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Predictors of Glycemic Control in Adolescents of Various Age Groups With Type 1 Diabetes.
- Source :
-
Journal of Nursing Research (Lippincott Williams & Wilkins) . Dec2015, Vol. 23 Issue 4, p271-279. 9p. - Publication Year :
- 2015
-
Abstract
- Background: Understanding the predictors of glycemic control in adolescents of various age groups with type 1 diabetes (T1D) is crucial for nurses to cultivate developmental-specific interventions to improve glycemic control in this age group. However, research has rarely addressed this issue, particularly in the context of Asian populations. Purpose: We explored the predictive influence of demographic characteristics, self-care behaviors, family conflict, and parental involvement on glycosylated hemoglobin (HbA1C) levels 6months after the baseline measurement in adolescents of various age groups with T1D in Taiwan. Methods: A prospective survey design was applied. At baseline, adolescents with T1D completed a self-care behavior scale. Parents or guardians finished scales of parental involvement and family conflict. The HbA1C levels 6 months after baseline measurement were collected from medical records. Two hundred ten adolescent--parent/guardian pairs were enrolled as participants. Multiple stepwise regressions examined the significant predictors of HbA1C levels 6 months after the baseline measurement in the three adolescent age groups: 10-12, 13-15, and 16-18 years. Results: Family conflict was a significant predictor of HbA1C level within the 10-12 years of age group 6 months after the baseline measurement. Self-care behaviors were a significant predictor of HbA1C level within the 13-15 years of age group 6 months after the baseline measurement. Being female and self-care behaviors were each significant predictors of HbA1C level in the 16-18 years of age group 6months after the baseline measurement. Conclusions/Implications for Practice: Nurses should design specific interventions to improve glycemic control in adolescents of various age groups with T1D that are tailored to their developmental needs. For adolescents with T1D aged 10-12 years, nurses should actively assess family conflict and provide necessary interventions. For adolescents with T1D aged 13-18 years, nurses should exert special efforts to improve their self-care behaviors. In addition, female adolescents aged 16-18 years should be considered an at-risk group. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TYPE 1 diabetes
*TREATMENT of diabetes
*BLOOD sugar monitoring
*CHI-squared test
*STATISTICAL correlation
*PEOPLE with diabetes
*EXERCISE
*GLYCOSYLATED hemoglobin
*INSULIN
*LONGITUDINAL method
*PARENT-child relationships
*PARENTING
*PARENTS
*QUESTIONNAIRES
*SCALE analysis (Psychology)
*SELF medication
*HEALTH self-care
*STATISTICS
*SURVEYS
*T-test (Statistics)
*DATA analysis
*FAMILY conflict
*MULTIPLE regression analysis
*SOCIOECONOMIC factors
*STATISTICAL reliability
*DIET therapy for diabetes
*DISEASE duration
*DATA analysis software
*DESCRIPTIVE statistics
*ONE-way analysis of variance
*GLYCEMIC control
*INTRACLASS correlation
*ADOLESCENCE
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 16823141
- Volume :
- 23
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Nursing Research (Lippincott Williams & Wilkins)
- Publication Type :
- Academic Journal
- Accession number :
- 111389064
- Full Text :
- https://doi.org/10.1097/jnr.0000000000000096