Author : Cynthia K. Gordner
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Book Synopsis Medication Adherence in the Adolescent with Type I Diabetes and the Impact on Glycemic Control by : Cynthia K. Gordner
Download or read book Medication Adherence in the Adolescent with Type I Diabetes and the Impact on Glycemic Control written by Cynthia K. Gordner and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes (T1DM) is a serious health condition, with the potential for significant adverse consequences. Medication adherence is crucial to survival. Poor medication adherence is a common issue among T1DM adolescents, and combined with insulin resistance related to puberty, glycemic control can be difficult to maintain. The nurse is well-placed to interact with the T1DM adolescent to assist with medication adherence issues. Review of literature revealed diabetes education, provided by a certified diabetes educator (CDE), has been insufficient to promote medication adherence. Novel technological advances hold interest for many adolescents; however, technology alone is insufficient to address medication adherence. Addition of a psychosocial intervention is needed to improve adherence. An online support group intervention for adolescents with T1DM utilizing a video-chat format is proposed to address the adherence issue. A six-month long, one-hour, bi-weekly support group is facilitated by the nurse, CDE, and/or social worker to provide emotional support, peer interactions, problem-solving, and adolescent coping strategies. The health promotion model (HPM) is applicable as a theoretical framework for the support intervention. Individual characteristics and experiences, behavior specific cognitions and effects, and behavioral outcomes are hallmarks of the HPM, and can be applied to the T1DM adolescent as he/she learns to make lifestyle choices and behaviors affecting state of health. Evaluation endpoints include change in glycosylated hemoglobin (HbA1c), self-efficacy for diabetes assessment, and pharmacy dispensing records. Group participants will be organized into groups based on demographic data, and will complete a participant satisfaction questionnaire to evaluate perception of effectiveness of the intervention. Planned dissemination of findings includes the pediatric diabetes clinic, the local institution, CDE regional meeting, and presentation at a national conference such as Pediatric Endocrinology Nursing Society.