Pi Phi Chapter

Factors Influencing Compliance with Glycemic Control in Youths with Type 1 Diabetes Mellitus

Nursing Research on the Green

2011 Abstract

Wendy Cheruiyot RN MSN student
Judy Anderson PhD
Viterbo University

Evidence-based practice 

  • Background: The purpose of this review is to explore the current research to determine factors or influences that affect compliance with recommendation for maintaining optimal glycemic control in youths diagnosed with type 1 diabetes mellitus.
  • Significance: This facilites a nurse practitioner’s ability to optimize treatment options and educational information
  • Purpose/objective: The purpose of this review is to explore the current research to determine factors or influences that affect compliance with recommendation for maintaining optimal glycemic control in youths diagnosed with type 1 diabetes mellitus.
  • Methods/project: Sixteen articles exploring the positive or negative effect of these factors affecting compliance for maintaining glycemic control were reviewed. A decade of research revealed 14 factors that may positively or negatively affect compliance in youth with type 1 diabetes.
  • Results: Adherence to diabetes care, parent’s knowledge, insulin pump use, and improved quality of parent and youth relationship positively affected compliance to glycemic control. Factors negatively affecting compliance include: parent- youth conflict, critical parenting, single parent home, perceived youth burden, peer- oriented youth, Hispanic or African American ethnicity, and disruptive meal-time behaviors.
  • Clinical Implications: Each factor fell into the community, family, or youth circle of influencing factors of compliance with glycemic control in youths. This assists nurse practitioners in choosing the appropriate education and treatment options for youths influenced by a certain factor. Findings may also help nurse practitioners to identify factors more readily, understand the positive or negative influence the factor has on the youth’s compliance, and treat youths with type 1 diabetes more effectively.

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