Management of Type 1 Diabetes in Schools: Whose Responsibility?

Mandali, S.; Gordon, Theresa

doi:10.1111/j.1746-1561.2009.00456.x

Cited by 13 publications

(13 citation statements)

References 7 publications

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“…This finding is consistent with previous studies (Greening, Stoppelbein, Konishi, Jordan, & Moll, 2007;Mandali & Gordon, 2009;Wagner, Heapy, James, & Abbott, 2006). Adolescent challenges to the authority of parents and healthcare providers have been found to increase with age (Court, Cameron, Berg-Kelly, & Swift, 2008), a phenomenon that may result in decreased self-care behaviors and perceived social support with adolescent age.…”

Section: Discussionsupporting

confidence: 93%

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

Chen²,

Wang³

2013

Journal of Nursing Research

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Section: Discussionsupporting

confidence: 93%

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

Chen²,

Wang³

2013

Journal of Nursing Research

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“…Despite the high number of hours per day that adolescents engage in school activities, both adolescents with T1D and their parents reported that teachers and school staff still showed inadequate knowledge about diabetes and few had training with diabetes tasks (Lehmkuhl & Nabors, 2008) resulting in low school support that was related with low QoL (Mandali & Gordon, 2009; Wagner et al, 2006). Nevertheless, when peers, teachers, and school staff were provided with adequate training and schools with better facilities and flexibility to accommodate adolescents’ diabetes tasks, school support increased, and adolescents’ QoL improved (Butler & Lawlor, 2004; Nabors et al, 2005; Wagner et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, participation in school activities may negatively influence adolescent’s QoL (Pansier & Schulz, 2015). Also, insufficient knowledge and training of teachers and school staff may negatively influence adolescents’ QoL and be related to a less supportive environment, increased diabetic complications, and feelings of teasing and alienation from healthy peers (Mandali & Gordon, 2009; Wagner & James, 2006). When school staff and peers were given adequate training to improve their knowledge about diabetes management and how to help adolescents performing diabetes tasks during their school activities, adolescents’ QoL improved (Butler & Lawlor, 2004; Nabors et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Family functioning and quality of life in adolescents with type 1 diabetes: The role of dissimilarity in illness representations and school support

Almeida

Leandro

Pereira

2019

Clin Child Psychol Psychiatry

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This study analyzed the impact of dissimilarities in illness perceptions between parents and adolescents, school support, and family functioning on quality of life of adolescents with type 1 diabetes (T1D). A total of 100 adolescents diagnosed with T1D for at least 1 year and a primary caregiver participated in the study (N=200). Adolescents answered the Diabetes Quality of Life and the School Support Questionnaire, and parents answered the general functioning subscale of the Family Assessment Device. Both answered the Brief-Illness Perception Questionnaire, regarding the adolescents’ diabetes. The interception effect of dissimilarities regarding identity and concerns perceptions toward diabetes, between parents and adolescents, and school support in the relationship between family functioning and quality of life was significant and explained 27% and 32% of the variance, respectively. The results showed a negative relationship between family functioning and quality of life when school support was low and dissimilarities in identity and concerns perceptions were high. Therefore, to increase quality of life of adolescents with T1D, intervention programs should include family, teachers, school staff, and peers to improve their knowledge of diabetes and support to adolescents.

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“…[38] The older the participants, the worse their perceived school support and self-care behaviors. [39] Bad glycemic control would depress the patients, who consequently give up strict self-care, thus forming a vicious circle. This suggests more attention should be paid to patients with long diabetes duration, providing more psychological care and self-care education.…”

Section: Discussionmentioning

confidence: 99%

Impact of disease-management programs on metabolic control in patients with type 1 diabetes mellitus

Lin

Yang

et al. 2016

Medicine

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The aim of this study is to evaluate the effect of diabetes disease management program (DMP) on glycemic control in type 1 diabetes mellitus (T1DM) patients in Shantou China.A sample of 240 participants recruited from 3C study Shantou subgroup was followed up in DMP for 3 years. The DMP provided self-management education, individualized therapy plan, diabetes complications screening, and laboratory examination periodical according to clinical practice guidelines. Primary outcomes were changes in hemoglobin A1C (HbA1c).Two hundred one of the participants completed the follow-up. There was a significant decrease in the HbA1c levels after DMP implemented. The mean (± SD) pre- and post-intervention HbA1c levels were 10.26% ± 3.30% and 8.57% ± 1.57% respectively with a P value <0.001. General linear mixed model analyse demonstrated that changes in glycemic control were associated with insulin treatment regimen, frequency of Self-Monitoring of Blood Glucose (SMBG), diabetes diet adherence, physical activity, and duration of diabetes.DMP helped to improve glycemic control and should be general implemented in China's T1DM. Individuals with basal-bolus regimen (multiple daily injections or pump therapy), more frequency of SMBG, following a diabetes diet, more physical activity, shorter diabetes duration may derive greater benefits from DMP.

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Management of Type 1 Diabetes in Schools: Whose Responsibility?

Cited by 13 publications

References 7 publications

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

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

Family functioning and quality of life in adolescents with type 1 diabetes: The role of dissimilarity in illness representations and school support

Impact of disease-management programs on metabolic control in patients with type 1 diabetes mellitus

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