Relations among school/daycare functioning, fear of hypoglycaemia and quality of life in parents of young children with type 1 diabetes. Issue 9 (22nd July 2014)

• Record Type: Journal Article
• Authors: Herbert, Linda J.; Clary, Lauren; Owen, Victoria; Monaghan, Maureen; Alvarez, Vanessa; Streisand, Randi
• Is Part Of: Journal of clinical nursing. Volume 24:Issue 9/10(2015)
• Page Start: 1199
• Page End: 1209
• Publication Date: 2014-07-22
• Subjects: diabetes management -- hypoglycaemia -- quality of life -- type 1 diabetes -- young children; Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12658
• Languages: English
• ISSNs: 0962-1067

Abstract

Abstract : Aims and objectives: To investigate the type 1 diabetes‐related school/daycare experiences of parents of young children and to examine the relationship among child school/daycare functioning, parent fear of hypoglycaemia and parent type 1 diabetes‐related quality of life. Background: Parents of young children who attend school/daycare must rely on others for daily type 1 diabetes management. Worry about school/daycare type 1 diabetes management may cause parental distress and contribute to diminished parent quality of life. Parental concerns about type 1 diabetes management in young children in the school/daycare setting have not been well described in the literature. Design: Descriptive correlational and cross‐sectional parent report of questionnaires design. Methods: As part of a randomised controlled trial for parents of young children with type 1 diabetes, 134 parents completed self‐report measures at baseline. Data included demographic, school/daycare, and medical information, parent reports of child school/daycare functioning, parent fear of hypoglycaemia and parent type 1 diabetes‐related quality of life. Results: Parents of younger children, children on a more intensive medical regimen and children who had experienced type 1 diabetes‐related unconsciousness or seizures had more school/daycare concerns. Parents who perceived their children had higher school/daycare functioning had less fear about hypoglycaemia and reported better type 1 diabetes‐related quality of life. School/daycare functioning and fear of hypoglycaemia were significantly associated with parent type 1 diabetes‐related quality of life. Conclusions: Parents' concerns about school/daycare functioning and fear of hypoglycaemia play an important role in parents' type 1 diabetes‐related quality of life. Relevance to clinical practice: Members of the healthcare team should be aware of concerns related to children attending school/daycare and provide additional support as warranted.