title: Pediatric perspectives on diabetes self-care: a process of achieving acceptance.
abstract: We conducted this qualitative study to explore children's and adolescents' perspectives about diabetes self-care, their knowledge of diabetes, and their emotions associated with having the disease. Drawing on the new sociological approach that acknowledges children's competence in discussing complex issues that concern them, we conducted individual interviews with a cross-sectional sample of 48 patients between the ages of 5 and 18 years. We recruited participants from a diabetes outpatient clinic within a large pediatric hospital in one of Canada's major urban centers. In this article, we present data from the following major themes: self-care, knowledge, and emotions. Through an in-depth analysis of these integrated themes, we offer validation that emotional support, along with disease education, provides supportive conditions for engaging in self-care and a process of acceptance.
authors.affiliation: Ryerson University, Toronto, Ontario, Canada dkoller@ryerson.ca.
authors.forename: Donna
authors.initials: D
authors.lastname: Koller
authors.affiliation: Ryerson University, Toronto, Ontario, Canada.
authors.forename: Noshin
authors.initials: N
authors.lastname: Khan
authors.affiliation: The Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Shaun
authors.initials: S
authors.lastname: Barrett
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002170:Canada; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000523:psychology* / Q000628:therapy*; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010358:Patient Participation; D036301:Qualitative Research; D012648:Self Care / Q000523:psychology*
keywords: adolescents / youth; children; education, patient; emotions / emotion work; illness and disease; self-care