Identification of distinct self-management styles of adolescents with type 1 diabetes.
Diabetes Care
; 30(5): 1107-12, 2007 May.
Article
en En
| MEDLINE
| ID: mdl-17322481
ABSTRACT
OBJECTIVE:
Using a profile-based approach to the assessment of diabetes management, the purpose of this study was to identify and evaluate an empirically derived classification system of distinct self-management styles. RESEARCH DESIGN ANDMETHODS:
Youth with type 1 diabetes (n = 156) aged 10-16 years and their parents were administered a modified version of the Diabetes Self-Management Profile (DSMP). Cluster analyses were performed independently on parent and youth report forms to categorize patients based on their patterns of scores in five diabetes self-management areas.RESULTS:
Cluster analyses revealed three self-management styles that emerged from both youth and parent report a "methodical style" (33%) with an emphasis on careful meal planning and correct insulin administration; an "adaptive style" (46%), characterized by high rates of blood glucose testing, exercise, and self-care adjustments; and an "inadequate style" (21%) with moderate rates of self-care adjustments and otherwise low DSMP scores. Convergence between parent and youth report classifications was moderate (Cohen's kappa = 0.47, P < 0.0001). A1C was 1.6% higher in the inadequate style group than in both other groups (P < 0.0001), and the classification significantly accounted for differences in A1C above what was explained by an overall DSMP score.CONCLUSIONS:
The findings provide support for recognizing subgroups of patients with unique multidimensional patterns of self-care behaviors. The assessment of self-management styles may prove useful for customized treatments that are targeted directly to the patients' needs.
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Bases de datos:
MEDLINE
Asunto principal:
Autocuidado
/
Psicología del Adolescente
/
Diabetes Mellitus Tipo 1
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Diabetes Care
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos