Accepted for/Published in: JMIR Formative Research
Date Submitted: Jul 18, 2024
Date Accepted: Nov 27, 2024
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Improving Self-Efficacy, Quality of Life and Glycemic Control in Adolescents with Type 1 Diabetes: An Experimental Evaluation of the Family Centered Empowerment Model
ABSTRACT
Background:
Poor glycemic management in adolescents with type 1 diabetes increases complications. Enhanced control is associated with other factors, such as cultural, socioeconomic, and healthcare system disparities specific to the Middle East, which can greatly influence individuals' ability to get and use healthcare services, as well as their reaction to treatment approaches.
Objective:
This study aims to evaluate the impact of family-centered empowerment on Jordanian adolescents with type 1 diabetes (T1DM), focusing on their HbA1c levels, self-efficacy, and quality of life (QOL).
Methods:
An experimental study involved 68 adolescents with T1DM visiting Jordanian Royal Medical Services' clinics. Two sets of participants were created: control (n = 34) and intervention (n = 34). Participants were randomly assigned to either the intervention group, receiving the Family Centred Empowerment Model intervention, or the control group, receiving standard care. Data was collected through face-to-face interviews and medical records.
Results:
The study found significant differences in self-efficacy scores between the intervention and control groups, with the intervention group experiencing a significant decrease in HbA1c readings and a significant difference in QOL between pre-program and post-program phases.
Conclusions:
The study suggests that patients with T1DM should receive continuous care education sessions, including self-care training, to improve their health. Nurses should also incorporate these training into treatment plans and educational programs for adolescents to enhance their QOL. Clinical Trial: This study was approved by The University's institutional review board (IRB) to carry out the study. The teenagers' and their families' informed consents were obtained.
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