Mixed Methods Assessment of Diabetes Adjustment in Adolescent and Young Adult Patients with Type 1 Diabetes – UROP Spring Symposium 2021

Mixed Methods Assessment of Diabetes Adjustment in Adolescent and Young Adult Patients with Type 1 Diabetes

Chiemerie Amanze

Chiemerie Amanze

Pronouns: She/Her

Research Mentor(s): Melissa Dejonckheere, Assistant Professor
Research Mentor School/College/Department: Department of Family Medicine, Michigan Medicine
Presentation Date: Thursday, April 22, 2021
Session: Session 3 (1pm-1:50pm)
Breakout Room: Room 12
Presenter: 7

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The goal of this study was to determine what contributes to adjustment to life with type 1 diabetes (T1D) by using a mixed-methods approach to gather and analyze data. To collect quantitative data, 130 adolescents (ages 12-17) and young adults (ages 18-25) with T1D were recruited to complete a survey composed of multiple questionnaires (PAID, PHQ-8, FHS, Flourishing, T1DAL, Resilience (DSTAR), GAD-7, Family Conflict (DFS), Substance Abuse (RAAPS), and COVID 19 (CEFIS)). Each questionnaire had a cutoff score to differentiate the levels of a participant’s score. Diabetes management behaviors of each patient were collected to assess glycemic control (HbA1c). To collect qualitative information, 10 percent of the participants were interviewed to gather in-depth information about their lives regarding T1D. Data was analyzed using statistical analysis through SPSS software to observe correlations between each questionnaire and HbA1c data. Although the results are not yet determined, diabetes-related factors such as stress, depression, and/or quality of life mediate between management and adjustment to life with T1D. Results could reveal that higher PAID-T scores are associated with higher A1c or that higher depressive symptoms are correlated with lower reported quality of life. An analysis of the interviews could reveal certain ways that T1D affects daily life. This study is part of a growing body of research on the impacts of T1D among adolescents. Clinical care should focus on ways to aid adjustment for adolescents and young adults managing diabetes.

Authors: Chiemerie Amanze, Dana Albright, Lily Wesseln, Melissa Dejonckheere
Research Method: Clinical Research

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