Author : Mu00e1ria Du00f3ra Horvu00e1th
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis What Should I Manage My Childu2019s Diabetes With? Parentsu2019 Perceptions of Diabetes Management Technologies by : Mu00e1ria Du00f3ra Horvu00e1th
Download or read book What Should I Manage My Childu2019s Diabetes With? Parentsu2019 Perceptions of Diabetes Management Technologies written by Mu00e1ria Du00f3ra Horvu00e1th and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundManaging a childu2019s diabetes poses many unique challenges for parents and their children. The purpose of modern diabetes technologies is to facilitate the management of the disease. These technologies have more complex functions, therefore using them might require different circumstances and skills. How parents perceive diabetes management tools may differ depending on demographical, psychological and diabetes-related factors.AimsThe objective of the study is to assess how demographical, psychological and diabetes-related data influences the choice parents make regarding their childu2019s diabetes management technologies and to determine which factors contribute to the acceptance of modern diabetes technologies. MethodWe conducted the study using a questionnaire. It contained questions about demographical data, diabetes-related characteristics, perception of modern diabetes management tools and two psychological factors: diabetes management problems and subjective diabetes competence. 318 parents participated, who were between 25-64 years of age; the average age was 41. Participants were mainly mothers (293). Most of the children were between 6-12 years of age (47%) and diabetes duration was mostly between 3-5 years (26 %). 61% of the participants self-monitored blood glucose, while 39% used a continuous glucose monitoring system. For insulin therapy, 58% of the participants used multiple daily insulin injections and 42% used continuous subcutaneous insulin infusion. In order to better understand how parents perceive diabetes management technologies, we expanded our data with semi-structured in-depth interviews. ResultsParents who used different combinations of diabetes management tools showed significant differences in age (parentsu2019 and childu2019s), diabetes duration, monthly cost of diabetes, level of education and average income. Continuous glucose monitoring system users perceived diabetes management problems significantly more severe than users who self-monitored blood glucose. Continuous subcutaneous insulin infusion therapy users felt significantly more competent in diabetes than multiple daily insulin injection therapy users. Omitting the continuous glucose monitoring system use due to the lack of financial resources was determined by diagnosis duration. While omitting its use by the cause of the child rejecting it was determined by childu2019s age and subjective diabetes competence. Using multiple daily insulin injections instead of continuous subcutaneous insulin infusion therapy because of the childu2019s rejection was determined by monthly cost of diabetes and the childu2019s age. DiscussionCertain conditions must be met for the acceptance of modern diabetes management technologies. Most importantly the user should feel competent with the management of diabetes and should have the capacity for using a more complex tool. Parents with different demographic and psychological characteristics perceive modern diabetes technologies distinctly. We demonstrated which diabetes-related factors determine the reasons parents avoid using continuous glucose monitor and continuous subcutaneous insulin infusion systems. Since these modern technologies were supposed to facilitate the management of diabetes, we need to be aware of the factors that inhibit their acceptance. Our results can contribute to developing diabetes technologies to be more suitable for families living in diverse circumstances. ReferencesBorges Jr, U., & Kubiak, T. (2016). Continuous glucose monitoring in type 1 diabetes: human factors and usage. 10(3), 633-639. Cemeroglu, A. P., Stone, R., Kleis, L., Racine, M. S., Postellon, D. C., & Wood, M. A. (2010). Use of a realu2010time continuous glucose monitoring system in children and young adults on insulin pump therapy: patients' and caregivers' perception of benefit. Pediatric Diabetes, 11(3), 182-187. Gonder-Frederick, L. A., Shepard, J. A., Grabman, J. H., & Ritterband, L. M. (2016). Psychology, technology, and diabetes management. American Psychologist, 71(7), 577. Hirose, M., Beverly, E. A., & Weinger, K. (2012). Quality of Life and Technology: Impact on Children and Families With Diabetes. Current Diabetes Reports, 12(6), 711-720. Iversen, A. S., Graue, M., Haugstvedt, A., & Ru00e5heim, M. (2018). Being mothers and fathers of a child with type 1 diabetes aged 1 to 7 years: a phenomenological study of parentsu2019 experiences. International Journal of Qualitative Studies on Health and Well-being, 13(1), 1487758. Liberman, A., Buckingham, B., & Phillip, M. (2011). Diabetes technology and the human factor. International Journal of Clinical Practice, 65, 83-90. Liberman, A., & Buckingham, B. (2016). Diabetes technology and the human factor. Diabetes Technology & Therapeutics, 18(S1), S-101-S-111. Paris, C. A., Imperatore, G., Klingensmith, G., Petitti, D., Rodriguez, B., Anderson, A. M., Schwartz, I. D., Standiford D. A., & Pihoker, C. (2009). Predictors of insulin regimens and impact on outcomes in youth with type 1 diabetes: the SEARCH for Diabetes in Youth study. The Journal of Pediatrics, 155(2), 183-189. e181. Sullivan-Bolyai, S., Deatrick, J., Gruppuso, P., Tamborlane, W., & Grey, M. (2003). Constant vigilance: mothers' work parenting young children with type 1 diabetes. Journal of pediatric nursing, 18(1), 21-29.
