Psychological factors associated with diabetes self-management among adolescents with type 1 diabetes: A systematic review
Open accessAbstract
This review aims to synthesise the literature examining the psychosocial variables related to self-management (insulin adherence, non-adherence and administration, blood sugar monitoring, dietary behaviour, exercise behaviour) in adolescents with type 1 diabetes. A systematic search of three electronic databases was carried out and, after the application of eligibility criteria, 21 articles were assessed for quality prior to data extraction. Numerous psychological factors were found to be associated with self-management; however, correlations were typically small to moderate. The strongest associations were found between social anxiety and diet (among males); greater intrinsic motivation, conscientiousness and diet; and extraversion and exercise.
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Nonmedical colleagues such as patient peers or community health workers may contribute to self-efficacy of a person with diabetes mellitus.
“In addition, nonmedical colleagues such as patient peers1492 or community health workers1493–1495 may also contribute to self-efficacy of a person with DM.”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1494]
The Diabetes self-efficacy and Perceived dietary self-efficacy sections relate self-efficacy to adolescents’ self-management, but do not say that patient peers contribute to it. The Discussion mentions peer support only in connection with potentially poorer glycaemic control when it threatens autonomy; the passages found do not address peers’ contribution to self-efficacy. (LLM, conf=0.74)
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- Authors
- Martinez, K., Frazer, S. F., Dempster, M., Hamill, A., Fleming, H., & McCorry, N. K.
- Affiliations
- Queen's University Belfast (GB)
- Corresponding author
- Dempster, Martin
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2016-09-22
- Volume
- 23
- Issue
- 13
- Pages
- 1749-1765
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2521967066
- Cited by
- 71
- References
- 48
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 6 · 2023: 4 · 2022: 17 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- green
- pure.qub.ac.uk
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- type 1 diabetes, adolescents, diabetes self-management, psychosocial factors, insulin adherence, blood glucose monitoring, dietary behaviour, exercise behavior, social anxiety, intrinsic motivation, conscientiousness, extraversion, personality traits
- MeSH terms
- Self-Management, Adolescent, Adolescent Behavior, Psychology, Adolescent, Diabetes Mellitus, Type 1, Humans, Motivation, Patient Compliance, Health Behavior
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