Increasing Coping Skills in Parents of Children with Type 1 Diabetes

1629 WordsJul 14, 20187 Pages
According to the U.S Department of Health and Human Services, there are 15,600 new cases of Type I Diabetes Mellitus (T1DM) each year (U.S Department of Health and Human Services, 2011). Boys and girls are at relatively equal risks for developing T1DM up until fourteen years old, with risks peaking around puberty. Following puberty, incidences tend to be higher in white males than women (Soltesz, Patterson, & Dahlquist, 2007). When looking globally by region at incidences, they tend to be higher in European countries, such as Finland, Italy, Sweden, and the United Kingdom. This could be related to the genetic susceptibility people in these areas carry around, such as a certain gene associated with the autoimmune response of T1DM…show more content…
Assessments In order to measure adherence to T1DM regimens of adolescents, frequent monitoring of blood glucose levels would need to be done. A1C, or glycosylated hemoglobin, is a measurement of blood sugar levels over the previous 3 months. It is useful in determining risks for diabetic complications and serves as a good indicator for long-term control of blood glucose levels (The International Expert Committee, 2009). Emotions and behaviors can be used to assess confidence and how the parents or child feel towards the diagnosis and outlook. Environmental and familial/social support assessments can be used to identify what types of social support were effective. One would incorporate surveys regarding accessibility to the Internet as well as current support groups and access to resources. Pre/Post-levels of self-reported parental efficacy may also be used. The Diabetes Empowerment scale is an easy way to measure self-efficacy and can be used with the family. One could also use a self-efficacy for Diabetes scale (Merkel & Wright, 2012). Interventions The typical route taken in regards to increasing adherence to T1DM regimens is usually immediate and involves extensive learning of things such as medication and symptom management. However, parents of children with a chronic disease need ongoing support to stay active in their child’s regimen and feel confident that they and their child are
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