpose The purpose of this study was to understand the experience of parenting an adolescent with type 1 diabetes (T1DM), to develop a prototype of an eHealth program for parents of adolescents with T1DM, and to evaluate the prototype content and acceptability from the perspective of parents and health care providers. Methods A multiphase method was used generating both qualitative and quantitative data at multiple time points. There were 27 parents of adolescents aged 12 to 18 years with T1DM and 16 health care providers who participated in semistructured interviews to identify parental challenges; 53 parents and 27 providers evaluated the prototype. Thematic content analysis was used to analyze interview transcripts, and descriptive statistics were used to summarize survey data. Results Challenges experienced by parents of adolescents with T1DM included understanding the developmental and hormonal changes of adolescence that affect diabetes care, feeling tension between adolescent independence and parent control, communicating without nagging or conflict, transferring diabetes care responsibility safely, dealing with feelings of stress and distress, and perceiving a lack of resources for T1DM care and insufficient personal time for self-care. In the prototype evaluation, both parents and providers found content to be relevant and provided feedback to guide the development of the full program. Conclusions Parents of adolescents with T1DM and providers expressed a need for parents to have more support in transitioning diabetes care from parent to adolescent. eHealth programs offer an ideal way to address these needs and ultimately can be linked to electronic medical records improving quality and efficiency of health care in this population.
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Vesco, Anthony T., Aneta M. Jedraszko, Kimberly P. Garza, and Jill Weissberg-Benchell. "Continuous Glucose Monitoring Associated With Less Diabetes-Specific Emotional Distress and Lower A1c Among Adolescents With Type 1 Diabetes." Journal of Diabetes Science and Technology 12, no. 4 (March 29, 2018): 792–99. http://dx.doi.org/10.1177/1932296818766381.
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Background: Psychosocial impact research of continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) among adolescents with type 1 diabetes (T1D) is limited. The present study assesses associations between diabetes technology use on adolescent- and parent-perceived diabetes-specific distress and A1c. Method: Adolescents with T1D and parents (N = 1040; primarily mothers) completed measures of diabetes distress. Adolescents were categorized by technology use: CGM Alone, CSII Alone, CGM+CSII, or No Technology. ANOVA, regression, and Cohen’s d were used for group comparisons on measures of diabetes distress and A1c. Analyses also compared groups on clinical elevations of distress. Results: CGM use was associated with less adolescent distress compared to No Technology ( d = 0.59), CGM+CSII ( d = 0.26), and CSII Alone ( d = 0.29). Results were similar but with smaller effect size for parent-reported distress, although CGM+CSII showed equivocal association with parent distress compared to No Technology ( d = 0.18). CGM Alone was associated with lower A1c compared to No Technology ( d = 0.48), to CSII Alone ( d = 0.37), and was comparable to CGM+CSII ( d = 0.03). CGM+CSII conferred advantage over CSII Alone ( d = 0.34). Clinical elevation of distress was associated with not using any technology particularly for adolescents. Conclusions: Technology use is associated with lower adolescent distress than lower parent distress. CGM Alone is associated with lower adolescent and parent distress than CSII or CGM+CSII. This appears to be clinically meaningful based on cut scores for measures. CGM is associated with lower A1c independent of being used alone or with CSII.
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Pelicand, Julie, Dominique Charlier, Marc Maes, Severine Henrard, and Isabelle Aujoulat. "Metabolic control in adolescents with type 1 diabetes: looking at the role of perceived consistent parenting support of self-care." Education Thérapeutique du Patient - Therapeutic Patient Education 10, no. 1 (June 2018): 10204. http://dx.doi.org/10.1051/tpe/2018008.
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Objectives: Different parenting practices contribute differently to the development of adolescent self-care. However, little is known about the impact of consistent parenting practices on adolescent self-care and metabolic control. Our study aimed to explore the association between parenting practices and adolescent metabolic control when both parents were consistent in supporting the adolescent’ management of (i) diabetes alone, (ii) psychosocial life issues alone and (iii) both diabetes and psychosocial life issues. Moreover, we looked at the types of consistent parenting practices most frequently associated with optimal metabolic control. Methods: 31 adolescents with type 1-diabetes aged 13 to 15 were interviewed during a diabetes summer camp in France. A mixed-methods (both qualitative and quantitative) design was used in order to code the different reported parenting practices, and to identify associations between different types of perceived parental consistencies and the adolescents’ metabolic control. Results: The results significantly support the hypothesis that consistent parental support of all aspects of self-care is associated with better glycaemic control in young adolescents. Conclusion: A dimension of family work should be more systematically included in diabetes care in order to strengthen the parents’ capacity to effectively and adequately support their adolescents’ emerging self-care capacity in the medical and psychosocial dimensions of self-care.
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Jespersen, Louise N., Mathilde H. Vested, Lise B. Johansen, and Dan Grabowski. "Mirroring Life of Adolescents with Type 1 Diabetes—An Outline of Key Aspects." Diabetology 2, no. 3 (August 18, 2021): 141–56. http://dx.doi.org/10.3390/diabetology2030013.
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Background: Studies have shown that adolescents find diabetes management difficult and struggle with incorporating diabetes management into their daily life. A focus on issues adolescents perceive as important is necessary when designing high quality interventions aimed at improving health outcomes for adolescents with T1D. The present study aimed to provide: (1) a broad comprehensive reflection on issues adolescents with diabetes perceive as important; (2) a basis for developing a ‘Family Mirror’, specifically designed to generate dialogue in families with an adolescent with T1D. Methods: The qualitative data originate from 11 workshops with a total of 47 adolescents with diabetes between 8 and 18 years of age. Data were systematically analyzed. Results: Seven overarching, empirical themes were identified that provided an outline of aspects important to adolescents living with T1D: (1) Support, (2) Understanding, (3) Worries, (4) Limitations, (5) Independence, (6) Perceptions, and (7) Management. Several empirical indicators elaborated on the themes, thus creating a comprehensive reflection of life with T1D during adolescence. Conclusions: Given our comprehensive and broad approach to uncovering key aspects adolescents with diabetes perceive as important, we trust that the findings can be used as a basis for designing interventions intended for adolescents with T1D.
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Alencar, Isabele Gouveia Muniz, Gisele Gouveia Muniz, Carla Muniz Medeiros, and Camila Muniz Medeiros. "Monitorização glicêmica de adolescentes brasileiros com diabetes tipo 1." Revista de Enfermagem UFPE on line 12, no. 7 (July 3, 2018): 2012. http://dx.doi.org/10.5205/1981-8963-v12i7a231277p2012-2020-2018.
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RESUMOObjetivo: verificar os métodos utilizados por adolescentes brasileiros com DM1 na monitorização glicêmica e conceitos associados a essa prática. Método: revisão integrativa, realizada entre fevereiro a agosto de 2017, por meio da MEDLINE, LILACS e SCIELO. A análise dos estudos considerou o nível de evidência. Os resultados foram apresentados considerando a sequência cronológica decrescente e as temáticas advindas da análise dos artigos. Resultados: observaram-se as temáticas “1. Perspectivas de estudos sobre Diabetes Mellitus Tipo 1 (DM1) em adolescentes no Brasil”; “2. Monitorização da glicemia em adolescentes brasileiros com DM1: conceitos e métodos” e “3. O papel das técnicas de mensuração primária para o controle do DM1 em adolescentes”. Conclusão: aponta-se que a análise da Hemoglobina A Glicosilada (HbA1c) foi o método mais empregado para a monitorização de adolescentes com DM1. Verifica-se, também, que há dificuldades da comunidade científica em incluir crianças e adolescentes com DM1 em estudos experimentais. Descritores: Adolescentes; Insulina; Automonitorização da Glicemia; Hemoglobina A Glicosilada; Diabetes Mellitus Tipo I; Educação em Saúde.ABSTRACT Objective: to verify the methods used by Brazilian adolescents with DM1 in glycemic monitoring and concepts associated with this practice. Method: integrative review, carried out between February and August of 2017, through MEDLINE, LILACS and SCIELO. The analysis of the studies considered the level of evidence. The results were presented considering the decreasing chronological sequence and the themes coming from the analysis of the articles. Results: the themes "1. Perspectives of studies on Type 1 Diabetes Mellitus (DM1) in adolescents in Brazil "; "2. Monitoring of glycemia in Brazilian adolescents with DM1: concepts and methods "e" 3. The role of primary measurement techniques for the control of DM1 in adolescents " were observed. Conclusion: it is pointed out that the analysis of Glycosylated Hemoglobin A (HbA1c) was the most used method for the monitoring of adolescents with DM1. It is also verified that there are difficulties of the scientific community to include children and adolescents with DM1 in experimental studies. Descriptors: Adolescent; Insulin; Blood Glucose Self-Monitoring; Hemoglobin A, Glycosylated; Diabetes Mellitus, Type I, Health Education.RESUMEN Objetivo: verificar los métodos utilizados por adolescentes brasileños con DM1 en la monitorización glucémica y conceptos asociados a esta práctica. Método: revisión integrativa, realizada entre febrero a agosto de 2017, por medio de MEDLINE, LILACS y SCIELO. El análisis de los estudios consideró el nivel de evidencia. Los resultados fueron presentados considerando la secuencia cronológica decreciente y las temáticas provenientes del análisis de los artículos. Resultados: se observaron las temáticas: “1. Perspectivas de estudios sobre Diabetes Mellitus Tipo 1 (DM1) en adolescentes en Brasil”; “2. Monitoreo de la glucemia en adolescentes brasileños con DM1: conceptos y métodos”; y “3. El papel de las técnicas de medición primaria para el control del DM1 en adolescentes”. Conclusión: se señala que el análisis de la Hemoglobina A Glicosilada (HbA1c), fue el método más empleado para monitorización de adolescentes con DM1. Se verifica, también, que hay dificultades de la comunidad científica en incluir niños y adolescentes con DM1 en estudios experimentales. Descriptores: Adolescente; Insulina; Automonitorización de la Glucosa Sanguínea; Hemoglobina A Glicosilada; Diabetes Mellitus Tipo I, Educacion en Salud.
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Núñez-Baila, María de los Ángeles, Anjhara Gómez-Aragón, and José Rafael González-López. "Social Support and Peer Group Integration of Adolescents with Diabetes." International Journal of Environmental Research and Public Health 18, no. 4 (February 20, 2021): 2064. http://dx.doi.org/10.3390/ijerph18042064.
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The aim of this study was to examine, through the roles of peers with regards to diabetes, the relationship between the support perceived by adolescents with diabetes and their peer-group affiliation. This is a descriptive, phenomenological and retrospective study based on a qualitative methodology. In-depth interviews with 15 people aged 18–35 with type 1 diabetes mellitus diagnosed in their childhood or adolescence were carried out. Data was analyzed through the interpretation of general discourses. Peers have considerable influence on adolescents and provide them social support from different roles. The protective role basically offers emotional support and sends reminders of different aspects of the treatment, while the indifferent role does not meddle in any aspect related to the diabetes. Both roles can foster social integration of adolescents with diabetes into the peer group. The offender role creates social conflicts through discrimination and stigma of adolescents with diabetes. These roles appear during the process of socialization of adolescents with diabetes, where commensality and situations of self-monitoring or administering insulin, key aspect of diabetes treatment, are crucial. Peer groups, depending on the role adopted, may offer support or bring a specific conflict regarding diabetes to their adolescent peer. The combination of roles that friends and peer group play with regards to diabetes will determine the degree of socialization and integration of adolescents with diabetes.
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Cheung, Ruth, Virginia Young Cureton, and Daryl L. Canham. "Quality of Life in Adolescents With Type 1 Diabetes Who Participate in Diabetes Camp." Journal of School Nursing 22, no. 1 (February 2006): 53–58. http://dx.doi.org/10.1177/10598405060220010901.
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Quality of life in adolescents with Type 1 diabetes is a growing area of interest in pediatric research. The complex diabetes regimen imposes challenges for an adolescent. Adolescents diagnosed with diabetes are a group that appears to be at risk for having a poor health-related quality of life. Although research supports the positive relationship of social support and well-being in adolescents, there are few studies discussing quality of life in adolescents that are based on the factor of social support. This study compared the quality of life in adolescents with Type 1 diabetes who have attended at least one diabetes camp to the quality of life of those who have never attended diabetes camp. Results provided evidence of the value of social support.
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Dunger, David B. "Childhood and Adolescent Diabetes." Clinical Endocrinology 49, no. 1 (July 1998): 137. http://dx.doi.org/10.1046/j.1365-2265.1998.00521.x.
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Jefferson, I. G. "Childhood and Adolescent Diabetes." Archives of Disease in Childhood 73, no. 4 (October 1, 1995): 382. http://dx.doi.org/10.1136/adc.73.4.382.
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Dunger, David, and Timothy Cheetham. "The adolescent with diabetes." Current Paediatrics 3, no. 3 (September 1993): 125–29. http://dx.doi.org/10.1016/0957-5839(93)90014-v.
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Serlachius, Anna, Erica Frydenberg, Elisabeth Northam, and Fergus Cameron. "A Qualitative Study Exploring Coping Strategies in Youth With Type 1 Diabetes." Children Australia 36, no. 3 (September 1, 2011): 144–52. http://dx.doi.org/10.1375/jcas.36.3.144.
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Adolescents diagnosed with a chronic illness such as type 1 diabetes mellitus (T1DM) face the typical physical and psychosocial challenges associated with adolescence, as well as the additional challenges of having to cope with the daily stressors of living with a chronic illness. In order to explore coping strategies in this population of adolescents, and to compare the constructs with those identified by the Adolescent Coping Scale (ACS), four focus groups were conducted with 13 adolescents with T1DM. The qualitative data was analysed using content analysis and grouped according to the ACS. Prevalent nonproductive coping strategies included Tension Reduction (the use of maladaptive techniques to reduce tension/stress), Ignore the Problem and Keep to Self. Prevalent productive coping strategies included Seek Social Support, Physical Recreation and Seek Relaxing Diversions. The qualitative data not only affirmed the conceptual areas of the ACS for use with adolescents with T1DM, but also highlighted the need to teach coping strategies to adolescents with T1DM to give them an additional skill set to help them better manage the challenges of diabetes.
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Damião, Elaine Buchhorn Cintra, and Carolina Marques Marcondes Pinto. "Being transformed by illness: adolescents' diabetes experience." Revista Latino-Americana de Enfermagem 15, no. 4 (August 2007): 568–74. http://dx.doi.org/10.1590/s0104-11692007000400008.
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This research aimed to understand the experience of adolescents to live with a chronic illness like diabetes mellitus type 1. Symbolic Interactionism and Grounded Theory were both used as theoretical and methodological frameworks respectively. The results allowed us to know the adolescents' perceptions about their experience in living with diabetes through three themes: Knowing the diabetes diagnosis; Being transformed by illness and Being a sharp life. The adolescents in this study were resilient people because they became stronger in spite of the illness, being transformed. In this way, the resilient adolescent is capable of healing his/her wounds, being in charge of his/her own life and having a full life.
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Schneider, Elizabeth M., Dawn K. Wilson, Heather Kitzman-Ulrich, Sara M. St George, and Kassandra A. Alia. "The Associations of Parenting Factors with Adolescent Body Mass Index in an Underserved Population." Journal of Obesity 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/715618.
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Background. The current study examined parental factors related to risk of adolescent obesity within the context of a family systems framework.Methods. Seventy predominantly African American, low-income caregiver-adolescent dyads participated in the study. Validated measures of parental perceived child risk for development of type 2 diabetes mellitus, parental limit setting for sedentary behavior, and parental nurturance were evaluated as predictors of adolescent body mass index.Results. In this cross-sectional study, multiple linear regression demonstrated that parents of adolescents with higher zBMI reported worrying more about their child's risk of developing type 2 diabetes mellitus. Parent limit setting was also a significant predictor of adolescent zBMI. Contrary to expectations, higher levels of nurturance were associated with higher adolescent zBMI. Post hoc analyses revealed a trend towards a significant interaction between nurturance and limit setting, such that high levels of both parental nurturance and limit setting were associated with lower adolescent zBMI.Conclusions. Current findings suggest the importance of authoritative parenting and monitoring of adolescent health behaviors in the treatment of obesity.
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Chambers, Rachel A., Dane Hautala, Anne Kenney, Summer Rosenstock, Marissa Begay, Nicole Neault, Leonela Nelson, et al. "Empowering Native Adolescents: Responsibility for Their Health Behaviors." American Journal of Health Behavior 45, no. 1 (January 1, 2021): 3–16. http://dx.doi.org/10.5993/ajhb.45.1.1.
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Objectives: In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk. Methods: Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up. Results: At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month follow-up, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class. Conclusions: TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.
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Castro Viegas, Cynthia Griselda, and Francisca Georgina Macedo De Sousa. "NECESSIDADES TÉCNICAS-INSTRUMENTAIS DO CUIDADOR DE CRIANÇAS E ADOLESCENTES COM DIABETES." Enfermagem em Foco 6, no. 1/4 (April 4, 2016): 62–66. http://dx.doi.org/10.21675/2357-707x.2015.v6.n1/4.579.
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A investigação objetivou compreender necessidades de cuidadores familiares no cuidado à criança/adolescente com diabetesmellitus em contexto domiciliar. Estudo qualitativo com dados coletados por entrevista não estruturada e tratamentoapoiado pela Análise Temática. Participaram do estudo 11 cuidadores familiares de crianças e adolescentes com diabetes. Asnecessidades dos cuidadores familiares no cuidado aos filhos com diabetes mellitus foram agrupadas na dimensão suportetécnico-instrumental compreendida a partir das necessidades de suporte financeiro para atender às exigências nutricionais/dietéticas; de suporte para o cuidado nos contextos domiciliar e escolar. Esse processo configurou-se rico em exigências ondeo cuidador familiar vivencia dificuldades e privações reveladas como necessidades para a continuidade do cuidado e para oprocesso de viver.Descritores: Cuidado Periódico, Diabetes Mellitus, Cuidado da Criança, Adolescente.INSTRUMENTAL TECHNIQUES REQUIRED FOR A CAREGIVER OF CHILDREN AND TEENAGERS WITH DIABETESThe research aimed to understand the needs of family caregivers in child care / adolescent with diabetes in the family context.It is a qualitative descriptive study with data collected by unstructured interview and treatment supported by thematic analysis.Study participants were 11 family caregivers of children and adolescents with diabetes. The needs family caregivers to carefor children with diabetes mellitus were grouped technical and instrumental support scale ranging from the needs of needfor financial support to meet the nutritional/dietary requirements; support needs for care in home and school contexts. Thisprocess set is rich in requirements where the family caregiver experiences hardships and privations as revealed needs forcontinuity of care and the process of living.Descriptors: Episode of Care, Diabetes Mellitus, Child Care, Adolescent.NECESIDADES TÉCNICAS-INSTRUMENTALES DEL CUIDADOR DE NIÑOS Y ADOLESCENTES CON DIABETESLa investigación tuvo objetivo comprender necesidades de los cuidadores familiares en el cuidado del niño/adolescentecon diabetes en contexto familiar. Trata de estudio descriptivo cualitativo con datos recolectados a través de entrevistas ytratamiento con el análisis temático. Los participantes del estudio fueron 11 cuidadores familiares de niños y adolescentes condiabetes. Las necesidades de los cuidadores familiares cuidan los niños con diabetes mellitus fueron agrupados en escala deapoyo técnico e instrumental que van desde las necesidades de apoyo financiero para cubrir requerimientos nutricionales/dietéticos; apoyo necesario para la atención los contextos familiar y escolar. Este conjunto proceso es rico en los requisitos queel cuidador familiar experimenta dificultades y privaciones como las necesidades reveladas por la continuidad de la atención yel proceso de la vida.Descriptores: Episodio de Atención, Diabetes Mellitus, Cuidado del niño, Adolescente.
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Zulissetiana, Eka Febri, Elsafani Faddiasya, Nursiah Nasution, Irfannuddin, and Sadakata Sinulingga. "Increased Levels of Glycated Hemoglobin (HbA1c) in Obese Adolescents." Biomedical Journal of Indonesia 6, no. 3 (November 24, 2020): 77–83. http://dx.doi.org/10.32539/bji.v6i3.235.
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The Increment of Glycated Hemoglobin (HbA1c) in Obese Adolescent. Obesity in childrenand adolescents is a serious concern because the prevalence is increasing every yearthroughout the world. Obesity in children and adolescents is associated with anincreased risk of impaired glucose tolerance, dyslipidemia and diabetes. Glycatedhemoglobin (HbA1c) has been recommended as a diagnostic tool to identify diabetes. Thepurpose of this study was to determine differences in levels of glycated hemoglobin(HbA1c) in obese and non-obese adolescents aged 15-19 years. This study was anobservational analytic study with a cross-sectional approach. The study was conductedin Palembang 1 Public High School and the Faculty of Medicine of Sriwijaya Universityand found 50 subjects consisting of obese adolescents and non-obese adolescent groups.Nutritional status was determined by measuring body mass index according to age andgender. Examination of HbA1c levels was carried out using a Nycocard Reader. Theresults of the study with Mann Whitney alternative test showed a p value of 0,000 (p<0.05) with an average HbA1c level in obese adolescents by 6.1% and an average HbA1clevel in non-obese adolescents by 4.7%. In conclusion, HbA1c levels in obese adolescentsaged 15-19 years are higher than non-obese adolescent.
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Weissberg-Benchell, J., A. M. Glasgow, W. D. Tynan, P. Wirtz, J. Turek, and J. Ward. "Adolescent Diabetes Management and Mismanagement." Diabetes Care 18, no. 1 (January 1, 1995): 77–82. http://dx.doi.org/10.2337/diacare.18.1.77.
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Reeser, H. M. "De adolescent met diabetes mellitus." Bijblijven 22, no. 7 (July 2006): 286–91. http://dx.doi.org/10.1007/bf03059953.
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SPLETE, HEIDI. "Quell Adolescent Rebellion Against Diabetes." Family Practice News 35, no. 9 (May 2005): 22. http://dx.doi.org/10.1016/s0300-7073(05)70641-1.
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Schindler, Alan M. "Pediatric and adolescent diabetes mellitus." Journal of Pediatrics 112, no. 2 (February 1988): 323. http://dx.doi.org/10.1016/s0022-3476(88)80088-x.
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Wales, J. K. "The management of adolescent diabetes." Practical Diabetes International 2, no. 5 (September 1985): 4. http://dx.doi.org/10.1002/pdi.1960020503.
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Kinmonth, A.-L. "Pediatric and Adolescent Diabetes Mellitus." Archives of Disease in Childhood 62, no. 12 (December 1, 1987): 1296–97. http://dx.doi.org/10.1136/adc.62.12.1296-c.
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Ibáñez, Lourdes, Sharon E. Oberfield, Selma Witchel, Richard J. Auchus, R. Jeffrey Chang, Ethel Codner, Preeti Dabadghao, et al. "An International Consortium Update: Pathophysiology, Diagnosis, and Treatment of Polycystic Ovarian Syndrome in Adolescence." Hormone Research in Paediatrics 88, no. 6 (2017): 371–95. http://dx.doi.org/10.1159/000479371.
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This paper represents an international collaboration of paediatric endocrine and other societies (listed in the Appendix) under the International Consortium of Paediatric Endocrinology (ICPE) aiming to improve worldwide care of adolescent girls with polycystic ovary syndrome (PCOS)1. The manuscript examines pathophysiology and guidelines for the diagnosis and management of PCOS during adolescence. The complex pathophysiology of PCOS involves the interaction of genetic and epigenetic changes, primary ovarian abnormalities, neuroendocrine alterations, and endocrine and metabolic modifiers such as anti-Müllerian hormone, hyperinsulinemia, insulin resistance, adiposity, and adiponectin levels. Appropriate diagnosis of adolescent PCOS should include adequate and careful evaluation of symptoms, such as hirsutism, severe acne, and menstrual irregularities 2 years beyond menarche, and elevated androgen levels. Polycystic ovarian morphology on ultrasound without hyperandrogenism or menstrual irregularities should not be used to diagnose adolescent PCOS. Hyperinsulinemia, insulin resistance, and obesity may be present in adolescents with PCOS, but are not considered to be diagnostic criteria. Treatment of adolescent PCOS should include lifestyle intervention, local therapies, and medications. Insulin sensitizers like metformin and oral contraceptive pills provide short-term benefits on PCOS symptoms. There are limited data on anti-androgens and combined therapies showing additive/synergistic actions for adolescents. Reproductive aspects and transition should be taken into account when managing adolescents.
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Talwar, Vipan, and Gourav Talwar. "Assessment of Depression Among Adolescent Indian Girls With PCOS." Journal of the Endocrine Society 5, Supplement_1 (May 1, 2021): A738. http://dx.doi.org/10.1210/jendso/bvab048.1501.
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Abstract Background: Prevalence of PCOS is increasing among Indian women due to growing changes in environment and lifestyle and also due to awareness of symptoms and willingness to seek medical help. Six out of ten females diagnosed with PCOS are teenage girls. Studies have shown that the women with PCOS often suffer from psychiatric comorbidities including depression but the data regarding the prevalence of depression in adolescent Indian girls with PCOS are scarce. Aim: To find out the prevalence of depression and its associations among adolescent Indian girls with PCOS. Methods: This was a cross sectional, case-control study conducted in the Endocrinology department of a speciality hospital of North India. We evaluated 160 newly diagnosed adolescent PCOS girls aged between 13-19 years, diagnosed by Revised Rotterdam criteria. Control group included 80 healthy, age matched, non-PCOS girls. Detailed history, Anthropometric measurements and standard hormonal evaluation were done. Depression was assessed by administering Patient Health Questionnaire-Adolescents (PHQ-A), a self-administered questionnaire based on DSM IV criteria. PHQ-A score of >10 was considered as the threshold for significant depression. Statistical evaluation was done with SPSS and P value of <0.05 was significant. Results: Mean age of the patients was 16.3 +/- 3.2yrs. The frequencies of significant depression in PCOS and control groups were 36.5% and 11.9% respectively. PCOS adolescents having higher HOMA-IR value (p-0.03), higher hirsutism score (P-0.01) and higher BMI (p-<0.01) had a higher risk of significant depression. Menstrual irregularity, acne, dyslipidaemia, serum testosterone, 17-OHP, prolactin and serum TSH levels had no significant correlation with depression. Discussion: PCOS commonly prevails during adolescence, a phase when girls are more concerned about their physiology and physical health. Negative body image and chronic stress can lead to disturbed mental health. Our study by using a simple and patient friendly clinical tool the PHQ-A has found higher prevalence of depression (almost 3 times) in Indian adolescent PCOS girls as compared to controls and it significantly corelates with insulin resistance, hirsutism and obesity. PCOS puts tremendous burden, on both physical as well as mental health, especially in adolescents, due to its effects on physical appearance, self-esteem, fertility and also due to other long term metabolic complications associated with it. PCOS is an urgent health problem that needs careful assessment and appropriate treatment of its all aspects. Timely recognition of mental health issues in these girls can help with early interventions including referral to mental health specialists (if needful) and add to the wellbeing of these young girls. Conclusion: The initial evaluation of PCOS in adolescent girls should also include the assessment of mental health disorders.
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Xu, Jinyu, Keeley Pratt, Monika Chaudhari, Rohan Henry, Rebecca A. Hubbard, Robert Siegel, and Ihuoma Eneli. "On a Different Page! Perceptions on the Onset, Diagnosis, and Management of Type 2 Diabetes Among Adolescent Patients, Parents, and Physicians." Global Pediatric Health 8 (January 2021): 2333794X2110464. http://dx.doi.org/10.1177/2333794x211046430.
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To examine perceptions about the diagnostic process and post-diagnosis care of type 2 diabetes (T2D) from adolescent patients, parents, and diabetes care physicians, semi-structured interviews were conducted with 8 individuals from each group. Interview transcripts were coded using content analysis. Emerged categories were compared among 3 groups. Half of adolescent patients and parents were surprised by the T2D diagnosis, despite most reporting that patients experienced common symptoms of T2D prior to diagnosis. Adolescents and parents recognized diet, exercise, and weight gain as risk factors after diagnosis, whereas physicians noted weight gain as a common risk factor pre-diagnosis. All 3 groups noted the importance of maintaining a healthy lifestyle and adherence to T2D management, though physicians noted the challenges from socioeconomic structural inequalities. Adolescent and parents were surprised by the T2D diagnosis, suggesting the need for increasing awareness of risk factors and symptomatology of T2D among at-risk adolescents and parents.
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Mattosinho, Mariza Maria Serafim, and Denise Maria Guerreiro Vieira da Silva. "Therapeutic itinerary of the family and adolescent with type i mellitus diabetes." Revista Latino-Americana de Enfermagem 15, no. 6 (December 2007): 1113–19. http://dx.doi.org/10.1590/s0104-11692007000600009.
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This is a qualitative assistential convergent study. Its main objective is to understand the therapeutic itinerary of adolescents with type 1 mellitus diabetes, as well as that of their families. The sample was composed of adolescents, between 15 and 25 years old, involved with a health institution in Florianópolis through the Health Care model that includes professional, family, and popular subsystems. Data were obtained through in-depth interviews and field observation of 20 people (relatives and adolescents with diabetes). The data analysis included data codification and categorization. Two categories were constructed: Decisions and negotiations about health, care and treatment; and the journey through the three subsystems of health care. The study permitted to understand that the treatment and care within the professional subsystem are not the only ones available. There are different practices in health performed from the evaluation each family makes, of what they believe adequate for their adolescent with diabetes.
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Zhao, Min, Pascal Bovet, and Bo Xi. "Weight Status Change From Adolescence to Young Adulthood and the Risk of Hypertension and Diabetes Mellitus." Hypertension 76, no. 2 (August 2020): 583–88. http://dx.doi.org/10.1161/hypertensionaha.120.14882.
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It is still unclear whether the risk of hypertension and diabetes mellitus in adulthood remains increased if excess weight in adolescence recedes later in life. This study examines the effect of change in weight status from adolescence to young adulthood on the risk of hypertension and diabetes mellitus. A total of 4454 adolescents aged 12 to 19 years from the US National Longitudinal Study of Adolescent Health (1994–1995) were followed up to young adulthood (25–32 years, 2007–2008). After a median follow-up time of 13 years, compared with normal weight in both adolescence and young adulthood (n=1328, 29.8%), excess weight in the 2 periods (n=1077, 24.2%) was associated with an increased risk of hypertension (odds ratio, 3.72 [95% CI, 2.86–4.84]) and diabetes mellitus (3.32 [2.11–5.21]). Normal weight in adolescence but excess weight in young adulthood (n=1983, 44.5%) was associated with a lower but still significant risk of hypertension (2.49 [1.98–3.15]) and diabetes mellitus (1.59 [1.01–2.51]). In contrast, the risk of hypertension (1.37 [0.64–2.95]) and diabetes mellitus (1.65 [0.45–6.05]) was low in the few participants with excess weight in adolescence but normal weight in young adulthood (n=66, 1.5%). In conclusion, excess weight in young adulthood was associated with an increased risk of hypertension and diabetes mellitus, irrespective of weight status in adolescence. In contrast, excess weight in adolescence but normal weight in young adulthood did not seem to be associated with an increased cardiovascular risk in young adulthood.
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Rose, Meredith, Randi Streisand, Carrie Tully, Lauren Clary, Maureen Monaghan, Jichuan Wang, and Eleanor Mackey. "Risk of Disordered Eating Behaviors in Adolescents with Type 1 Diabetes." Journal of Pediatric Psychology 45, no. 5 (May 15, 2020): 583–91. http://dx.doi.org/10.1093/jpepsy/jsaa027.
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Abstract Objective Management of type 1 diabetes (T1D) may be difficult for adolescents, who often fail to meet glycemic targets. Adolescents are also at an increased risk for negative affect (i.e., anxiety, depressive symptoms) and are prone to disordered eating behaviors (DEB). This study hypothesized that negative affect would be associated with DEB, self-management, and glycemic control, but that this would be moderated by negative urgency (the urge to engage in impulsive behaviors in response to negative affect), such that this relationship would be significant only for those with higher negative urgency. Methods The Eating in Adolescents with T1D Study recruited 100 caregiver-adolescent dyads (55% male youth, 48% Caucasian) to complete questionnaires reporting on the adolescent’s negative affect, negative urgency, DEB, and diabetes management. Glycemic control 3–4 months following survey completion was extracted from the medical record. Results A total of 61% of adolescents reported elevated symptoms of anxiety or depression and 25% reported elevated disordered eating symptoms. A total of 81% of adolescents had an A1c level above recommended targets. Negative affect was associated with DEB, suboptimal T1D self-management, and suboptimal glycemic outcomes, moderated by higher levels of negative urgency. Negative affect was associated directly with suboptimal self-management and glycemic control, but not DEB, at all levels of negative urgency. Conclusions Adolescents reported high levels of negative affect, DEB, and suboptimal glycemic control. Interventions that target negative affect and negative urgency in adolescents with T1D are needed in order to reduce the risk for DEB and negative diabetes health outcomes.
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Singh, Emma, Susan P. Farruggia, and Elizabeth R. Peterson. "Adolescents with diabetes: support from healthcare teams and families." International Journal of Adolescent Medicine and Health 25, no. 1 (March 1, 2013): 91–96. http://dx.doi.org/10.1515/ijamh-2013-0013.
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Abstract Adolescents with diabetes must learn to manage their own health plans. Support from family is typically associated with positive self-management outcomes, yet less is known about how healthcare teams can facilitate positive self-management. This study aims to investigate the associations between family and healthcare team support and adolescent emotional, behavioral and physical diabetes management. Method: A sample of 58 adolescents with type 1 diabetes completed self-report measures of their diabetes self-care management and their emotional distress or burden in relation to their diabetes. Adolescents’ diabetes clinic attendance and glycated hemoglobin (HBA1c) levels were also secured. Results: Perceived positive support from the healthcare team or family appeared to have little or negative effect on diabetes management. However, the study found that greater healthcare non-support was related to poorer self-care and poorer self-management of diabetes control (less clinic attendance, poorer dietary control, less glucose testing, and higher HBA1c levels), and greater feelings of being distressed or burdened by diabetes. Conclusions: These findings suggest that healthcare teams supporting adolescents should focus more on communicating and building relationships with adolescents in order to reduce perceived negative feelings of healthcare teams’ support.
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Bardugo, Aya, Estela Derazne, Inbar Zucker, Cole D. Bendor, Gal Puris, Miri Lutski, Orit Pinhas-Hamiel, et al. "Adolescent Thyroid Disorders and Risk for Type 2 Diabetes in Young Adulthood." Journal of Clinical Endocrinology & Metabolism 106, no. 9 (May 29, 2021): e3426-e3435. http://dx.doi.org/10.1210/clinem/dgab382.
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Abstract Context Thyroid hormones play a key role in systemic metabolism, yet the relationship between thyroid dysfunction and risk for type 2 diabetes is unclear. Objective To assess type 2 diabetes risk in adulthood among adolescents with thyroid disorders. Design and Setting A nationwide, population-based study of Israeli adolescents who were examined before military recruitment during 1988 to 2007 and were followed until December 31, 2016. Participants 1 382 560 adolescents (mean age 17.3 years). Interventions The diagnosis of thyroid disorders was based on recent thyroid function tests. Data were linked to the Israeli National Diabetes Registry. Cox proportional hazard models were applied. Main Outcome Measures Type 2 diabetes incidence. Results During a mean follow-up of 18.5 years, 1.12% (69 of 6,152) of adolescents with thyroid disorders were diagnosed with type 2 diabetes vs 0.77% of adolescents without thyroid disorders. The hazard ratio (HR) for type 2 diabetes was 2.3 (95% CI, 1.8-2.9) among those with thyroid disorders, after adjustment for sex, birth-year, body mass index, and sociodemographic confounders. The increased diabetes risk was observed in both men and women, with the presence or absence of obesity, and in the absence of other health conditions and was associated with different types of thyroid disorders. It was also similar when the outcome was defined as type 2 diabetes diagnosed at or before the age of 30 years (HR 2.3, 95% CI, 1.5-3.5). Conclusions Thyroid disorders diagnosed in adolescence are a risk factor for early-onset type 2 diabetes in both men and women.
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Faulkner, Melissa Spezia, Sara Fleet Michaliszyn, Joseph T. Hepworth, and Mark D. Wheeler. "Personalized Exercise for Adolescents With Diabetes or Obesity." Biological Research For Nursing 16, no. 1 (August 20, 2013): 46–54. http://dx.doi.org/10.1177/1099800413500064.
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Objective: This study examined adherence to a personalized, community-based exercise intervention by sedentary adolescents with type 1 or type 2 diabetes or those with obesity. Research design and Methods: We conducted a pretest–posttest investigation to explore the application of an individualized exercise prescription based upon current fitness level for 39 adolescents (20 with type 1 diabetes, 9 with type 2 diabetes, and 10 obese) over 16 weeks in community settings. Subjects were recruited from a university-based pediatric endocrinology clinic in the southwestern United States. Adherence to the exercise prescription was monitored using accelerometers over the entire intervention period. Results: Moderate-to-vigorous physical activity (MVPA) levels significantly increased over sedentary baseline values ( p < .001), but the average of 42.5 ± 22.1 min/day of MVPA determined at the end of the study was still less than the recommended 60 min/day. Perceptions of health were significantly increased for the total group following the intervention ( p = .008). For those with type 1 diabetes, there was a significant association between MVPA duration and percentage change in HbA1c ( r = −.526, p = .02). Conclusions: Recruitment and retention of adolescent participation in daily exercise is challenging. Personalized approaches that include adolescent choices with family support and ongoing motivation can improve individual exercise adherence and a sense of personal health.
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Standiford, Debra A., Angela M. Turner, Susan R. Allen, Debra J. Drozda, and Gail C. McCain. "Personal Illness Models of Diabetes: Preadolescents and Adolescents." Diabetes Educator 23, no. 2 (April 1997): 147–51. http://dx.doi.org/10.1177/014572179702300204.
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The purpose of this research study was to explore personal illness models of preadolescents and adolescents regarding diabetes mellitus. Personal illness models were defined as the adolescents' cognitive representations of their disease. Sixty children ages 10 to 17 years with a diagnosis of insulin- dependent diabetes mellitus were interviewed using a semistructured questionnaire. Data were content analyzed for common themes. Although most participants expressed an understanding that their disease would last a lifetime, they were hopeful for a cure. Participants wanted healthcare professionals to provide strategies for controlling blood glucose to prevent future complications. Family and friends who followed the same diet as the adolescent with diabetes were viewed as supportive. The majority of adolescents were responsible for much of their own disease management. Their greatest fears concenled insulin reactions and long-term complications such as amputation of limbs.
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Holtz, Bree, Katharine M. Mitchell, Amanda J. Holmstrom, Shelia R. Cotten, Julie K. Dunneback, Jose Jimenez-Vega, Deborah A. Ellis, and Michael A. Wood. "An mHealth-Based Intervention for Adolescents With Type 1 Diabetes and Their Parents: Pilot Feasibility and Efficacy Single-Arm Study." JMIR mHealth and uHealth 9, no. 9 (September 14, 2021): e23916. http://dx.doi.org/10.2196/23916.
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Background Type 1 diabetes (T1D) affects more than 165,000 individuals younger than 20 years in the United States of America. The transition from parent management to parent-child team management, with the child taking on increased levels of self-care, can be stressful and is associated with a deterioration in self-management behaviors. Therefore, a mobile app intervention, MyT1DHero, was designed to facilitate diabetes-specific positive parent-adolescent communication and improve diabetes-related outcomes. The MyT1DHero intervention links an adolescent with T1D and their parent through 2 separate app interfaces and is designed to promote positive communication regarding T1D management. Objective The aim of this pilot study was to determine (1) the initial efficacy of the MyT1DHero intervention in improving diabetes outcomes in adolescents, specifically the hemoglobin A1c (HbA1c) levels, diabetes care adherence, and quality of life, and (2) the adolescents’ overall satisfaction with this intervention. Methods This pilot study included 30 adolescent-parent pairs who used the MyT1DHero app in a 12-week single-arm clinical trial. Participants were recruited from the local pediatric endocrinology subspecialty clinic via snowball sampling. HbA1c levels, diabetes care adherence, quality of life, family conflict, and satisfaction levels were measured and analyzed using paired sample two-sided t tests and linear regression analyses. Results The final analysis included 25 families. The mean age of the adolescents was 12.28 (SD 1.62) years. Half of the participants (13/25) reported a diabetes diagnosis of less than 5 years. After 12 weeks of the intervention, diabetes care adherence significantly improved (before the study: mean 3.87 [SD 0.59]; after the study: mean 4.19 [SD 0.65]; t21=–2.52, P=.02, d=0.52) as did quality of life (before the study: mean 4.02 [SD 0.84]; after the study: mean 4.27 [SD 0.73]; t24=2.48, P=.01, d=0.32). HbA1c levels (before the study: mean 8.94 [SD 1.46]; after the study: mean 8.87 [SD 1.29]; t24=0.67, P=.51, d=0.04) and family conflict (before the study: mean 2.45 [SD 0.55]; after the study: mean 2.61 [SD 0.45]; t23=0.55, P=.14, d=0.32) changed in the hypothesized direction, but the change was not significant. However, higher use of the mobile app was associated with more improvement in HbA1c levels (F1,20=9.74, P<.005; R2=0.33). Overall, the adolescents were satisfied with the app intervention. Conclusions In a 12-week pilot study of the mobile app intervention designed to facilitate parent-adolescent communication for improving diabetes outcomes, significant benefits were demonstrated in self-care adherence and quality of life. A randomized controlled trial with a longer intervention is needed to replicate these findings and to determine the stability of the intervention effects. Trial Registration ClinicalTrials.gov NCT03436628; https://clinicaltrials.gov/ct2/show/NCT03436628
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Lundeen, Elizabeth A., Sohyun Park, Stephen Onufrak, Solveig Cunningham, and Heidi M. Blanck. "Adolescent Sugar-Sweetened Beverage Intake is Associated With Parent Intake, Not Knowledge of Health Risks." American Journal of Health Promotion 32, no. 8 (April 4, 2018): 1661–70. http://dx.doi.org/10.1177/0890117118763008.
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Purpose: To examine associations of adolescent sugar-sweetened beverage (SSB) intake with parent SSB intake and parent and adolescent knowledge of SSB-related health risks. Design: Quantitative, cross-sectional. Setting: 2014 SummerStyles survey. Subjects: Nine hundred and ninety parent and adolescent (12-17 years) pairs. Measures: The outcome was self-reported adolescent intake (0, >0 to <1, or ≥1 time/day) of SSBs (soda, fruit drinks, sports/energy drinks, other SSBs). The exposures were self-reported parent SSB intake (0, >0 to <1, ≥1 to <2, or ≥2 times/day) and parent and adolescent knowledge of SSB-related health risks (weight gain, diabetes, and dental caries). Analysis: Separate multinomial logistic regression models were used to estimate adjusted odds ratios (aORs) for adolescent SSB intake ≥1 time/day (ref: 0 times/day), according to (1) parent SSB intake and (2) parent and (3) adolescent knowledge. Results: About 31% of adolescents consumed SSBs ≥1 time/day, and 43.2% of parents consumed SSBs ≥2 times/day. Adolescent and parent knowledge that SSB intake is related to health conditions ranged from 60.7% to 80.4%: weight gain (75.0% and 80.4%, respectively), diabetes (60.7% and 71.4%, respectively), and dental caries (77.5% and 72.9%, respectively). In adjusted models, adolescent SSB intake ≥1 time/day was associated with parent intake ≥2 times/day (aOR = 3.30; 95% confidence interval = 1.62-6.74) but not with parent or adolescent knowledge of health risks. Conclusion: Parental SSB intake may be an important factor in understanding adolescent behavior; knowledge of SSB-related health conditions alone may not influence adolescent SSB behavior.
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Rodriguez, H., R. Neiger, S. Thompson, M. List, and H. Krohn. "Screening adolescent gravidas for gestational diabetes." Adolescent and Pediatric Gynecology 8, no. 3 (1995): 125–27. http://dx.doi.org/10.1016/s0932-8610(19)80003-8.
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Blackett, Piers R., and Edward R. Eichner. "Child and Adolescent Athletes With Diabetes." Physician and Sportsmedicine 16, no. 3 (March 1988): 133–49. http://dx.doi.org/10.1080/00913847.1988.11709459.
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Lyons, Sarah K., Ingrid M. Libman, and Mark A. Sperling. "Diabetes in the Adolescent: Transitional Issues." Journal of Clinical Endocrinology & Metabolism 98, no. 12 (December 2013): 4639–45. http://dx.doi.org/10.1210/jc.2013-2890.
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Posner, E. "Evidence-based paediatric and adolescent diabetes." Archives of Disease in Childhood 94, no. 7 (June 19, 2009): 563. http://dx.doi.org/10.1136/adc.2008.150193.
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Lipton, Rebecca. "Epidemiology of Pediatric and Adolescent Diabetes." Medicine & Science in Sports & Exercise 40, no. 11 (November 2008): 2013. http://dx.doi.org/10.1249/mss.0b013e31818b22b0.
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Hoffman, Robert P. "Adolescent adherence in type 1 diabetes." Comprehensive Therapy 28, no. 2 (June 2002): 128–33. http://dx.doi.org/10.1007/s12019-002-0050-8.
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Bricker, Lee A., Martin B. Draznin, J. Donald Hare, and Donald E. Greydanus. "Diabetes in adolescent patients: Diagnostic dilemmas." Indian Journal of Pediatrics 68, no. 3 (March 2001): 223–27. http://dx.doi.org/10.1007/bf02723193.
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Ayling, Ruth. "Book Review: Childhood and adolescent diabetes." Diabetic Medicine 15, no. 4 (April 1998): 350. http://dx.doi.org/10.1002/(sici)1096-9136(199804)15:4<350::aid-dia583>3.0.co;2-d.
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HANNA, KATHLEEN M., BARBARA JUAREZ, SHONA SWENSON LENSS, and DIANA GUTHRIE. "PARENT-ADOLESCENT COMMUNICATION AND SUPPORT FOR DIABETES MANAGEMENT AS REPORTED BY ADOLESCENTS WITH TYPE 1 DIABETES." Issues in Comprehensive Pediatric Nursing 26, no. 3 (January 2003): 145–58. http://dx.doi.org/10.1080/01460860390223871.
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Thompson, Debbe, Chishinga Callender, Caroline Gonynor, Karen W. Cullen, Maria J. Redondo, Ashley Butler, and Barbara J. Anderson. "Using Relational Agents to Promote Family Communication Around Type 1 Diabetes Self-Management in the Diabetes Family Teamwork Online Intervention: Longitudinal Pilot Study." Journal of Medical Internet Research 21, no. 9 (September 13, 2019): e15318. http://dx.doi.org/10.2196/15318.
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Background Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the intervention sessions in person. Relational agents (ie, computerized versions of humans) have been shown to appeal to diverse audiences and may be an acceptable replacement for a human in technology-based behavior change interventions. Objective The purpose of this paper is to present the results of a pilot study assessing feasibility and acceptability of Diabetes Family Teamwork Online, an adapted version of the Family Teamwork intervention, delivered over the internet and guided by a relational agent. Methods Parent-adolescent dyads were recruited through a diabetes care clinic at a large tertiary care hospital in the southwestern United States. A one-group design, with assessments at baseline, immediate postintervention, and 3 months later, was used to assess feasibility. A priori feasibility criteria included an assessment of recruitment, completion, attrition, program satisfaction, therapeutic alliance, attitudes toward the relational agent, and data collection. The institutional review board at Baylor College of Medicine approved the protocol (H-37245). Results Twenty-seven adolescents aged 10 to 15 years with type 1 diabetes and their parents were enrolled. Criteria used to assess feasibility were (1) recruitment goals were met (n=20), (2) families completed ≥75% of the modules, (3) attrition rate was ≤10%, (4) program satisfaction was high (≥80% of families), (5) therapeutic alliance was high (average score of ≥60/84), (6) families expressed positive attitudes toward the relational agent (average item score of ≥5 on ≥4 items), (7) ≥80% of data were collected at post 1 and post 2, and (8) few technical issues (≤10%) occurred during intervention delivery. All feasibility criteria were met. Qualitative data confirmed that adolescents and parents had positive reactions to both the content and approach. Conclusions The Diabetes Family Teamwork Online intervention proved to be a feasible and acceptable method for enhancing communication around diabetes management tasks in families with an adolescent who has type 1 diabetes. International Registered Report Identifier (IRRID) RR2-10.2196/resprot.5817
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Amalia, Sarah. "Diabetes Mellitus Type-1 and Psychosocial Intervention to Improve Quality of Life." Open Access Indonesian Journal of Medical Reviews 1, no. 4 (August 30, 2021): 80–85. http://dx.doi.org/10.37275/oaijmr.v1i4.565.
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Type 1 diabetes mellitus is the most common chronic endocrine pathology among children. Data from the Indonesian Pediatric Association (IDAI) states that the incidence of DM in children aged 0-18 years has increased by 700% over a period of 10 years. Treatment includes diet, physical activity, insulin medication, and proper self-control. The necessary changes in habits and lifestyles can lead to psychosocial problems, including anxiety, depression and eating disorders. Subsequently, the child or adolescent and his or her family group may move into new balance characterized by good self-control and adherence to treatment, or deepen individual and group disorders which may reappear, especially in adolescence. The comprehensive treatment of type 1 diabetes mellitus requires addressing these aspects through multidisciplinary teams which include medical and psychosocial professionals. This review analyses the main aspects related to the psychosocial impact of diabetes mellitus type 1 among children, adolescents and their families mental. A substantial amount of behavioral science research has demonstrated that psychosocial factors play an integral role in the management of diabetes in both children and adults. Research has also shown how psychosocial therapies that can improve regimen adherence, glycemic control, psychosocial functioning, and quality of life.
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St. George, Sara M., Elizabeth R. Pulgarón, Dina Ferranti, Yaray Agosto, Maria I. Toro, Kevin C. Ramseur, and Alan M. Delamater. "A Qualitative Study of Cognitive, Behavioral, and Psychosocial Challenges Associated With Pediatric Type 2 Diabetes in Ethnic Minority Parents and Adolescents." Diabetes Educator 43, no. 2 (February 13, 2017): 180–89. http://dx.doi.org/10.1177/0145721717691146.
Full textAbstract:
Purpose The purpose of this descriptive qualitative study was to explore cognitive, behavioral, and psychosocial challenges associated with having and/or parenting an adolescent with pediatric type 2 diabetes (T2D) from the perspectives of ethnic minority parents and adolescents. Methods Ethnic minority (79.2% non-Hispanic black, 29.6% Hispanic) adolescents (n = 14, 78.6% female, 14.7 ± 1.9 years) and their parents (n = 13, 100% female) participated in either individual family interviews or multifamily focus group sessions. Sessions were audio recorded, transcribed, and coded by a team of 4 raters. QSR NVivo 10 was used to perform a content analysis and to extract coded adolescent and parent responses. Results Six themes corresponding to 3 broad categories (cognitive, behavioral, and psychosocial challenges) emerged. Regarding cognitive challenges, families described difficulties learning about a new disease and managing youth knowledge deficits and/or superficial knowledge. In terms of behavioral challenges, parents and adolescents discussed ongoing difficulties with making and maintaining positive youth health behavior changes as well as with ensuring regimen adherence. Finally, managing youth emotions related to diabetes and navigating social relationships with peers and other family members around the disclosure of T2D were the primary psychosocial challenges to emerge. Conclusions Directions for future research include developing and evaluating brief family interventions and adolescent psychosocial screening measures. Recommendations for clinical practice include increasing family knowledge of T2D, enhancing parenting skills for managing youth behavior change, and conducting routine psychosocial screening during follow-up clinic visits.