Stressors in Teens with Type 1 Diabetes and Their Parents: Immediate and Long-Term Implications for Transition to Self-Management

Anne L Ersig; Eva Tsalikian; Julie Coffey; Janet K Williams

doi:10.1016/j.pedn.2015.12.012

Back

Stressors in Teens with Type 1 Diabetes and Their Parents: Immediate and Long-Term Implications for Transition to Self-Management

Journal article

Peer reviewed

Stressors in Teens with Type 1 Diabetes and Their Parents: Immediate and Long-Term Implications for Transition to Self-Management

Anne L Ersig, Eva Tsalikian, Julie Coffey and Janet K Williams

Journal of pediatric nursing, Vol.31(4), pp.390-396

07/2016

DOI: 10.1016/j.pedn.2015.12.012

PMID: 26831378

View Online

Abstract

Teens with Type 1 diabetes and their parents experience every day and illness-related stress; however, understanding of how these stressors relate to the transition to adulthood is limited. The purpose of this study was to identify stressors of teens with Type 1 diabetes (T1DM) and their parents related to the impending transition to adulthood. This study used open-ended questions to identify every day and illness-related stressors among 15 teens with T1DM and 25 parents seen in one pediatric diabetes clinic. Qualitative descriptive analysis identified themes in interview transcripts. The primary teen stressor related to impending transition centered on ineffective self-management, often when they were taking over responsibility for T1DM management. Parents' concerns included immediate and long-term negative outcomes of teen self-management as well as financial resources and health insurance for the teen. Teens and parents both expressed specific concerns about outcomes and prevention of nocturnal hypoglycemia, and identified uncertainties related to teen health and diabetes-focused health care when no longer living in the parent's home. Teens with Type 1 diabetes and their parents understand that independent teen self-management is a component of transition to adulthood, but worry about teen self-management outcomes. Concerns specific to health care transition included health insurance, T1DM resources, and teens' abilities to handle new situations. Identifying current and future self-management concerns of individuals and families can facilitate targeted education and interventions to support successful transition to adulthood.

Stress, Psychological - prevention & control

Cross-Sectional Studies

Follow-Up Studies

Risk Assessment

Humans

Blood Glucose Self-Monitoring - psychology

Transition to Adult Care

Insulin - administration & dosage

Male

Diabetes Mellitus, Type 1 - drug therapy

Self Care - psychology

Diabetes Mellitus, Type 1 - diagnosis

Blood Glucose Self-Monitoring - methods

Time Factors

Adolescent

Stress, Psychological - epidemiology

Adult

Female

Interviews as Topic

Adolescent Behavior

Parent-Child Relations

Child

Diabetes Mellitus, Type 1 - psychology

Details

Title: Subtitle: Stressors in Teens with Type 1 Diabetes and Their Parents: Immediate and Long-Term Implications for Transition to Self-Management
Creators: Anne L Ersig - College of Nursing, The University of Iowa, Iowa City, IA. Electronic address: anne-ersig@uiowa.edu
Eva Tsalikian - University of Iowa Carver College of Medicine, Stead Family Department of Pediatrics, Iowa City, IA
Julie Coffey - University of Iowa Carver College of Medicine, Stead Family Department of Pediatrics, Iowa City, IA
Janet K Williams - College of Nursing, The University of Iowa, Iowa City, IA
Resource Type: Journal article
Publication Details: Journal of pediatric nursing, Vol.31(4), pp.390-396
Publisher: United States
DOI: 10.1016/j.pedn.2015.12.012
PMID: 26831378
ISSN: 0882-5963
eISSN: 1532-8449
Language: English
Date published: 07/2016
Academic Unit: Stead Family Department of Pediatrics; Nursing
Record Identifier: 9984064153202771

Metrics

24 Record Views

50 Times Cited - Web of Science

See more details