Abstract
The concept of self‐management of type 1 diabetes in children and adolescents: an evolutionary concept analysis Aim. An evolutionary concept analysis was undertaken to clarify the concept of self‐management of type 1 diabetes in children and adolescents. Background. Several problems exist in the literature on self‐management of type 1 diabetes in children and adolescents. There is no uniform terminology and there is no uniform definition of the concept. Also, there is no differentiation in the literature between self‐management of diabetes in children and adults. Methods. Ninety‐nine references were reviewed and analysed in the disciplines of nursing, medicine, and psychology. After separate analyses revealed no significant differences across disciplines, the analyses were combined to describe the attributes, antecedents, consequences, and surrogate and related concepts. Results. The three essential attributes of the concept were identified as process, activities, and goals. Self‐management of type 1 diabetes in children and adolescents is an active and proactive process; it is daily, lifelong, and flexible, and it involves shifting and shared responsibility for diabetes care tasks and decision‐making between child and parent. It is a process that involves collaboration with health care providers. Self‐management of type 1 diabetes in children and adolescents also consists of varied and many activities related to giving insulin, monitoring metabolic control, regulating diet and exercise, to name just a few. The concept also involves goals, which may differ from one parent/child dyad to another. A working definition of the concept is suggested. Conclusions. It is hoped that a more uniform definition of the concept will enable researchers to continue investigating antecedents and consequences of the concept in a way that allows for aggregating results.
Keywords
TerminologyDyadFormal concept analysisProcess (computing)PsychologyDevelopmental psychologyMedicineSocial psychologyComputer science
Affiliated Institutions
Related Publications
Incidence and trends of childhood Type 1 diabetes worldwide 1990–1999
Abstract Aims To examine incidence and trends of Type 1 diabetes worldwide for the period 1990–1999. Methods The incidence of Type 1 diabetes (per 100 000/year) was analysed in ...
Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on...
Latent Autoimmune Diabetes Mellitus in Adults (LADA): the Role of Antibodies to Glutamic Acid Decarboxylase in Diagnosis and Prediction of Insulin Dependency
Type 1 diabetes mellitus in adults may present in a manner similar to that of Type 2 diabetes but with a late development of insulin dependency. We studied 65 patients who prese...
Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO Consultation
The classification of diabetes mellitus and the tests used for its diagnosis were brought into order by the National Diabetes Data Group of the USA and the second World Health O...
Can You See the Real Me? Activation and Expression of the “True Self” on the Internet
Those who feel better able to express their “true selves” in Internet rather than face‐to‐face interaction settings are more likely to form close relationships with people met o...
Publication Info
- Year
- 2002
- Type
- review
- Volume
- 37
- Issue
- 1
- Pages
- 87-99
- Citations
- 194
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
194
OpenAlex
Cite This
Lynne S. Schilling,
Margaret Grey,
Kathleen A. Knafl
(2002).
The concept of self‐management of type 1 diabetes in children and adolescents: an evolutionary concept analysis.
Journal of Advanced Nursing
, 37
(1)
, 87-99.
https://doi.org/10.1046/j.1365-2648.2002.02061.x
Identifiers
- DOI
- 10.1046/j.1365-2648.2002.02061.x