Download or read book Healthcare Provider Communication in Teens With Type 1 Diabetes written by Tori Humiston and published by . This book was released on 2021 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes (T1D) is a complex chronic illness requiring both complex daily treatments and ongoing healthcare provider interactions to support optimal glycemic levels necessary for long-term health and quality of life. Adolescents do not manage their T1D by themselves but rather in collaboration with parents who often help in health tasks and navigating healthcare provider interactions. Although parental support is critical for the adolescent's development of disease-management skills, it requires parents maintain a delicate balance of allowing adolescent autonomy and providing parent support. When parental support shifts to parental overprotection, i.e., restricting and limiting an adolescent's activity engagement, it may impair adolescent's skill development and mastery necessary to complete diabetes-management tasks independently, including healthcare provider communication. In particular, parental overprotection may impact the adolescent's interpersonal effectiveness skills, in that adolescents may not learn how to be mindful and attentive to relationships or build a repertoire of mindfulness and self-compassion that would support effective healthcare provider communication and more independent diabetes management. Thus, adolescent experiences of interpersonal effectiveness skills, parental overprotection, and healthcare provider communication may have long-term implications for diabetes outcomes as the adolescent transitions to adulthood. Adolescents with type 1 diabetes might then benefit from an intervention targeted at interpersonal effectiveness skills to both reduce parental overprotection and improve healthcare provider communication. Adolescent participants (n=25, mean age=16.25, 56% female) completed a baseline survey for a pilot intervention study aimed at increasing mindfulness and decreasing diabetes-related stress. Adolescents reported on mindfulness, self-compassion, parental overprotection, and health care provider communication. The present study found that increased adolescent perception of parental overprotection was associated with decreased interpersonal effectiveness skills (mindfulness and self-compassion) and all were associated with increased difficulty with communicating with healthcare providers about diabetes. In addition, the potential utility of a mindfulness intervention for improving interpersonal effectiveness skills, decreasing parental overprotection, and improving adolescent healthcare provider communication was examined. The results also indicate potentially meaningful change scores for the four variables of interests between treatment and waitlist groups with very small to large effect sizes that may accrue into meaningful changes across time. Further, among adolescents who were highly engaged in the intervention program (n=11), mindfulness, self-compassion, parental overprotection, and healthcare provider communication again showed potentially meaningful change scores with small to medium effect sizes that may have long-term impact across time. These findings indicate that a mindfulness-based intervention has potential utility, especially for participants who were highly engaged in the program. Parental overprotection and interpersonal effectiveness skills may be key factors to target in interventions to support the transition of diabetes-management behaviors from parent to adolescent as the adolescent ages into young adulthood, particularly with regard to adolescents learning to communicate with their healthcare providers.
Download or read book Exploring the Role of Motivational Interviewing in Adolescent Patient provider Communication about Type 1 Diabetes written by Laura Jean Caccavale and published by . This book was released on 2017 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes (T1D) is one of the most common pediatric chronic illnesses. Glycemic control among patients with T1D often deteriorates during adolescence; yet little is known about the most effective way for providers to communicate with adolescents to prevent this decline. Given the importance of effective communication, examination of effective patient-provider communication strategies is needed. The current investigation used Motivational Interviewing (MI) as a framework to help characterize naturally-occurring adolescent patient-provider communication in medical encounters and examined the relations between provider communication and T1D self-management and control. Participants were five pediatric endocrine providers and 55 adolescents with T1D (49% female; 76% White; M age= 14.8 years, SD= 1.6). Mean T1D duration was 7.9 years (SD= 3.9) and mean baseline HbA1c was 8.58% (SD= 1.4). Adolescents and caregivers completed surveys related to diabetes self-management and psychosocial functioning at a routine endocrinology visit and again at one and three months post-baseline. Medical encounters were audio-recorded and coded. HbA1c was obtained via medical chart review at baseline, three, and six month appointments. Hierarchical multiple regressions revealed that, after controlling for prior MI training (providers) and adolescent baseline HbA1c, age, and race, use of MI non-adherent behavior (e.g., confronting, persuading) was associated with 1) poorer three month HbA1c, F(5,45)= 11.19, p
Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care Health Systems and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
Download or read book Transitions in Care written by Howard A. Wolpert and published by American Diabetes Association. This book was released on 2009-05-18 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing care for a young adult with type 1 diabetes during this stage can be difficult as well. Transitions in Care serves as a coaching manual for health care providers and parents, and as a guide to self-care and independence for young adults with diabetes. It demystifies a complicated period in a life with type 1 diabetes and makes the passage to adulthood easier for everyone involved.
Download or read book Teens with Diabetes written by Michael A. Harris and published by American Diabetes Association. This book was released on 2014-06-02 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by three psychologists with more than 50 years of collective experience in the field of diabetes and youth, Teens with Diabetes provides evidence-based techniques for clinicians to treat the psychological needs of children with diabetes and help them transition into their teenage years. The authors have provided care to thousands of diabetic teens and their families from initial diagnosis to leaving home for college. Any professional working with diabetic teens, including psychologists, physicians, social workers, dietitians, and nurse educators, needs this how-to handbook for working with what is arguably one of the most difficult populations in diabetes. Topics covered include handling the initial diagnosis of diabetes in teens, talking with young people about diabetes in a manner that is effective and reduces reactivity, improving diabetes self-care, helping families negotiate the challenges of adolescent diabetes, dealing with peer relations, dealing with high-risk issues related to diabetes, and handling with mood problems.
Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Download or read book Transitioning from Pediatric to Adult Care in Endocrinology written by Sarah K. Lyons and published by Springer. This book was released on 2019-03-01 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique handbook provides pediatric and adult endocrinologists and multidisciplinary clinical care providers a guide to transition from pediatric to adult care and an understanding of developmental and psychosocial issues of young adulthood and how they relate to healthcare and disease self-management. The handbook is divided into two parts. Part one describes transition interventions and novel strategies that can be integrated into routine care and gives practical considerations for transition processes from both the pediatric and adult perspectives, with applications across multiple endocrine conditions. Part two focuses on transition issues specific to common endocrine conditions – type 1 and type 2 diabetes, Turner syndrome, congenital adrenal hyperplasia, endocrine sequelae of childhood cancer, and transgender care – with condition-specific developmental and psychosocial issues, treatment and screening recommendations, healthcare process considerations, transition care guidelines, and key resources for more information. By highlighting medical, psychosocial, and healthcare delivery concerns relevant to transition to adult care, this book provides a practical, patient-centered overview of the essential information to supporting optimal adult care transition across a number of endocrine conditions. Timely and practical, Transitioning from Pediatric to Adult Care in Endocrinology: A Clinical Handbook is an excellent resource for pediatric and adult endocrinologists, behavioral healthcare providers, allied health professionals, primary care providers, and all clinical staff working with young people with endocrine conditions as they transition from children to adults.
Download or read book The Oxford Handbook of Health Communication Behavior Change and Treatment Adherence written by Leslie R. Martin and published by Oxford University Press. This book was released on 2013-11 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume brings together top-notch scientists and practitioners to illustrate intersections between health communication, behavior change, and treatment adherence.
Download or read book Synthesizing Qualitative Research written by Karin Hannes and published by John Wiley & Sons. This book was released on 2011-10-13 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: A considerable number of journal publications using a range of qualitative synthesis approaches has been published. Mary Dixon-Woods and colleagues (Mary Dixon-Woods, Booth, & Sutton, 2007) identified 42 qualitative evidence synthesis papers published in health care literature between 1990 and 2004. An ongoing update by Hannes and Macaitis (2010)identified around 100 additional qualitative or mixed methods syntheses. Yet these generally lack a clear, detailed description of what was done and why (Greenhalgh et al, 2007; McInnes & Wimpenny, 2008). Choices are most commonly influenced by what others have successfully used in the past or by a particular school of thought (Atkins et al, 2008; Britten et al, 2002). This is a substantive limitation. This book brings balance to the options available to researchers, including approaches that have not had a substantial uptake among researchers. It provides arguments for when and why researchers or other parties of interest should opt for a certain approach to synthesis, which challenges they might face in adopting it and what the potential strengths and weaknesses are compared with other approaches. This book acts as a resource for readers who would otherwise have to piece together the methodology from a range of journal articles. In addition, it should stimulate further development and documentation of synthesis methodology in a field that is characterized by diversity.
Download or read book Transitioning Teens with Diabetes to Adult Healthcare written by Rebecca Ann Meyer and published by . This book was released on 2015 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescents must enter adult health care services at age 18, yet most are not ready and have not mastered daily self management of their type 1 diabetes. The purpose of this study was to determine the feasibility of a transition planning intervention, focused on educating adolescent/parent dyads about diabetes self management in preparation for the transition from pediatric to adult health care, using a newly developed transition plan and framework. The setting was a diabetes endocrinology clinic where 95% of young type 1 diabetics in the metropolitan area are seen. The intervention included supporting the parent in the relinquishing of diabetes management responsibilities to the adolescent. This study measured the transition readiness and self management practices of the adolescent as well as the parents' ability to promote autonomy in their adolescents' transition to self management. In addition, this study sought to gain information from the dyads on the usefulness of this intervention. The intervention consisted of four weekly sessions emphasizing a review of type 1 diabetes pathophysiology, daily living with type 1 diabetes, leaving the parental home, and reproductive health. A non-experimental, pre-post feasibility design was used and 11 adolescent/parent dyads consented to participate. Seven dyads completed the intervention. Using descriptive statistics, mean scores improved for transition readiness, diabetes care activities, problem solving, communication, and goals setting. Post intervention evaluations completed by participants were favorable. Most agreed or strongly agreed that the transition intervention was helpful in getting adolescents ready for transition and taking care of diabetes as a young adult. They would recommend this intervention to others. Based on the findings of this study and evidence found in the literature, the intervention will soon be packaged into brief 15-minute teaching sessions presented during quarterly clinic visits for all adolescents age 15-18 at the study site. If any adolescent remains in the clinic until age 19 or later, the intervention will continue quarterly until the adolescent transitions to adult health care. In addition, based on the responses given by the adolescent/parent dyads at completion of the sessions, this intervention contains useful information relevant to the adolescents' transition to adult health care.
Download or read book Adolescent Nutrition written by Yolanda N. Evans and published by Springer Nature. This book was released on 2020-09-21 with total page 837 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescents have unique nutritional needs when compared to young children and adults. As youth go through physical, cognitive, and behavioral development, nutrition needs are dynamic and changing. If these needs go undetected and remain unaddressed, the results can derail physical and social maturation and include life-long effects on health. This comprehensive text offers a multidisciplinary perspective on aspects of adolescent nutrition. Using clinical cases, it covers relevant topics related to adolescent health including normal development, chronic health conditions, and complex biopsychosocial dynamics, among others. The first section of the text contains an overview of adolescent nutrition that is further broken down into more specific topics such as developmental nutrition needs, needs of active youth and athletes and media influences on body image. The next section focuses on health disparities such as culturally appropriate care, health equity, international considerations and food insecurity. The following section specifically addresses eating disorders ranging from anorexia and bulimia to binge eating. Finally, the last section covers additional health considerations such as polycystic ovarian syndrome, teen pregnancy, substance use and gender non-conforming youth. Written by experts in the field, this book is a helpful resource for primary care medical providers, registered dietitians/nutritionists (RDN), adolescent medicine specialists, as well as advanced practice nurses, physician assistants, psychologists, licensed social workers, and certified athletic trainers. /div
Download or read book Clinical Communication Skills for Medicine written by Margaret Lloyd and published by Elsevier Health Sciences. This book was released on 2018-01-10 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Communication Skills for Medicine is an essential guide to the core skills for effective patient-centered communication. In the twenty years since this book was first published the teaching of these skills has developed and evolved. Today’s doctors fully appreciate the importance of communicating successfully and sensitively with people receiving health care and those close to them. This practical guide to developing communication skills will be of value to students throughout their careers. The order of the chapters reflects this development, from core skills to those required to respond effectively and compassionately in challenging situations. The text includes case examples, guidelines and opportunities to encourage the reader to stop and think. The contents of the book cover: The fundamental elements of clinical communication, including skills for effectively gathering and sharing information, discussing sensitive topics and breaking bad news. Shared decision making, reflecting the rapid changes in expectations of medical care and skills for supporting patients in making decisions which are right for them. Communicating with a patient’s family, children and young people, patients from different cultural backgrounds, communicating via an interpreter and communicating with patients who have a hearing impairment. Diversity in communication, including examples of communicating with patients who have a learning disability, transgender patients, and older adult patients. Communicating about medical error, emphasising the importance of doctors being honest in the face of difficult situations. This is a practical guide to learning and developing communication skills throughout medical training. The chapters range from the development of basic skills to those dealing with challenging and difficult situations.
Download or read book Impact of an Interactive Health Communication Application on Promoting Compliance in Adolescents with Type 1 Diabetes written by Kathryn Turner Newton and published by . This book was released on 2008 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Caring for Diabetes in Children and Adolescents written by Geoffery Richard Ambler and published by . This book was released on 2010 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Caring for diabetes in children and adolescents is a challenging task for families and their health professionals. Education and knowledge are essential elements in being able to look after your child’s diabetes from day to day and in special situations. This resource aims to provide this information for you. It will help you revise and build on your knowledge from your diabetes education and also serve as a ready reference when new situations arise."--Publisher's website.
Download or read book Teenagers with Type 1 Diabetes written by Michigan Diabetes Research and Training Center and published by American Diabetes Association. This book was released on 2003-06-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Living with diabetes is never easy--especially as a teenager. Learn how to give your patients the tools they need to be better able to make more informed decisions, make necessary adjustments in their treatment, and take an active role in their own care. You'll find 5 core modules, each with 7 sections--5 for health care professionals, and 2 for teens. Modules Include: Making Choices The Ups and Downs of Blood Sugar Keeping Your Diabetes on Track Changing Your Insulin Dose Toolbox Contents Include: How to Handle Sick Days How to Treat Low Blood Sugar Reactions How to Use Glucagon, and How to Get Better Results Using Blood Sugar Testing
Download or read book Medical Management of Type 1 Diabetes written by Francine R. Kaufman and published by American Diabetes Association. This book was released on 2012-05-29 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes, formerly known as juvenile diabetes, is a complex disorder that requires a great deal of patient-guided self-care. In recent years, advances in diabetes treatment have dramatically shifted potential outcomes in the favor of the patient with diabetes. The challenge for health care professionals is to realize this potential through an individualized, flexible, and responsive treatment plan for patients with type 1 diabetes. Now in its sixth edition, Medical Management of Type 1 Diabetes offers health care providers the newest information and guidelines for the treatment of type 1 diabetes. Built on the foundation of multiple daily insulin injections and insulin pump therapy, this book guides health care providers in helping their patients continually strive for optimal blood glucose control. This new edition focuses on the latest molecular advances, new treatment methods, recent clinical trials, and the American Diabetes Association's Standards of Care. Key topics also include new insulins and administration protocols, advanced carbohydrate counting, and emphasis on continuing patient education. Individual sections address all of the topics in managing type 1 diabetes, including: Diagnosis and Classification/PathogenesisDiabetes Standards and EducationTools of TherapySpecial SituationsPsychosocial Factors Affecting Adherence, Quality of Life, and Well-BeingComplications Edited by Dr. Francine Kaufman, a widely recognized expert in the treatment of diabetes and of insulin therapy, and guided by the recognized authority of the American Diabetes Association's Standards of Care, Medical Management of Type 1 Diabetes is an essential addition to any clinician's library for the treatment and understanding of type 1 diabetes.
