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http://dx.doi.org/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, Hooyun (Severance Children's Hospital, Yonsei University Health System)
Choi, Eun Kyoung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
Kim, Heejung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
Kim, Ho-Seong (Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, College of Medicine, Yonsei University)
Kim, Hee-Soon (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
Publication Information
Child Health Nursing Research / v.25, no.2, 2019 , pp. 234-243 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related 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 $61.23{\pm}10.00$ 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 (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, 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.
Keywords
Adolescent; Type 1 diabetes mellitus; Self-management; Self-efficacy;
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