Improving adherence in social situations for adolescents with type 1 diabetes mellitus (T1DM): a pilot study

Primary Care Diabetes
Katherine Simon SalamonJessica C Kichler

Abstract

Management of type 1 diabetes mellitus (T1DM) involves adherence to complex daily behaviors. Some adolescents have difficulty maintaining these regimens within social contexts due to peer pressure and apprehension about being singled out (Wysocki et al., 2003 [1]). Previous research suggests that negative social attributions have a role in adherence difficulties (Hains et al., 2006 [6]). This pilot study examined a cognitive-behavioral intervention geared towards challenging and restructuring negative thinking patterns. Ten adolescents with T1DM and HbA1c readings greater then 7.0% were recruited from a large, Midwestern Children's Hospital. The intervention consisted of a 1-h session followed by three weekly phone calls, which focused on cognitive restructuring and problem-solving training. Measures of diabetes-related stress and concerns surrounding self-care in social situations were completed by the adolescents pre- and post-intervention and at one-month follow-up. A series of repeated measure ANOVAS did not reveal significant differences between pre-intervention and follow-up scores across measures. While there were no significant differences between pre-intervention and follow-up scores, the results highlight some importa...Continue Reading

Citations

Mar 31, 2012·Journal of Pediatric Psychology·Dianne K Palladino, Vicki S Helgeson
Oct 18, 2012·The Diabetes Educator·Carolyn T ThorpeEdwin B Fisher
May 9, 2012·Journal of Medical Internet Research·Joseph A CafazzoMark R Palmert
Jan 11, 2016·Current Diabetes Reports·Virginia HaggerJane Speight
Jan 15, 2013·Diabetes Research and Clinical Practice·Stephanie L FitzpatrickFelicia Hill-Briggs
Aug 10, 2016·The Diabetes Educator·Sébastien ColsonMarie-Claude Lagouanelle-Simeoni
Mar 31, 2018·Nursing Open·Samereh AbdoliMartha Funnell
Jul 6, 2021·Journal of Pediatric Nursing·Kaitlyn Rechenberg, Rebecca Koerner

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