A qualitative study of motivation to self-management in pediatric diabetes health care consultations with adolescents with type 1 diabetes.
Article Sidebar
Downloads
Submit your own article
Register as an author to reserve your spot in the next issue of the Medical Research Archives.
Author RegistrationJoin the Society
The European Society of Medicine is more than a professional association. We are a community. Our members work in countries across the globe, yet are united by a common goal: to promote health and health equity, around the world.
Join Europe’s leading medical society and discover the many advantages of membership, including free article publication.
MembershipMain Article Content
Abstract
Background. The impact of health care professionals on the motivation for self-management in adolescents with type 1 diabetes has been highlighted as important. It is, however, not well understood how health care practitioners can help increasing motivation to self-management. The aim of the study was to investigate how practitioners can motivate their patients to self-management in consultation and how adolescents with type 1 diabetes experienced that consultation could facilitate motivation to self-management.
Methods. The study triangulated participant observations of 11 consultations at a pediatric health care clinic and 10 interviews of the adolescents (age 15-17) about their experiences of consultations. The analysis showed five categories: 1. Consultation dialogue, 2. Roles in treatment, 3. Assuming consultation-facilitated responsibility for self-management, 4. Relationship in treatment, and 5. Consultation context.
Results. Overall findings showed that the adolescent’s developmental process of becoming autonomous in relation to self-management was influenced by consultations, and that the need of feeling related was experienced as valued by the adolescents.
Conclusions. The feeling of relatedness and development of autonomy were experienced as important for how consultations could facilitate motivation to self-management in 15-17-year-olds and may be fundamental to adolescents’ experience of competence in relation to self-management.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Database DD. National årsrapport 2019/2020 [National Annual Report 2019/2020]. 2020. https://www.rkkp.dk/siteassets/de-kliniske-kvalitetsdatabaser/arsrapporter/arsrapport_diabetes_2019_20_endelig.pdf
3. Schilling LS, Grey M, Knafl KA. The concept of self-management of type 1 diabetes in children and adolescents: an evolutionary concept analysis. J Adv Nurs. Jan 2002;37(1):87-99. doi:10.1046/j.1365-2648.2 002.02061.x
4. Jaser SS, Faulkner MS, Whittemore R, et al. Coping, self-management, and adaptation in adolescents with type 1 diabetes. Ann Behav Med. Jun 2012;43(3):311-9. doi:10.1007/s121 60-012-9343-z
5. Reynolds KA, Helgeson VS. Children with diabetes compared to peers: depressed? Distressed? A meta-analytic review. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. Aug 2011;42 (1):29-41. doi:10.1007/s12160-011-9262-4
6. Cameron FJ, Amin R, de Beaufort C, Codner E, Acerini CL. ISPAD Clinical Practice Consensus Guidelines 2014. Diabetes in adolescence. Pediatr Diabetes. Sep 2014;15 Suppl 20:245-56. doi:10.1111/pedi.12169
7. Werther GA, Cameron FJ, Court JM. The Adolescent with Type 1 Diabetes. In: Sperling MA, ed. Type 1 diabetes : etiology and treatment. Humana Press; 2003:307-320.
8. Ng JY, Ntoumanis N, Thogersen-Ntoumani C, et al. Self-Determination Theory Applied to Health Contexts: A Meta-Analysis. Perspect Psychol Sci. Jul 2012;7(4):325-40. doi:10.1177/1745691612447309
9. Ryan R, Patrick H, Deci E, Williams G. Facilitating health behavior change and its maintenance: Interventions based on Self-Determination Theory. Eur Health Psychol. 11/30 2007;10
10. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. Jan 2000;55(1):68-78. doi:10.1037//0003-066x.55.1.68
11. Denzin NK. The research act in sociology : a theoretical introduction to sociological methods. 2. print. ed. Methodological perspectives. Butterworths; 1970.
12. Pedersen M, Klitmøller J, Nielsen K. Deltagerobservation : en metode til undersøgelse af psykologiske fænomener [Observation of participants: a method to investigate a psychological phenomenon] 1. udgave. ed. Hans Reitzel; 2012.
13. Giorgi A. The descriptive phenomenological method in psychology : a modified Husserlian approach. Duquesne University Press; 2009.
14. Delamater AM, de Wit M, McDarby V, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Psychological care of children and adolescents with type 1 diabetes. Pediatr Diabetes. Oct 2018;19 Suppl 27:237-249. doi:10.1111/pedi.12736
15. Caccavale LJ, Corona R, LaRose JG, Mazzeo SE, Sova AR, Bean MK. Exploring the role of motivational interviewing in adolescent patient-provider communication about type 1 diabetes. Pediatric Diabetes. 2019;20(2):217-225. doi:10.1111/pedi.12810
16. Strand M, Broström A, Haugstvedt A. Adolescents’ perceptions of the transition process from parental management to self-management of type 1 diabetes. Scandinavian Journal of Caring Sciences. 2019;33(1):128-135. doi:10.1111/scs.12611
17. Kvale S, Brinkmann S. InterViews: Learning the craft of qualitative research interviewing, 2nd ed. InterViews: Learning the craft of qualitative research interviewing, 2nd ed. Sage Publications, Inc; 2009:xviii, 354-xviii, 354.