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Young adults’ management of Type 1 diabetes during life transitions

Author

Listed:
  • Bodil Rasmussen
  • Glenn Ward
  • Alicia Jenkins
  • Susan J King
  • Trisha Dunning

Abstract

Aim. To identify life transitions likely to impact diabetes self‐care among young adults with Type 1 diabetes and their coping strategies during transition events. Background. Relationships among psychosocial stress, adjustment, coping and metabolic control affect clinical outcomes and mental health. Life transitions represent major change and are associated with stress that temporarily affects individuals’ problem‐solving, coping abilities and blood glucose levels. Design. A qualitative interpretive inquiry. Method. Semi‐structured interviews were conducted with 20 young adults with Type 1 diabetes and a constant comparative analysis method. Data and analysis was managed using QSR© NVivo 7 software. Results. Participants identified two significant transition groups: life development associated with adolescence, going through the education system, entering new relationships, motherhood and the workforce and relocating. Diabetes‐related transitions included being diagnosed, developing diabetes complications, commencing insulin pump treatment and going on diabetes camps. Participants managed transitions using ‘strategic thinking and planning’ with strategies of ‘self‐negotiation to minimise risks’; ‘managing diabetes using previous experiences’; ‘connecting with others with diabetes’; ‘actively seeing information to ‘patch’ knowledge gaps’; and ‘putting diabetes into perspective’. Conclusions. Several strategies are used to manage diabetes during transitions. Thinking and planning strategically was integral to glycaemic control and managing transitions. The impact of transitions on diabetes needs to be explored in larger and longitudinal studies to identify concrete strategies that assist diabetes care during life transitions. Relevance to clinical practice. It is important for health professionals to understand the emotional, social and cognitive factors operating during transitions to assist young adults with Type 1 diabetes to achieve good health outcomes by prioritising goals and plan flexible, timely, individualised and collaborative treatment.

Suggested Citation

  • Bodil Rasmussen & Glenn Ward & Alicia Jenkins & Susan J King & Trisha Dunning, 2011. "Young adults’ management of Type 1 diabetes during life transitions," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(13‐14), pages 1981-1992, July.
    • Handle: RePEc:wly:jocnur:v:20:y:2011:i:13-14:p:1981-1992
    DOI: 10.1111/j.1365-2702.2010.03657.x
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    Cited by:

    1. Yuehtao Chiang & Peikwei Tsay & Chiwen Chen & Chienlung Hsu & Hsingyi Yu & Chiwen Chang & Fusung Lo & Philip Moons, 2021. "A Delphi Study on the Healthcare Needs of Patients with Type 1 Diabetes during the Transition from Adolescence to Adulthood: Consensus among Patients, Primary Caregivers, and Healthcare Providers," IJERPH, MDPI, vol. 18(13), pages 1-15, July.
    2. Pernille Castensøe‐Seidenfaden & Grete Teilmann & Finn Kensing & Eva Hommel & Birthe Susanne Olsen & Gitte Reventlov Husted, 2017. "Isolated thoughts and feelings and unsolved concerns: adolescents’ and parents’ perspectives on living with type 1 diabetes – a qualitative study using visual storytelling," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3018-3030, October.

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