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Health care to empower self-care in adolescents with type 1 diabetes mellitus and an immigrant minority background
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-3792-6600
University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.ORCID iD: 0000-0003-2196-5971
University of Gothenburg, Department of Psychology, Gothenburg, Sweden.
The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
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2017 (English)In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, 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.

Place, publisher, year, edition, pages
2017. Vol. 5, 2050312117700056
Keyword [en]
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: urn:nbn:se:hv:diva-10937DOI: 10.1177/2050312117700056PubMedID: 28491304OAI: oai:DiVA.org:hv-10937DiVA: diva2:1098975
Note

First Published March 29, 2017

Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-05-29Bibliographically approved

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CiteExportLink to record
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  • apa
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