Barriers and Facilitators Impacting Disease and Symptom Management Among College Students With Type 1 Diabetes: A Qualitative Study.

Autor:	McFadden NT; Department of Health and Human Performance, Texas State University, San Marcos, TX, USA., Wilkerson AH; Department of Health Science, The University of Alabama, Tuscaloosa, AL, USA., Jaiswal J; Department of Family and Community Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA., Chaney BH; Department of Health Science, The University of Alabama, Tuscaloosa, AL, USA., Stellefson ML; Department of Health Science, The University of Alabama, Tuscaloosa, AL, USA., Carmack HJ; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA., Lovett K; Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA.
Jazyk:	angličtina
Zdroj:	American journal of health promotion : AJHP [Am J Health Promot] 2024 Jun; Vol. 38 (5), pp. 704-715. Date of Electronic Publication: 2024 Feb 11.
DOI:	10.1177/08901171241233407
Abstrakt:	Purpose: This study aimed to explore barriers and facilitators impacting disease and symptom management among college students living with Type 1 Diabetes (T1D). Design: A qualitative, phenomenological approach using semi-structured, one-on-one interviews. Setting: Interviews conducted on Zoom (n = 28) and in-person (n = 3). Participants: Purposive sample of 31 college students living with T1D for at least 2 years who attended large, 4-year public universities in the Southeastern United States. Method: This study was theoretically informed using the Middle-Range Theory of Self-Care of Chronic Illness Integration of Symptoms to develop interview questions. Interviews were transcribed verbatim and uploaded in NVivo. Data were analyzed thematically using a codebook developed by the research team using the theory as a framework. Trustworthiness was established using an audit trail, memos, and negative case analysis. Results: Four themes described barriers: diabetes burnout, challenges adjusting to a college lifestyle, difficulty receiving medical supplies, and insurance limitations. Five themes explained facilitators: years of experience managing T1D, tangible support with medical supplies, informational support for disease management, and emotional/technological support for disease and symptom management. Conclusion: Barriers and facilitators in this study should be addressed in future T1D interventions for college students. Findings can also guide healthcare professionals, health promotion practitioners, family, friends, and significant others on how to better support college students as they manage T1D. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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