Relationship between Diabetes Family Conflicts or Problem Recognition in Illness Self-Management and Quality of Life of Adolescents with T1DM and Their Parents.

Mi-Kyoung Cho,Mi Young Kim

doi:10.3390/ijerph182010710

Abstract

This study aimed to investigate the relationship between diabetes family conflicts or problem recognition in illness self-management (PRISM) and the parental perceived quality of life (QoL) of adolescents with type 1 diabetes mellitus (T1DM) and their parents. This was a cross-sectional study, and the participants comprised 111 parents of type 1 diabetes adolescents; data were collected via an online survey and analyzed by descriptive statistics, correlation, and multiple linear regression analysis using the IBM SPSS 25.0 program. The explanatory power of the QoL model in parents of adolescents with T1DM, constructed using three variables—diabetes family conflict (B = −0.56), regimen pain and bother (B = −11.25), and peer interactions (B = −7.48), which are PRISM barriers—was 35.7% (F = 5.70, p < 0.001). Diabetes family conflicts (B = −0.86) and peer interactions (B = −9.04) explained 57.3% of the variance in the parental perceived QoL of adolescents with T1DM (F = 12.33, p < 0.001). In order to improve the QoL in parents and adolescents with type 1 diabetes, interventions to effectively manage diabetes family conflicts and improve peer interactions are necessary.

Highlights

Research MotivationType 1 diabetes mellitus (T1DM) is an autoimmune disease characterized by insulin deficiency resulting from beta-cell impairment [1]
This study examined the quality of life (QoL) of parents of adolescents with type 1 diabetes mellitus (T1DM), the parental perceived QoL of adolescents with T1DM, diabetes family conflict, and problem recognition in illness self-management (PRISM)
It identified the factors affecting the QoL of parents of adolescents with T1DM and the parental perceived QoL of children with T1DM

Summary

Introduction

Type 1 diabetes mellitus (T1DM) is an autoimmune disease characterized by insulin deficiency resulting from beta-cell impairment [1]. The incidence of T1DM among Korean children and adolescents has been increasing, with the number of cases per 100,000 changing from 32.85 in 2007, to 41.03 in 2017 [2]. T1DM is a rising problem requiring our attention. Managing T1DM is a complex and challenging process that involves diet management, exercise, insulin injections, and blood glucose monitoring [3]. Extra considerations must be made for adolescents with T1DM, who tend to become more independent from their parents and undergo rapid biological and hormonal changes.

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Discussion

Conclusion