title: [Transition from childhood to adolescence-a qualitative study on experiences of adolescents with type 1 diabetes mellitus and their mothers].
abstract: BACKGROUND
  In Germany every year approximately 2.200 children under the age of 14 come down with type 1 diabetes mellitus (T1DM). While parents manage diabetes for infants, children take over some tasks over time. During the transition from childhood to adolescence, between 8 - 13 years of age, children become more independent. Children with T1DM experience an additional transition in diabetes management. So far, however, research focused on the transition from adolescence to adulthood.
  
  
  OBJECTIVE
  With the study, experiences of adolescents with T1DM and their mothers with the transition from childhood to adolescence and the meaning of independence were explored.
  
  
  METHODS
  This interpretive phenomenological study was conducted in two diabetes walk-in clinics in the south of Germany. Six adolescents and their mothers participated in interviews with open-ended questions. Data were evaluated using case and thematic analysis.
  
  
  RESULTS
  Taking over diabetes tasks for longer periods and the increased independence was perceived as liberating by young people. Mothers learned to have confidence in their children. Their biggest concern was a possible hypoglycemia. Family members as well as teachers were involved in the diabetes management differently. The continuous care by the same physicians was experienced as supportive.
  
  
  CONCLUSIONS
  A continuous care by the same professional persons can positively influence the transition from childhood to adolescence for children with T1DM.
authors: Kantonsspital Aarau.
authors: Angela
authors: A
authors: Gabele
authors: St. Josefskrankenhaus, Kinderabteilung St. Hedwig, Freiburg im Breisgau.
authors: Jörg
authors: J
authors: Budde
authors: Institut für Pflegewissenschaft, Universität Basel und Inselspital Universitätsspital Bern.
authors: Elisabeth
authors: E
authors: Spichiger
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000451:nursing* / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D055809:Illness Behavior; D007207:Individuation; D008019:Life Style; D008297:Male; D009035:Mothers / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D013557:Switzerland
keywords: Kind; Mutter; Transition; Typ 1 Diabetes mellitus; child; mothers; qualitative Forschung; qualitative research; transition; type 1 diabetes mellitus