Perceptions of psychosocial factors and the insulin pump.

Perceptions of psychosocial factors and the insulin pump. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Perceptions of psychosocial factors and the insulin pump. Abstract Text:

Marilyn D Ritholz,Arlene Smaldone,Jarim Lee,Astrid Castillo,Howard Wolpert,Katie Weinger,

OBJECTIVE: The purpose of this study was to identify psychosocial issues related to diabetes, approaches to self-care, self-perceptions, and social interactions among insulin pump users with type 1 diabetes. RESEARCH DESIGN AND METHODS: Adult insulin pump users participated in focus groups loosely formed on the basis of A1C level. Transcripts of focus group meetings were coded into themes by five reviewers using NVivo2 qualitative software. RESULTS: Thirty adults with long-term diabetes participated in five focus groups: two with low mean +/-SD A1C (6.8 +/- 0.4%), one with mid A1C (7.80 +/- 0.3%), and two with high A1C (9.1 +/- 0.5%). Three major themes were identified: impact on diabetes self-care, emotional reactions to the insulin pump, body image, and social acceptance. Participants who described the pump as a tool to meet glycemic goals also described a more active approach to diabetes and had better glycemic control; those who discussed the pump as a panacea described more passive self-care and had poorer glycemic control. Low A1C groups reported that starting the insulin pump reminded them of feelings they experienced at their initial diabetes diagnosis, whereas the high A1C groups did not report these feelings. Women were more concerned than men about body image and social acceptance with pump use. CONCLUSIONS: Active participation in self-care, realistic expectations of pump use, and emotional recall of diabetes diagnosis were associated with better glycemic control. Interventions to improve diabetes management with pump use should include evaluation and discussion of active versus passive approaches to self-care, recall of diabetes diagnosis, expectations of the pump, and pump-related self-consciousness and body image concerns. The roles of these factors in optimal diabetes management warrant further investigation.

Perceptions of psychosocial factors and the insulin pump. Publishing Authors By Initials

MD Ritholz,A Smaldone,J Lee,A Castillo,H Wolpert,K Weinger,

For similar therapeutics: self care research abstracts see: therapeutics: self care research

PUBMED ID PMID:

MEDLINE DATE:

Perceptions of psychosocial factors and the insulin pump. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Diabetes care

VOLUME: 30

Page Numbers: 549-54

Journal Abbreviation: Diabetes Care

ISSN: 1935-5548

DAY: 3

MONTH: Mar

YEAR: 2007

Perceptions of psychosocial factors and the insulin pump. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7805975

Perceptions of psychosocial factors and the insulin pump. Keywords Mesh Terms:

KEYWORDS: Self Care

MESH TERMS: psychology

Chemical & Substance for Abstract: Perceptions of psychosocial factors and the insulin pump. Information

Substance Name: Hemoglobin A, Glycosylated

Registry Number: 0

Grant and Affiliation Information for Perceptions of psychosocial factors and the insulin pump.

AFFILIATION: Joslin Diabetes Center, One Joslin Place, Boston, MA 02215, USA.

Country: United States

AGENCY: United States NIDDK

GRANT: R01 DK60115

ACRONYM: DK

MEDLINETA: Diabetes Care

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Perceptions of psychosocial factors and the insulin pump Related Publications

• A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment.
• Cognitive dysfunction is associated with poor diabetes control in older adults.
• Diabetes education at diagnosis: sooner rather than later?
• Experience not equal Expertise: Can Simulation Be Used to Tell the Difference?
• How does anger coping style affect glycemic control in diabetes patients?
• Insulin restriction and associated morbidity and mortality in women with type 1 diabetes.
• Intensive diabetes treatment and cognition: no long-lasting effects of recurrent hypoglycemia.
• Modeling workflow and information flow in chronic disease care.
• Perceptions of psychosocial factors and the insulin pump.
• The role of resilience on psychological adjustment and physical health in patients with diabetes.