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The relation between awareness of personal resources and metabolic control in children and adolescents with type 1 diabetes
Author(s) -
Blicke Maren,
Körner Ulrike,
Nixon Patricia,
Salgin Burak,
Meissner Thomas,
Pollok Bettina
Publication year - 2015
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12177
Subject(s) - medicine , concordance , perspective (graphical) , metabolic control analysis , disease , attribution , type 1 diabetes , developmental psychology , clinical psychology , diabetes mellitus , psychology , social psychology , endocrinology , artificial intelligence , computer science
The study aims to elucidate whether awareness of personal resources, such as positive attributions and beliefs or social support, affects metabolic control in children and adolescents with type 1 diabetes. In addition, it will be determined to what extent metabolic control is influenced by concordance between children and parents regarding awareness of resources and the parents' ability to adopt their children's perspective. Also, the children's wishes particularly in relation to their illness will be investigated, as well as the kind of advice they would offer to fellow patients. Methods Seventy‐eight children/adolescents with type 1 diabetes completed the Essen Resource Inventory for Children and Adolescents including personal, social, structural, and migration‐specific resources. In addition, children/adolescents and their parents completed a systemic‐oriented, diabetes‐specific resource questionnaire in order to explore the parents' ability to adopt their children's perspective. Results Resources such as body awareness and open‐minded attitude to the disease were associated with metabolic control. Particularly, resources associated to a migration background were found to be inversely correlated with hemoglobin A1c ( HbA1c ) value. Moreover, it was shown that the parents' ability to adopt their children's perspective was associated with improved metabolic control. Children advising fellow patients to accept the disease showed the best HbA1c value. Discussion This data identified specific modifiable factors related to metabolic control that can be addressed during counseling of pediatric patients. Also the parents' ability for adopting their child's perspective was identified as a relevant factor which should be considered during clinical counseling of young type 1 diabetes patients.