Gibbins, Heidi (2004) Type 1 diabetes in adolescence : a shared responsibility. DClinPsych thesis, University of Warwick.

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Abstract

Type I diabetes effects over 16,500 children in the UK. For these young
people, care is needed to maintain 'near normal' blood glucose levels in order
to relieve the unpleasant symptoms of high and low blood glucose. Although
good metabolic control may decrease the risk of severe long term
complications, adolescents often have difficulty juggling all the aspects of a
complex and demanding treatment regimen, and poor adherence is
commonplace.
The literature review proposes a theoretical framework for understanding the
role of responsibility in the management of type 1 diabetes during adolescence.
The pattern of responsibility is explored in relation to the individual and their
interpersonal context. In terms of health outcome, the effects of individual and
shared responsibility are considered, necessitating a balance between the
adolescent's assumption of responsibility and their level of parental
involvement. Suggestions for clinical practice are discussed, methodological
limitations raised, and future research opportunities identified.
The role of dietary self efficacy in predicting self care during adolescence is
established. Using data for two distinct phases of adolescence, paper 1
examines whether social support from family and friends makes any additional
contribution to the prediction of dietary self care, over and above that of self
efficacy. For the younger group (aged 12-13), the prediction of self care is
improved by better perceived support from friends. An interactive effect of
shared family responsibility is also reported, confirming the importance of
shared responsibility, between parent and child, to facilitate good self
management as highlighted in the literature review. None of the variables are
significant predictors of self care in the older group (14-18 year olds).

Item Type:	Thesis or Dissertation (DClinPsych)
Subjects:	R Medicine > RJ Pediatrics
Library of Congress Subject Headings (LCSH):	Diabetes in adolescence, Health behavior in adolescence, Parents of chronically ill children
Official Date:	May 2004
Dates:	Date Event May 2004 Submitted
Institution:	University of Warwick
Theses Department:	Department of Psychology
Thesis Type:	DClinPsych
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Nouwen, Arie ; Cushway, Delia
Description:	Completed in conjunction with Coventry University. School of Health and Social Sciences
Extent:	[xi], 147 p.
Language:	eng
URI:	http://wrap.warwick.ac.uk/id/eprint/4060

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