Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program.

Mulvaney SA, Rothman RL, Osborn CY, Lybarger C, Dietrich MS, Wallston KA
Patient Educ Couns. 2011 85 (2): 140-2

PMID: 21030194 · PMCID: PMC3046216 · DOI:10.1016/j.pec.2010.09.018

OBJECTIVE - Describe intervention processes associated with an Internet self-management problem solving program for adolescents with type 1 diabetes, and relate participant characteristics to program use.

METHODS - Forty-one adolescents with type 1 diabetes, aged 13-17, participated in an Internet intervention.

RESULTS - Participants reported psychosocial self-management barriers related to social issues (45%), time pressures (22%), and emotions (25%). Most adolescents (76%) completed the two guided problem solving cycles, and most (97%) problems were appropriate and specific to diabetes. Of the 61 diabetes problems reported, 92% were mostly or completely solved. Baseline hemoglobin A1c, diabetes duration, and age were not related to online activities, however females posted more often to the forum (U=130.0, Z=2.13, p=.033). The majority of parents (87%) interacted with their child about the website.

CONCLUSION - Adolescents experience psychosocial barriers to self-management that can be addressed by teaching problem solving via the Internet.

PRACTICE IMPLICATIONS - An Internet self-management problem solving program with minimal external support provides a viable option for diabetes clinics to improve pediatric diabetes outcomes.

Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

MeSH Terms (16)

Adaptation, Psychological Adolescent Adolescent Behavior Adolescent Health Services Diabetes Mellitus, Type 1 Female Glycated Hemoglobin A Humans Internet Male Patient Compliance Patient Education as Topic Problem Solving Psychology, Adolescent Self-Help Groups Self Care

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