Self-management of sick days in young people with type 1 diabetes enhanced by phone support: A qualitative study. Issue 2 (4th May 2019)

• Record Type: Journal Article
• Authors: Farrell, Kaye; Brunero, Scott; Holmes-Walker, Deborah Jane; Griffiths, Rhonda; Salamonson, Yenna
• Is Part Of: Contemporary nurse. Volume 55:Issue 2/3(2019)
• Page Start: 171
• Page End: 184
• Publication Date: 2019-05-04
• Subjects: Transition -- young adult -- diabetic ketoacidosis -- self-management -- self-efficacy -- hospitalization; Nursing -- Periodicals -- Australia -- Nursing -- Periodicals; Nurses -- Australia -- Periodicals; 610.730994
• DOI: 10.1080/10376178.2019.1640620
• Languages: English
• ISSNs: 1037-6178

Abstract

Abstract : Aims and Objectives: The aim of this paper was to evaluate the impact of phone support on sick day management of young people with type 1 diabetes. Method: Qualitative exploratory study to understand the usage of a phone support service available, 8am to 8.30pm, seven days a week. Inclusion criteria were: (a) young people with type 1 diabetes who attend an age-specific service; (b) experienced acute diabetes crisis. Interviews were coded for themes using QSR NVivo™ Version 11 software. Findings were examined through the theoretical lens of the Health Belief Model. Results: Of 20 eligible individuals, 8 participated in the study. Five avoided emergency presentation by accessing the phone support service; three who did not were admitted for diabetic ketoacidosis. The interviews generated 3 major themes: (a) self-efficacy, (b) cues to action, (c) susceptibility. Conclusion: Enhancing self-efficacy and promoting confidence to seek help early during an acute health crisis enables young people to effectively self-manage and avoid hospitalization.