Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jul;3(3):177-86.

The Effect of Family-centered Care on Management of Blood Glucose Levels in Adolescents with Diabetes

Fatemeh Cheraghi  1 , Farshid Shamsaei  2 , Sayyedeh Zohreh Mortazavi  3 , Abbas Moghimbeigi  4
Affiliations

The Effect of Family-centered Care on Management of Blood Glucose Levels in Adolescents with Diabetes

Fatemeh Cheraghi et al. Int J Community Based Nurs Midwifery. 2015 Jul.

Abstract

Background: Responsibility for diabetes management tasks must shift from caregivers to adolescents as adolescents grow older. Also, family-centered care is a way to provide efficient care for them at home. This study aimed to identify the effect of family-centered care on management of blood glucose levels in adolescents with type 1 diabetes mellitus (T1DM).

Methods: This is a Pre-experimental study with a pre- and post-test design. The participants consisted of forty adolescents with T1DM, aged between 10-14 years, with their caregivers who were selected through simple random sampling from Hamadan Diabetes Research Center in Iran in 2013. The sample was divided into four similar groups. Educational sessions were conducted for each group for 30 to 40 minutes. Data collection tools were "Supervisory Behaviors of Caregiver" (SBC), "Management Behaviors of adolescents" (MBA) questionnaires, and the "Blood Glucose Levels Record Sheet". Data were analyzed using SPSS 19 and based on descriptive statistics, Kolmogorov-Smirnov, paired t-test and Pearson coefficient.

Results: There was a significant difference between the subjects' MBA and SBC mean scores before (110.17±26.6) and after (134.6±1.28) intervention in four domains: "blood glucose testing", "insulin therapy", "meal plan" and "physical activity" (P<0.001). There were significant differences between the mean levels of recorded blood glucose during a week before and after intervention and between the mean levels of Glycated Hemoglobin level (HbA1c) before (8.4±1.12) and three months after (7.78±1.2) it (P<0.001). Pearson coefficient showed a positive relationship between the supervisory behaviors of caregivers with management behaviors of adolescents before and after the intervention (P<0.001).

Conclusion: Empowering adolescents with T1DM and their caregivers in home-centered care could improve diabetic adolescents' management of blood glucose levels and reduce their HbA1Clevels. Therefore, Family-centered care could provide for better regime adherence at home.

Keywords: Adolescent; Diabetes Mellitus Type 1; Family.

PubMed Disclaimer

References

    1. Silverstein J, Klingensmith G, Copeland K, et al. Care of Children and Adolescents with Type 1 Diabetes. Diabetes care. 2005;28:186–212. - PubMed
    1. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14. - PubMed
    1. Foulkner MS, Chang LI. Family influence on self-care: quality of life and metabolic control in school-aged children and adolescent with type 1 diabetes. J Pediatr Nurs. 2007;22:59–68. - PubMed
    1. Karvonen M. Incidence and trends of childhood type 1diabetes worldwide. Diabetic Med. 2006;23:857–66. - PubMed
    1. American Diabetes Association. Economic Costs of Diabetes in the U.S. in 2012. Diabets Care. 2013;36:1033–46. - PMC - PubMed

LinkOut - more resources