Self-management problem solving for adolescents with type 1 diabetes: Intervention processes associated with an Internet program

PATIENT EDUCATION AND COUNSELING

卷:85

Article

Mulvaney, Shelagh A.¹  Rothman, Russell L.²  Osborn, Chandra Y.²  Lybarger, Cindy¹  Dietrich, Mary S.¹  Wallston, Kenneth A.¹ 

[1] Vanderbilt Univ, Med Ctr, Sch Nursing, Nashville, TN 37240 USA

[2] Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37240 USA

关键词: Type 1 diabetes mellitus;    Internet;    Self-management;    Problem solving;    Coping;    Problem-based learning;    Adolescent;    Feasibility;   

DOI  :  10.1016/j.pec.2010.09.018

来源: Elsevier

【 摘 要 】

Objective: Describe intervention processes associated with an Internet self-management problem solving program for adolescents with type 1 diabetes, and relate participant characteristics to program use. Methods: Forty-one adolescents with type 1 diabetes, aged 13-17, participated in an Internet intervention. Results: Participants reported psychosocial self-management barriers related to social issues (45%), time pressures (22%), and emotions (25%). Most adolescents (76%) completed the two guided problem solving cycles, and most (97%) problems were appropriate and specific to diabetes. Of the 61 diabetes problems reported, 92% were mostly or completely solved. Baseline hemoglobin A1c, diabetes duration, and age were not related to online activities, however females posted more often to the forum (U=130.0, Z=2.13, p=.033). The majority of parents (87%) interacted with their child about the website. Conclusion: Adolescents experience psychosocial barriers to self-management that can be addressed by teaching problem solving via the Internet. Practice implications: An Internet self-management problem solving program with minimal external support provides a viable option for diabetes clinics to improve pediatric diabetes outcomes. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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