Young adults’ management of Type 1 diabetes during life transitions

Rasmussen, Bodil, Ward, Glenn, Jenkins, Alicia, King, Susan and Dunning, Trisha 2011, Young adults’ management of Type 1 diabetes during life transitions, Journal of clinical nursing, vol. 20, no. 13-14, pp. 1981-1992, doi: 10.1111/j.1365-2702.2010.03657.x.

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Title Young adults’ management of Type 1 diabetes during life transitions
Author(s) Rasmussen, BodilORCID iD for Rasmussen, Bodil
Ward, Glenn
Jenkins, Alicia
King, Susan
Dunning, TrishaORCID iD for Dunning, Trisha
Journal name Journal of clinical nursing
Volume number 20
Issue number 13-14
Start page 1981
End page 1992
Total pages 12
Publisher Wiley - Blackwell Publishing
Place of publication Oxford, England
Publication date 2011-07
ISSN 0962-1067
Keyword(s) comparative analysis
Type 1 diabetes
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.
Notes Article first published online 5 May 2011
Language eng
DOI 10.1111/j.1365-2702.2010.03657.x
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
HERDC collection year 2011
Copyright notice ©2011, Blackwell Publishing Ltd
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