Abstract
Nonadherence to different aspects of the diabetes regimen is common. Problems early in the course of illness predict later difficulties with nonadherence; conversely, good management early on protects against later complications. Screening for early risk factors at the time of diabetes diagnosis is therefore critical for promoting the health of children with type 1 diabetes. The purpose of this paper is to review and synthesize the recent empirical literature on early risk factors for nonadherence in type 1 diabetes, with a focus on three specific adherence behaviors: insulin administration, blood glucose monitoring, and clinic attendance. Risk factors are considered within several broad categories: sociodemographic barriers that limit access to care; child and parent factors that affect adherence both directly and indirectly via their impact on the development of family teamwork; and family interactions with their health-care providers. We integrate the different findings into a “simple model” that can be used to develop efficient screening protocols that can in turn guide efforts at preventive intervention.
Keywords: Type 1 Diabetes, Nonadherence, Risk Factors, Children, Adolescents, Review
Current Diabetes Reviews
Title: Early Risk Factors for Nonadherence in Pediatric Type 1 Diabetes: A Review of the Recent Literature
Volume: 6 Issue: 3
Author(s): David D. Schwartz, Virginia D. Cline, Jennifer A. Hansen, Marni E. Axelrad and Barbara J. Anderson
Affiliation:
Keywords: Type 1 Diabetes, Nonadherence, Risk Factors, Children, Adolescents, Review
Abstract: Nonadherence to different aspects of the diabetes regimen is common. Problems early in the course of illness predict later difficulties with nonadherence; conversely, good management early on protects against later complications. Screening for early risk factors at the time of diabetes diagnosis is therefore critical for promoting the health of children with type 1 diabetes. The purpose of this paper is to review and synthesize the recent empirical literature on early risk factors for nonadherence in type 1 diabetes, with a focus on three specific adherence behaviors: insulin administration, blood glucose monitoring, and clinic attendance. Risk factors are considered within several broad categories: sociodemographic barriers that limit access to care; child and parent factors that affect adherence both directly and indirectly via their impact on the development of family teamwork; and family interactions with their health-care providers. We integrate the different findings into a “simple model” that can be used to develop efficient screening protocols that can in turn guide efforts at preventive intervention.
Export Options
About this article
Cite this article as:
D. Schwartz David, D. Cline Virginia, A. Hansen Jennifer, E. Axelrad Marni and J. Anderson Barbara, Early Risk Factors for Nonadherence in Pediatric Type 1 Diabetes: A Review of the Recent Literature, Current Diabetes Reviews 2010; 6 (3) . https://dx.doi.org/10.2174/157339910791162952
DOI https://dx.doi.org/10.2174/157339910791162952 |
Print ISSN 1573-3998 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6417 |
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
- Announcements
Related Articles
-
Status of Stem Cell Based Clinical Trials in the Treatment for Diabetes
Current Diabetes Reviews Underlying Pathways for Interferon Risk to Type II Diabetes Mellitus
Current Diabetes Reviews Development of Pyrazole Compounds as Antidiabetic Agent: A Review
Letters in Drug Design & Discovery Efficacy and Cardiovascular Safety of DPP-4 Inhibitors
Current Drug Safety Perceptions in Type 1 Diabetes Mellitus with or Without the Use of Insulin Pump: An Online Study
Current Diabetes Reviews Diabetes Mellitus and SARS-CoV-2 Infection: Pathophysiologic Mechanisms and Implications in Management
Current Diabetes Reviews Evolving Insights into the Pathophysiology of Diabetic Neuropathy: Implications of Malfunctioning Glia and Discovery of Novel Therapeutic Targets
Current Pharmaceutical Design Diabetes Mellitus: Novel Insights, Analysis and Interpretation of Pathophysiology and Complications Management with Imidazole-Containing Peptidomimetic Antioxidants
Recent Patents on Drug Delivery & Formulation The Correlated Factors of Serum CA19-9 Levels in Diabetic Patients
Current Diabetes Reviews Euglycemic Diabetic Ketoacidosis: A Review
Current Diabetes Reviews Heart Failure and Diabetes: Perspective of a Dangerous Association
Current Hypertension Reviews Drugs and Rhabdomyolysis: From Liver to Kidney
Current Vascular Pharmacology The Heme Oxygenase System and Type-1 Diabetes
Current Pharmaceutical Design Animal Models of Diabetes Mellitus: Relevance to Vascular Complications
Current Pharmaceutical Design Glucose Blood Levels as a Therapeutic Target in Acute Ischaemic Stroke Setting
Current Topics in Medicinal Chemistry Current Concepts in Gastric Motility in Diabetes Mellitus
Current Diabetes Reviews Optic Nerve and Cerebral Edema in the Course of Diabetic Ketoacidosis
Current Neuropharmacology GHB in Biological Specimens: Which Cut-off Levels Should be Taken into Consideration in Forensic Toxicological Investigation?
Recent Patents on Biotechnology The Impact of a New Best Practice Advisory on the Management of Diabetic Ketoacidosis
Current Diabetes Reviews Antifungal Agents in Hematopoietic Stem Cell Transplantation
Current Pharmaceutical Design