title: Factors affecting health adaptation of Chinese adolescents with type 1 diabetes: A path model testing.
abstract: Glycemic control and quality of life (QoL) are both considered indicators of health adaptation among adolescents with type 1 diabetes (T1D). The purpose of this study was to construct a path model addressing the influences of individual characteristics, school support, resilience, and self-care behaviors on glycated hemoglobin (HbA1c) and QoL among adolescents with T1D in Taiwan. This was a cross-sectional design study. A structured questionnaire was used to collect information on individual characteristics, school support, resilience, self-care behaviors, and QoL. The latest HbA1c was collected from medical records. Data from 238 adolescents with T1D were analyzed using structural equation modeling to test the hypothesized path model. The findings indicated that self-care behaviors and resilience both directly influenced HbA1c and QoL. School support directly influenced QoL but indirectly influenced HbA1c. We suggest that improving self-care behaviors and resilience could be considered an appropriate intervention for enhancing the health adaptation of adolescents with T1D. Increasing school support might be a strategy to improve QoL among adolescents with T1D.
authors.affiliation: Chung Gung University, Taiwan.
authors.forename: Fu-Sung
authors.initials: FS
authors.lastname: Lo
authors.affiliation: Hsin Sheng Junior College of Medical Care and Management, Taiwan.
authors.forename: Hsiu-Yueh
authors.initials: HY
authors.lastname: Hsu
authors.affiliation: Kaohsiung Medical University, Taiwan.
authors.forename: Bai-Hsiun
authors.initials: BH
authors.lastname: Chen
authors.affiliation: Mackay Memorial Hospital, Taiwan; Taipei Medical University, Taiwan.
authors.forename: Yann-Jinn
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Wan Fang Hospital, Taiwan.
authors.forename: Yu-Tsung
authors.initials: YT
authors.lastname: Chen
authors.affiliation: Kaohsiung Medical University, Taiwan wrhsia@kmu.edu.tw.
authors.forename: Ruey-Hsia
authors.initials: RH
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D008297:Male; D015233:Models, Statistical; D011788:Quality of Life; D055500:Resilience, Psychological; D012572:School Health Services; D012648:Self Care / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires; D013624:Taiwan
chemical_list: D006442:Glycated Hemoglobin
keywords: Adolescents; diabetes; glycemic control; path model; quality of life