A person-centered education for adolescents with type 1 diabetes - a randomized controlled trial

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Brorsson, Anna Lena,1964-Karolinska Institutet,Högskolan Dalarna,Omvårdnad,Karolinska institutet,Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden (författare)

A person-centered education for adolescents with type 1 diabetes - a randomized controlled trial

Artikel/kapitelEngelska2019

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2019-07-18
Hindawi Limited,2019
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LIBRIS-ID:oai:DiVA.org:du-30559
https://urn.kb.se/resolve?urn=urn:nbn:se:du-30559URI
https://doi.org/10.1111/pedi.12888DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-396698URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:142053380URI

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Språk:engelska
Sammanfattning på:engelska

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INTRODUCTION: Young people with type 1 diabetes and their parents need to receive person-centred education to be able to manage their diabetes. Guided Self-Determination-Young (GSD-Y) is a person-centred communication and reflection education model that can be used in educational programmes for young people with type 1 diabetes.OBJECTIVE: To evaluate whether GSD-Y leads to improved glycaemic control, increased self-perceived health and health-related quality of life, fewer diabetes-related family conflicts, and improved self-efficacy in a group-based intervention for adolescents starting continuous subcutaneous insulin infusion (CSII) and their parents.METHODS: This randomized controlled trial included 71 adolescents starting CSII. Participants were followed for twelve months. The intervention group (n=37) attended seven group training sessions over a period of five months, using the GSD-Y model, the control group received standard care. Variables evaluated were HbA1c, self-perceived health, health-related quality of life, family conflicts, self-efficacy, and usage of continuous glucose monitoring.RESULTS: When adjusted for sex and family conflicts, there was a difference in glycaemic control between the groups at twelve months, favouring the intervention group (62 vs. 70 mmol/mol, p=0.009). When analyses were performed on boys and girls separately and adjusted for family conflicts, the only difference detected was for boys after twelve months (p=0.019). The intervention showed no effect on self-perceived health, health-related related quality of life, family conflicts, or self-efficacy.CONCLUSIONS: An intervention with GSD-Y may have an effect on glycaemic control. The content of the GSD-Y groups may serve as a model for person-centred care in adolescents with type 1 diabetes. This article is protected by copyright. All rights reserved.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
Adolescent
diabetes mellitus
health education
parents
type 1
Hälsa och välfärd
Health and Welfare

Biuppslag (personer, institutioner, konferenser, titlar ...)

Leksell, Janeth,1955-Högskolan Dalarna,Omvårdnad,Uppsala universitet,Klinisk diabetologi och metabolism,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden(Swepub:uu)jalek424 (författare)
Franko, Mikael AnderssonKarolinska Institutet (författare)
Olinder, Anna Lindholm,PhD,1960-Karolinska Institutet,Uppsala universitet,Klinisk diabetologi och metabolism,Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden(Swepub:uu)annli614 (författare)
Högskolan DalarnaOmvårdnad (creator_code:org_t)

Sammanhörande titlar

Ingår i:Pediatric Diabetes: Hindawi Limited20:7, s. 986-9961399-543X1399-5448

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Av författaren/redakt...: Brorsson, Anna L ...; Leksell, Janeth, ...; Franko, Mikael A ...; Olinder, Anna Li ...

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Av lärosätet: Högskolan Dalarna; Uppsala universitet; Karolinska Institutet

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