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2017 (English) In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, article id 2050312117700056Article in journal (Refereed) Published
Abstract [en] BACKGROUND: The pediatric diabetes team aims to support health, quality of life, and normal growth and development among adolescents with type 1 diabetes mellitus. Adolescents with an immigrant background have been found less successful in self-care. Previous research indicated that adolescents who had integrated the disease as a part of their self-image reasoned differently about their self-care to those who had not.
OBJECTIVE: The aim of this study was to identify elements in the patient-pediatrician consultations that might influence such integration of the disease among adolescents with type 1 diabetes mellitus.
METHODS: A total of 12 pediatrician-adolescent consultations were video-recorded and analyzed. The adolescents all had an immigrant background.
RESULTS: Integration of the disease appeared enabled when responsibility was shared; when hope, autonomy, and emotions were confirmed; and when the pediatrician asked probing questions. Letting objective data dominate the adolescent's experiences, using risk as a motivator, neutralizing emotions in relation to having diabetes, and confirming forgetfulness, may instead inhibit disease integration.
CONCLUSION: An extended person-centered approach with focus on the adolescent's experiences of everyday life with a chronic disease and less attention on physical parameters in the pediatrician-adolescent consultations may increase integration of the disease.
Keywords Adolescents, diabetes, healthcare professionals, immigrant, phenomenography, self-care, type 1 diabetes mellitus, youth at-risk
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers urn:nbn:se:hv:diva-10937 (URN) 10.1177/2050312117700056 (DOI) 000443441700021 () 28491304 (PubMedID)
Note First Published March 29, 2017
2017-05-292017-05-292019-02-05 Bibliographically approved