Family Influence on Self-Care, Quality of Life, and Metabolic Control in School-Age Children and Adolescents with Type 1 Diabetes

Faulkner, Melissa Spezia; Chang, Lu-I

doi:10.1016/j.pedn.2006.02.008

Cited by 79 publications

(87 citation statements)

References 28 publications

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“…10 Reasons proposed for this relationship in the former study hypothesized that the father's education was an indirect indicator of income level. 22 Income level was also shown in this analysis to be associated with more favorable glucose control.…”

Section: Discussionsupporting

confidence: 53%

Characteristics of Adolescents With Type 1 Diabetes Who Exhibit Adverse Outcomes

Johns

Faulkner²,

Quinn³

2008

The Diabetes Educator

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Purpose-The primary purpose of this study was to determine differences in key characteristics between adolescents with type 1 diabetes who experienced the adverse outcomes of poor glycemic control, hypoglycemic events, and hospitalizations due to their disease versus those who do not experience such events. A secondary purpose was to examine differences in outcomes for adolescents using insulin pumps versus daily insulin injections (≥ 2).Methods-Data from 108 adolescents were divided according to glycemic control (HbA 1c <8% vs. ≥8%), hypoglycemic reactions and hospitalizations in the past year (0 vs. ≥ 1 episode of each), and pump versus injection delivery of insulin. The following variables were compared within each grouping: body mass index (BMI) insulin dose, caloric intake, parental educational level, marital status, annual family income, race, and gender. HbA 1c was examined in relation to the number of hypoglycemic reactions and hospitalizations in the past year, as well as for any differences between those receiving insulin via pump therapy versus daily injections (≥ 2).

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Section: Discussionsupporting

confidence: 53%

Characteristics of Adolescents With Type 1 Diabetes Who Exhibit Adverse Outcomes

Johns

Faulkner²,

Quinn³

2008

The Diabetes Educator

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“…[19] Regarding physical functioning, the majority of children with diabetes had significantly lower physical functioning than healthy peers, this may be due to the developmental changes that occur as school-age children with type I diabetes grow in to adolescence, individual differences in caloric intake related to growth spurts and participation in sports, onset of menses in female adolescents, and adolescent mood swings are all factors contribute to the lower score of physical QOL among children with diabetes. [20] Abdul-Rasoul et al (2013) [18] reported that children with TIDM had lower physical functioning than controls, they explained this result by the demands that diabetes puts on children and their parents to maintain good glycemic control.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

Health related quality of life among children with Type I diabetes, Assiut city, Egypt

Gadallah

Ismail²,

Aty³

2017

JNEP

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Objective: Health related quality of life (HRQOL) is a multidimensional construct that includes physical and psychosocial functioning, has emerged as an important outcome in pediatric population with chronic health conditions. The study objectives are to measure the quality of life among children with type I diabetes compared to healthy peers and to determine factors affecting the QOL among children with type I diabetes. Methods: Analytic cross sectional study was conducted in Sidi Galal health insurance outpatient clinic for children with type 1 diabetes mellitus and a comparison group of healthy peers was taken from other outpatient clinics. A total of four hundred and twelve children, aged from 8-18 years with type 1 diabetes and four hundred and twelve healthy peers matched in age and sex were interviewed. Three tools were used for this study: Demographic questionnaire, Socio-economic scale, and Peds QL4.0 Generic Core Scale was used to measure HRQOL. Results: The mean age of studied children was 12.9 ± 3.2. More than 60% of children with diabetes had uncontrolled glycemic level and 60% of them were in low socio-economic level. Children with diabetes had significantly lower HRQOL than healthy children in all domains. Age, glycemic control status and birth order of the diabetic children showed no significance difference regarding the QOL. Disease duration affected only the emotional function of the QOL and females showed significantly higher score regarding school functioning. Social, school and the total QOL scores were significantly higher among children with highly educated mothers while father's education affected the emotional, school and total QOL scores. Children in the middle and high social class showed significantly higher scores regarding social, school and total QOL. Presence of diabetic parent positively affected the social functioning while had negative effect on the school function of children with type I diabetes. Conclusions and recommendations: Diabetes is negatively affecting all the QOL functioning of the children. We recommend that Integrated programs between child's home, school and health insurance clinics for educating and supporting children with diabetes to improve their HRQOL.

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“…Type 1 diabetes mellitus (T1DM) is one of the most common endocrine and metabolic disorders in children and adolescents and the most common pediatric chronic condition worldwide (1). The incidence of T1DM is plainly on the increase, throughout the world and it is estimated that it may reach the status of a pandemic by the mid-21st century (2).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

et al. 2015

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Background: Type 1 diabetes mellitus (T1DM) is one of the most common chronic pediatric conditions, with potentially life-threatening sequels. However, good metabolic control can protect the patients against sequels. Objectives: The aim of this study was to examine the relationship between awareness of the mothers about this disease on improving diabetic children metabolic control and also, to examine the relationship between socioeconomic situations of families and control of diabetes in this group of patients. Patients and Methods: This is a cross-sectional descriptive analytic study on 80 diabetic children and their mothers, who were registered in the diabetes association of Iran, for outpatient control of disease. Diabetes knowledge was measured by Michigan diabetes knowledge test and glycemic control was assessed by glycosylated hemoglobin (HbA1c). To assess the socio-economic status of a diabetic child's family, educational level, occupational and marital status of parents were asked and the socioeconomic status (SES) was evaluated with Hollingshed four-factor index of SES. Results: Mothers' mean knowledge score was 17.72, children's mean HbA1c was 7.77 and mean of SES was 27.89. There was no significant correlation between children's HbA1c and mother's SES. Also, there was an inverse linear relationship between mothers' knowledge score and children's HbA1c and there was a direct linear relationship between the mothers' knowledge score and SES. Conclusions: Finally, based on the results obtained in this study, it can be concluded that the awareness of mothers of T1DM children has a good impact on blood sugar control, whereas the SES of families has no direct effect on blood sugar control. Additionally, SES can indirectly impact on the consciousness of mothers and lead to the reduction of HbA1c.

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Family Influence on Self-Care, Quality of Life, and Metabolic Control in School-Age Children and Adolescents with Type 1 Diabetes

Cited by 79 publications

References 28 publications

Characteristics of Adolescents With Type 1 Diabetes Who Exhibit Adverse Outcomes

Characteristics of Adolescents With Type 1 Diabetes Who Exhibit Adverse Outcomes

Health related quality of life among children with Type I diabetes, Assiut city, Egypt

The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

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