Establishing a Model to Assess the Effects of School Support and Self-Care Behaviors on Life Satisfaction in Adolescents With Type 1 Diabetes in Taiwan

Tang, Shan-Mei; Chen, Shuwen; Wang, Ruey‐Hsia

doi:10.1097/jnr.0000000000000008

Cited by 9 publications

(13 citation statements)

References 25 publications

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“…The psychological consequence to students are less obvious, but equally important: they may purposefully keep blood glucose levels high so as to avoid the embarrassment of such episodes, thus compromising diabetes control and leading to unnecessary risks. Adolescents' perceptions of support from school and the ability to provide DM increased life satisfaction and is essential for adolescents' health …”

Section: Discussionmentioning

confidence: 99%

Improving School Experiences for Adolescents With Type 1 Diabetes

Kise

Hopkins

Burke

2017

Journal of School Health

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Section: Discussionmentioning

confidence: 99%

Improving School Experiences for Adolescents With Type 1 Diabetes

Kise

Hopkins

Burke

2017

Journal of School Health

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“…In a recent Swedish study, 40% of adolescents had access to one or more designated staff members to support diabetes self‐care but the prevalence of additional staff resources in the classroom because of the presence of a pupil with diabetes was just 3%. While lesser provision of staff support for adolescents with diabetes is likely to be based on an incremental ability to perform diabetes self‐care with increasing age, it contrasts with the results of previous studies which have clearly established that school support directly and significantly affects self‐care behaviours among adolescents . Sixty‐six percent of the variance in life satisfaction in one report was attributable to school support.…”

Section: Discussionmentioning

confidence: 57%

“…In addition, we did not quantify the number of non‐respondents. There were no refusals to complete the questionnaire in a previous Italian study , whereas the response rate in a study solely including adolescents was high at 96% . Finally, as our study methodology was an anonymous survey, some interesting observations were identified during data analysis that we were unable to explore further.…”

Section: Discussionmentioning

confidence: 93%

“…Several publications on school‐based management of type 1 diabetes include adolescents within their respective study populations , but report limited separate data for that particular cohort. Other studies focus solely on adolescents but have studied small populations or look at the correlates of support, without exploring what specifically is or is not provided . The purpose of the present study was to evaluate the current management of type 1 diabetes amongst adolescents during school hours in the Republic of Ireland.…”

Section: Introductionmentioning

confidence: 99%

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Diminished school‐based support for the management of type 1 diabetes in adolescents compared to younger children

McCollum

O’Grady

2019

Diabet. Med.

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Aims To evaluate diabetes management at school in a large cohort of adolescents with type 1 diabetes and to compare the level of support provided to adolescents with that provided to younger children.Methods Questionnaires were distributed to adolescents with type 1 diabetes attending nine regional and tertiary paediatric diabetes services in the Republic of Ireland. The data collected included patient demographics, treatment regimen and support provided for self-care management. Results were compared with a similar cohort of primary school children with type 1 diabetes, studied using similar methodology. ResultsThe study cohort comprised 405 adolescents with a median age of 15 years, of whom 215 (54%) were on multiple daily injections and 128 (32%) were on pump therapy. Eighty-five percent of pump users administered their bolus insulin in classrooms, whereas 76% of those on a multiple daily injection regimen injected outside the classroom. Girls were less likely to administer bolus insulin in an office (10% vs 19%) and more likely to administer it in the bathroom (50% vs 34%; P=0.01). Twenty-five adolescents (12%) on multiple daily injection regimens did not administer bolus insulin at school. Compared to primary school children with type 1 diabetes, adolescents were less likely to use pump therapy, have an emergency treatment plan and have a designated staff member responsible for care needs.Conclusions Support provided to adolescents with type 1 diabetes is diminished compared with that provided to younger schoolchildren.

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“…Students spend the majority of their time at school, this gives the school nurse an opportunity to work with students on transition planning. Perceived school support directly influences self-care behavior and life satisfaction for students with type 1 diabetes (Tang, Chen, & Wang, 2013). The school nurse can help the student with type 1 diabetes to acquire the knowledge and skills needed to make responsible decisions by using strategies described above such as a transition planning support group and checklists.…”

Section: Making Choicesmentioning

confidence: 99%

College-Bound: Transition Planning Strategies for Students With Type 1 Diabetes

Klein¹,

Wheeler²,

Yonkaitis

2018

NASN School Nurse

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Transition planning is mandated for students who receive special education services; however, it is not required for students with chronic conditions. Students with chronic conditions nearing graduation would benefit from more intensive attention to their post-high school self-care needs and responsibilities. Students with type 1 diabetes must be able to understand the necessary self-care of one of the most complicated and intensive chronic conditions yet there are no evidence-based strategies for how to help students transition from the support provided at school to independence at graduation. The need for a student with type 1diabetes to independently manage their diabetes is even greater as the student leaves home for college. School nurses, who are also certified diabetes educators, created a support group for seniors with type 1 diabetes. The group focused on life after high school and provided the students with a detailed checklist to help improve knowledge and prepare students for the transition to college. Participants felt better prepared to move on to college armed with their checklist and other resources to help when away from home.

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Establishing a Model to Assess the Effects of School Support and Self-Care Behaviors on Life Satisfaction in Adolescents With Type 1 Diabetes in Taiwan

Abstract: School support and self-care behaviors positively influence the life satisfaction of adolescents with type 1 diabetes. Improvements in school support and self-care behaviors are necessary to improve life satisfaction in this vulnerable group.

Cited by 9 publications

References 25 publications

Improving School Experiences for Adolescents With Type 1 Diabetes

Improving School Experiences for Adolescents With Type 1 Diabetes

Diminished school‐based support for the management of type 1 diabetes in adolescents compared to younger children

College-Bound: Transition Planning Strategies for Students With Type 1 Diabetes

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