Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study

Purpose: Individuals in the emerging adult age group (18-30 years) with type 1 diabetes (T1DM) have unique medical and social needs. The purpose of this study was to observe barriers and strategies for diabetes management among emerging adults with T1DM. Methods: A qualitative grounded theory model...

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Main Authors: Bailee Sawyer, Elizabeth Hilliard, Kyle J Hackney, Sherri Stastny
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Clinical Medicine Insights: Endocrinology and Diabetes
Online Access:https://doi.org/10.1177/11795514221098389
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author Bailee Sawyer
Elizabeth Hilliard
Kyle J Hackney
Sherri Stastny
author_facet Bailee Sawyer
Elizabeth Hilliard
Kyle J Hackney
Sherri Stastny
author_sort Bailee Sawyer
collection DOAJ
description Purpose: Individuals in the emerging adult age group (18-30 years) with type 1 diabetes (T1DM) have unique medical and social needs. The purpose of this study was to observe barriers and strategies for diabetes management among emerging adults with T1DM. Methods: A qualitative grounded theory model was utilized. An open-ended approach with a telephone interview was designed to allow a deeper understanding of the T1DM experience. The participants were from a larger survey-volunteer participant group and were asked to complete 1 interview in spring 2020 (n = 21, diagnosed age: mean 15.00 ± 8.00, females, n = 19). The data were analyzed for cohesive themes using grounded theory. Results: Participants indicated three main barrier themes (physiology, environment, and insurance) and 3 barrier subthemes (mental health, lack of social support, and weather). Three main strategy themes to diabetes management were recognized (medical technology, access to social support, and physical activity). There were 2 strategy subthemes (social media and social accountability). Conclusions: Regular use of social media can be a key tool for social accountability while lack of social support and physiological shifts can be barriers to management of T1DM. Physical activity should be considered as part of an individualized plan for management of diabetes.
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spelling doaj.art-32afb7935b9c47b0956f7978777bb31b2022-12-22T03:22:18ZengSAGE PublishingClinical Medicine Insights: Endocrinology and Diabetes1179-55142022-05-011510.1177/11795514221098389Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative StudyBailee Sawyer0Elizabeth Hilliard1Kyle J Hackney2Sherri Stastny3Department of Medical Laboratory Sciences, Public Health, and Nutrition Science, Tarleton State University, Stephenville, TX USADepartment of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USADepartment of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USADepartment of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USAPurpose: Individuals in the emerging adult age group (18-30 years) with type 1 diabetes (T1DM) have unique medical and social needs. The purpose of this study was to observe barriers and strategies for diabetes management among emerging adults with T1DM. Methods: A qualitative grounded theory model was utilized. An open-ended approach with a telephone interview was designed to allow a deeper understanding of the T1DM experience. The participants were from a larger survey-volunteer participant group and were asked to complete 1 interview in spring 2020 (n = 21, diagnosed age: mean 15.00 ± 8.00, females, n = 19). The data were analyzed for cohesive themes using grounded theory. Results: Participants indicated three main barrier themes (physiology, environment, and insurance) and 3 barrier subthemes (mental health, lack of social support, and weather). Three main strategy themes to diabetes management were recognized (medical technology, access to social support, and physical activity). There were 2 strategy subthemes (social media and social accountability). Conclusions: Regular use of social media can be a key tool for social accountability while lack of social support and physiological shifts can be barriers to management of T1DM. Physical activity should be considered as part of an individualized plan for management of diabetes.https://doi.org/10.1177/11795514221098389
spellingShingle Bailee Sawyer
Elizabeth Hilliard
Kyle J Hackney
Sherri Stastny
Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
Clinical Medicine Insights: Endocrinology and Diabetes
title Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
title_full Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
title_fullStr Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
title_full_unstemmed Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
title_short Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study
title_sort barriers and strategies for type 1 diabetes management among emerging adults a qualitative study
url https://doi.org/10.1177/11795514221098389
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