A Cross-Sectional Study of Predictive Factors of Self-Management Among Adolescents with Type 1 Diabetes.

Uncontrolled blood glucose in adolescents with type 1 diabetes leads to many complications that are life-threatening and affect their quality of life. Self-management is an approach that allows adolescents to achieve good glycemic control. Therefore, this predictive correlation study aimed to invest...

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Published in:Pacific Rim International Journal of Nursing Research Vol. 29; no. 3; pp. 605 - 619
Main Authors: Kajonwiboolpol, Supachai, Patoomwan, Autchareeya, Punyoo, Jiraporn
Format: research tables/charts Journal Article
Published: Thailand Nursing & Midwifery Council Jul-Sep2025
Online Access:View this record in EBSCOhost
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      dt: Jul-Sep2025
      vid: 29
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      pid: 26313
      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2025.272686
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        atl: A Cross-Sectional Study of Predictive Factors of Self-Management Among Adolescents with Type 1 Diabetes.
      aug:
        au:
          Kajonwiboolpol, Supachai
          Patoomwan, Autchareeya
          Punyoo, Jiraporn
        affil: Graduate Student in the Master of Nursing Science Program (Pediatric Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
      sug:
        subj:
          Diabetes Mellitus, Type 1 Therapy
          Self-Management Evaluation
          Adolescent Behavior
          Age Factors
          Parenting
          Professional-Patient Relations
          Patient Satisfaction
          Human
          Male
          Female
          Adolescence
          Funding Source
          Thailand
          Tertiary Health Care
          Multicenter Studies
          Cross Sectional Studies
          Correlational Studies
          Purposive Sample
          Questionnaires
          Medical Records
          Pearson's Correlation Coefficient
          Descriptive Statistics
          Data Analysis Software
          Multiple Linear Regression
          Family Support
          Diabetes Education
          Adolescent: 13-18 years
          Male
          Female
      ab: Uncontrolled blood glucose in adolescents with type 1 diabetes leads to many complications that are life-threatening and affect their quality of life. Self-management is an approach that allows adolescents to achieve good glycemic control. Therefore, this predictive correlation study aimed to investigate self-management among adolescents with type 1 diabetes and to examine the predictive power of age, parenting styles, and patient-provider relationship satisfaction on self-management. Purposive sampling was employed to recruit 93 adolescents aged 10 to 19 years with type 1 diabetes who were receiving follow-up care at two tertiary hospitals in Bangkok, Thailand. The research instruments used were the Self-Management Behavior of Adolescents with T1DM, the Parenting Style, and the Thai version of the Medical Interview Satisfaction Scale (MISS-21). Descriptive statistics and multiple regression were employed to analyze the data. The results found that the mean score of self-management behaviors was high. All variables, including age, authoritative, authoritarian, permissive, and uninvolved parenting styles, as well as patient-provider relationship satisfaction, explained 49.4% of the variance in self-management behaviors. However, only authoritative parenting style, uninvolved parenting style, and patient-provider relationship satisfaction were statistically significant predictors of self-management, with patient-provider relationship satisfaction being the strongest. Nurses can use this finding to design and test an intervention program that emphasizes encouraging authoritative parenting while discouraging uninvolved parenting and promoting the patient-provider relationship in the management of diabetes. Future studies should investigate the cultural variations of parenting styles, self-management, and glycemic control in adolescents from more diverse cultural and ethnic backgrounds.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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