The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descri...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-07, Vol.17 (14), p.5132 |
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| creator | Hung, Li-Chen Huang, Chu-Yu Lo, Fu-Sung Cheng, Su-Fen |
| description | Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi's method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents' misconceptions regarding self-management of diabetes. |
| doi_str_mv | 10.3390/ijerph17145132 |
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This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi's method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents' misconceptions regarding self-management of diabetes.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17145132</identifier><identifier>PMID: 32708617</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adolescents ; Blood Glucose ; Collaboration ; Data analysis ; Data collection ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 - therapy ; Entrance examinations ; Glucose ; Health care facilities ; Humans ; Insulin ; Interviews ; Middle schools ; Motivation ; Parents & parenting ; Pediatrics ; Phenomenology ; Qualitative research ; Research methodology ; Schedules ; Self-Management ; Studies ; Taiwan ; Teenagers</subject><ispartof>International journal of environmental research and public health, 2020-07, Vol.17 (14), p.5132</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-1afa709b12ad871138729d4e347d887590dd72f0ddf1a2acd69db1bbb1f124213</citedby><cites>FETCH-LOGICAL-c418t-1afa709b12ad871138729d4e347d887590dd72f0ddf1a2acd69db1bbb1f124213</cites><orcidid>0000-0002-1987-6075</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400392/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400392/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32708617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hung, Li-Chen</creatorcontrib><creatorcontrib>Huang, Chu-Yu</creatorcontrib><creatorcontrib>Lo, Fu-Sung</creatorcontrib><creatorcontrib>Cheng, Su-Fen</creatorcontrib><title>The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi's method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. 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Healthcare professionals are encouraged to provide individualized education focusing on the adolescents' misconceptions regarding self-management of diabetes.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Blood Glucose</subject><subject>Collaboration</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Entrance examinations</subject><subject>Glucose</subject><subject>Health care facilities</subject><subject>Humans</subject><subject>Insulin</subject><subject>Interviews</subject><subject>Middle schools</subject><subject>Motivation</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Phenomenology</subject><subject>Qualitative research</subject><subject>Research methodology</subject><subject>Schedules</subject><subject>Self-Management</subject><subject>Studies</subject><subject>Taiwan</subject><subject>Teenagers</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1v1DAQxS0EoqVw5YgsceGS4rG9ccIBadUPQCoCqcvZcuLxxqtsHOyksP99HbVULRfb0vz85r0ZQt4COxWiZh_9DuPYgQK5AsGfkWMoS1bIksHzR-8j8iqlHWOikmX9khwJrlhVgjombtMhvcbeFd_NYLa4x2GiF39HjB6HFhMNjq5t6DG1uZLoHz91dHMYkQI996bBCdMnuqbnGYh-nPwN0p8dDiELhT5sD_R6mu3hNXnhTJ_wzf19Qn5dXmzOvhZXP758O1tfFa2EairAOKNY3QA3tlIAolK8thKFVLaq1Kpm1iru8unAcNPasrYNNE0DDrjkIE7I5zvdcW72aBfP0fR6jH5v4kEH4_XTyuA7vQ03Wsk8nZpngQ_3AjH8njFNeu9z9L43A4Y56dwlW6qkXHq9_w_dhTkOOd5CrcosVy_U6R3VxpBSRPdgBpheVqifrjB_ePc4wgP-b2fiFsqomSQ</recordid><startdate>20200716</startdate><enddate>20200716</enddate><creator>Hung, Li-Chen</creator><creator>Huang, Chu-Yu</creator><creator>Lo, Fu-Sung</creator><creator>Cheng, Su-Fen</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1987-6075</orcidid></search><sort><creationdate>20200716</creationdate><title>The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study</title><author>Hung, Li-Chen ; Huang, Chu-Yu ; Lo, Fu-Sung ; Cheng, Su-Fen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-1afa709b12ad871138729d4e347d887590dd72f0ddf1a2acd69db1bbb1f124213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Blood Glucose</topic><topic>Collaboration</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Entrance examinations</topic><topic>Glucose</topic><topic>Health care facilities</topic><topic>Humans</topic><topic>Insulin</topic><topic>Interviews</topic><topic>Middle schools</topic><topic>Motivation</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Phenomenology</topic><topic>Qualitative research</topic><topic>Research methodology</topic><topic>Schedules</topic><topic>Self-Management</topic><topic>Studies</topic><topic>Taiwan</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hung, Li-Chen</creatorcontrib><creatorcontrib>Huang, Chu-Yu</creatorcontrib><creatorcontrib>Lo, Fu-Sung</creatorcontrib><creatorcontrib>Cheng, Su-Fen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hung, Li-Chen</au><au>Huang, Chu-Yu</au><au>Lo, Fu-Sung</au><au>Cheng, Su-Fen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-07-16</date><risdate>2020</risdate><volume>17</volume><issue>14</issue><spage>5132</spage><pages>5132-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi's method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. 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| subjects | Adolescent Adolescents Blood Glucose Collaboration Data analysis Data collection Diabetes Diabetes mellitus Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - therapy Entrance examinations Glucose Health care facilities Humans Insulin Interviews Middle schools Motivation Parents & parenting Pediatrics Phenomenology Qualitative research Research methodology Schedules Self-Management Studies Taiwan Teenagers |
| title | The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study |
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