title: A qualitative comparison of needles and insulin pump use in children with type 1 diabetes.
abstract: Managing type 1 diabetes mellitus is an ongoing and challenging process; we investigated children's experience of different treatment regimens. Interviews with 17 children (7-15 years) at two time points were analysed using the grounded theory approach. Illness phase and treatment regimen shaped how bodily cues were interpreted. Insulin pump therapy allowed children to listen to and trust their bodily cues rather than override. Shame was a barrier to support engagement. Different internalised and externalised views of type 1 diabetes mellitus emerged. Overall, children were insightful experts of their own experiences. Recommendations for psychological interventions would benefit from empirical testing.
authors.affiliation: 1 Australian Catholic University, Australia.
authors.forename: Madeleine
authors.initials: M
authors.lastname: Ferrari
authors.affiliation: 2 Macquarie University, Australia.
authors.forename: Doris Jf
authors.initials: DJ
authors.lastname: McIlwain
authors.affiliation: 3 The Children's Hospital at Westmead, Australia.|4 The University of Sydney, Australia.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Ambler
mesh_terms: D000293:Adolescent; D002648:Child; D002985:Clinical Protocols; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D066296:Grounded Theory; D006801:Humans; D007332:Insulin Infusion Systems; D007407:Interviews as Topic; D008297:Male; D009339:Needles; D036301:Qualitative Research
keywords: children; diabetes; grounded theory; health psychology; treatment