| Autor: |
Franceschi R; Pediatric Diabetology Unit, Pediatric Department, Santa Chiara Hospital of Trento, 38122 Trento, Italy., Canale M; Pediatric Diabetology Unit, Pediatric Department, Santa Chiara Hospital of Trento, 38122 Trento, Italy., Piras EM; Center for Information and Communication Technology, eHealth Unit, Fondazione 'Bruno Kessler', 38123 Trento, Italy., Galvagni L; Center for Religious Studies, Bruno Kessler Foundation, 38123 Trento, Italy., Vivori C; Hygiene and Public Prevention Department, Azienda Provinciale per i Servizi Sanitari, 38100 Trento, Italy., Cauvin V; Pediatric Diabetology Unit, Pediatric Department, Santa Chiara Hospital of Trento, 38122 Trento, Italy., Soffiati M; Pediatric Diabetology Unit, Pediatric Department, Santa Chiara Hospital of Trento, 38122 Trento, Italy., Maines E; Pediatric Diabetology Unit, Pediatric Department, Santa Chiara Hospital of Trento, 38122 Trento, Italy. |
| Abstrakt: |
Background: Precision medicine in type 1 diabetes (T1D) treatment considers context and environmental data to subclassify patients. Parental Health Locus of Control PHLOC) could influence behavior, self-management, and metabolic control of children with T1D. Methods: No. 135 pediatric patients with T1D (No. 57 with HbA1c ≤ 7.0%, “optimal” group, and No. 78 with >7.0%, “sub-optimal” group) were enrolled in the study. History, anthropometric and diabetes management data were collected, as well as caregiver’s data about socioeconomic status (SES). The PHLOC scale questionnaire and a semi-structured interview were administered. Results: Access to technology was lower in the “sub-optimal” group and, in particular, in the ethnic minority subgroup, only 8% used them. In the “sub-optimal” group ethnic minority status was higher (24%), the caregiver had a lower SES and showed lower internal HLOC. Conclusions: New care models have to be implemented to ensure equity in diabetes care and precision treatment, particularly for ethnic minority groups, because SES and external PHLOC are still an important barrier to “optimal” diabetes control. In the “sub-optimal” group, we have to implement strategies aimed at increasing self-efficacy, while in the “optimal” one, a personalised approach should be considered to facilitate the shifting of responsibilities within the family, avoiding psychological distress. |
