Adolescent Behavior, Self Efficacy, type1diabetes
Conditions
Keywords
Type 1 Diabetes, Transition Theory, Diabetes Management, Pediatric Nurse, Randomized Controlled Trial
Brief summary
Adolescence period; It is a transition period of rapid growth, development and maturation in biochemical, physical, social and spiritual terms, which lasts from the beginning of puberty to young adulthood. Adolescence is a predictable developmental transition period for the individual. They also encounter unpredictable situations (such as childhood illnesses). One of these conditions is Type 1 Diabetes Mellitus, which is the most common metabolic endocrine system disease in adolescents. Type 1 diabetes is an important health/disease transition in the life of a child and adolescent. Therefore, this study aimed to determine the effect of the Adaptation to Adolescence and Type 1 Diabetes Management Training Programme, prepared in line with Meleis's Transition Theory, on the adolescent's developmental transition adaptation, self-efficacy for diabetes management and glycemic control.
Interventions
BEHAVIORALAdaptation to Adolescence and Type 1 Diabetes Management Training Program
The content of the Training Program was created by researchers based on Transition Theory, in line with high-level research results and international guides. Then, the necessary arrangements were made by taking the opinions of 10 experts (child health and disease nursing faculty member, child and adolescent mental health specialist, child endocrinologist, child development specialist, nutrition and dietetics specialist, sports training specialist). The content was finalized in line with the comments received.
Sponsors
Akdeniz University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Having been diagnosed with type 1 diabetes in the last 6 months * HbA1c level \>7.5
Exclusion criteria
* presence of a diagnosis of intellectual disability, autism spectrum disorder and psychotic disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reynolds Adjustment Screening Inventory for Adolescents | This scale was administered three times at beginning, 3rd and 6th months. | Reynolds Adjustment Screening Inventory has four subscales. These; emotional distress (10 items), antisocial behavior (8 items), positive self (6 items related to self-confidence and socialization) and anger control problems (8 items). The Cronbach alpha value of the scale is stated as 0.91. The lowest score of the scale is 32 and the highest score is 165. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diabetes Management Self-Efficacy Scale in Adolescents with Type 1 Diabetes | This scale was administered three times at beginning, 3rd and 6th months. | The scale is used to determine the educational needs of adolescents or to evaluate the effectiveness of diabetes education programs. The scale consists of 26 items ranging from 1 (completely agree) to 5 (strongly disagree). The lowest total score that can be obtained from the scale is 26 and the highest is 130. A higher score indicates less self-efficacy. The Cronbach's alpha coefficient of the scale was found to be 0.85. |
| Glycemic Control - Hemoglobin A1C | This scale was administered three times at beginning, 3rd and 6th months. | Glycemic control was assessed by HbA1C level. In Type 1 Diabetes, Hb A1C level is one of the basic control parameters checked in the clinic in adolescents. It is repeated routinely every 3 months when the child comes to the outpatient clinic for control for Type 1 Diabetes. |
Countries
Turkey (Türkiye)
Outcome results
None listed