Zhongguo quanke yixue (Sep 2023)
Development and Preliminary Practice of Resilience-oriented Structured Treatment and Educational Program for Adolescents with Type 1 Diabetes
Abstract
Background The poor control of type 1 diabetes in Chinese adolescents has brought a heavy burden to families and society. Diabetes education in China is mainly aimed at patients with type 2 diabetes, and there is a lack of self-management support programs for adolescents with type 1 diabetes.Objective To develop a resilience-oriented structured treatment and educational program for type 1 diabetic adolescents, and to verify its applicability and feasibility among Chinese adolescents with type 1 diabetes.Methods This study was conducted during January to May 2020. Guided by the diabetes resilience model, the analysis of needs of adolescents with type 1 diabetes through literature analysis and interviews, and references obtained from the available structured educational model for type 1 diabetes, a draft resilience-oriented structured treatment and educational program for adolescents with type 1 diabetes was developed, then was revised and improved according to the results of the expert consultation. After wards, potential participants were recruited by posters posted in the outpatient department and telephone to attend a trial test conducted in the First Affiliated Hospital with Nanjing Medical University to evaluate the feasibility of the program from three aspects: recruitment response rate, authenticity and acceptability.Results The final program covers 43 teaching objectives in 3 fields, including 12 in the field of perceptions, 14 in the behavioral field and 17 in the emotional field. The program adopts group teaching method, with 5-8 patients, 1 doctor and 1 nurse in each group. There were 6 classes in a course cycle. A total of 8 adolescents were recruited in the feasibility analysis, of whom 6 adolescents completed all courses. Patients said that the course content was close to life and the class atmosphere was relaxed, and their levels of self-management ability, acceptance of diabetes and emotion regulation ability were all improved after learning the program.Conclusion The resilience-oriented structured treatment and educational program has systematic contents, standardized implementation process and high feasibility, which is worthy of further clinical verification.
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