Assessment of a new home-based care pathway for children newly diagnosed with type 1 diabetes

Gauche, Laetitia; Laporte, R.; Bernoux, Delphine; Marquant, E.; Vergier, Julia; Bonnet, Laura; Aouchiche, Karine; Bresson, V.; Fabre-Brue, C.; Reynaud, Rachel; Castets, Sarah

doi:10.1016/j.pcd.2023.06.007

Cited by 1 publication

(1 citation statement)

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“…The latter serves as a hub for rehabilitation and comprehensive self-care education for children, adolescents, and their parents across all regions of Serbia. To further enhance the effectiveness of diabetes management education, we advocate for the establishment of a home care program akin to the model adopted in France (specifically Paris and Marseille) [ 60 ]. This approach has the potential to provide valuable educational resources and support to parents and their children in mastering self-care activities for diabetes management.…”

Section: Discussionmentioning

confidence: 99%

Self-care activities in pediatric patients with type 1 diabetes mellitus

Smudja,

Milenković,

Minaković

et al. 2024

PLoS ONE

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Introduction Effective diabetes self-management and collaborative responsibility sharing with parents are imperative for pediatric patients with type 1 diabetes mellitus, particularly as they gradually assume more self-care responsibilities. The primary goal of this study was to assess differences in adherence to self-care activities regarding sociodemographics and clinical characteristics in pediatric patients with type 1 diabetes. The secondary goal of this study was to understand the level of parental involvement in diabetes management and to assess the pediatric patients’ behaviors (independent or dependent on disease self-management) that relate to sociodemographic and clinical characteristics. Methods This was a comparative cross-sectional and correlational study. The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes at least 3 months prior. Data collection instruments included a sociodemographic and questionnaire about Adherence to self-care activities and parental involvement in diabetes self-management, as well as a documentation sheet for recording clinical data. Results A majority of participants (71%) exhibited non-adherence to self-care tasks, despite 78.0% asserting their independence in diabetes self-management. Notably, insufficient parental involvement in administering insulin therapy significantly predicted severe hypoglycemic episodes. Conclusions Pediatric patients dealing with type 1 diabetes demonstrate a substantial degree of autonomy in managing their condition, paradoxically coupled with self-reported non-adherence to critical self-care responsibilities. Notably, children (aged 8–12) rely more heavily on parental support, especially concerning insulin therapy administration. The study underscores the crucial role of parental engagement in insulin therapy, as its deficiency significantly predicts the likelihood of severe hypoglycemic episodes.

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Section: Discussionmentioning

confidence: 99%