Child Health Nurs Res.  2019 Apr;25(2):234-243. 10.4094/chnr.2019.25.2.234.

Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model

• Lee H
• Choi EK
• Kim H
• Kim HS
• Kim HS

• KMID: 2449197
• DOI: http://doi.org/10.4094/chnr.2019.25.2.234

Abstract

PURPOSE
The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation- behavior skills model.
METHODS
Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05.
RESULTS
The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management.
CONCLUSION
It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

Keyword

Adolescent; Type 1 diabetes mellitus; Self-management; Self-efficacy

MeSH Terms

Adolescent*
Ambulatory Care Facilities
Data Collection
Diabetes Mellitus, Type 1*
Humans
Linear Models
Self Care*