Young adults' management of type 1 diabetes during life transitions

Rasmussen, Bodil, Dunning, Trisha, Ward, Glenn, Jenkins, Alicia and King, Susan 2013, Young adults' management of type 1 diabetes during life transitions, in Proceedings of the ICN 25th Quadrennial Congress : equity and access to healthcare, International Council of Nurses, [Melbourne, Vic.].

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Title Young adults' management of type 1 diabetes during life transitions
Author(s) Rasmussen, BodilORCID iD for Rasmussen, Bodil
Dunning, TrishaORCID iD for Dunning, Trisha
Ward, Glenn
Jenkins, Alicia
King, Susan
Conference name International Council of Nurses Conference (25th : 2013 : Melbourne, Vic.)
Conference location Melbourne, Vic.
Conference dates 18-23 May 2013
Title of proceedings Proceedings of the ICN 25th Quadrennial Congress : equity and access to healthcare
Editor(s) [Unknown]
Publication date 2013
Conference series International Council of Nurses Conference
Publisher International Council of Nurses
Place of publication [Melbourne, Vic.]
Keyword(s) life course
type 1 diabetes
young adult
Summary Aim. To identify life transitions likely to impact diabetes self-care among young adults with Type 1 diabetes and their coping strategies during transition events.

Background. Relationships among psychosocial stress, adjustment, coping and metabolic control affect clinical outcomes and mental health. Life transitions represent major change and are associated with stress that temporarily affects individuals’ problem-solving, coping abilities and blood glucose levels.

Design. A qualitative interpretive inquiry.

Method. Semi-structured interviews were conducted with 20 young adults with Type 1 diabetes and a constant comparative analysis method. Data and analysis was managed using QSR_ NVIVO 7 software.

Results. Participants identified two significant transition groups: life development associated with adolescence, going through the education system, entering new relationships, motherhood and the workforce and relocating. Diabetes-related transitions included being diagnosed, developing diabetes complications, commencing insulin pump treatment and going on diabetes camps. Participants managed transitions using ‘strategic thinking and planning’ with strategies of ‘self-negotiation to minimise risks’; ‘managing diabetes using previous experiences’; ‘connecting with others with diabetes’; ‘actively seeing information to ‘patch’ knowledge gaps’; and ‘putting diabetes into perspective’.

Conclusions. Several strategies are used to manage diabetes during transitions. Thinking and planning strategically was integral to glycaemic control and managing transitions. The impact of transitions on diabetes needs to be explored in larger and longitudinal studies to identify concrete strategies that assist diabetes care during life transitions.

Relevance to clinical practice. It is important for health professionals to understand the emotional, social and cognitive factors operating during transitions to assist young adults with Type 1 diabetes to achieve good health outcomes by prioritising goals and plan flexible, timely, individualised and collaborative treatment.
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category E3 Extract of paper
ERA Research output type E Conference publication
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Document type: Conference Paper
Collections: Faculty of Health
Centre for Quality and Patient Safety Research
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Created: Wed, 15 May 2013, 15:51:28 EST by Emma Steel

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