On a Different Page! Perceptions on the Onset, Diagnosis, and Management of Type 2 Diabetes Among Adolescent Patients, Parents, and Physicians.
Jinyu XuKeeley Jean PrattMonika ChaudhariRohan K HenryRebecca A HubbardRobert M SiegelIhuoma EneliPublished in: Global pediatric health (2021)
To examine perceptions about the diagnostic process and post-diagnosis care of type 2 diabetes (T2D) from adolescent patients, parents, and diabetes care physicians, semi-structured interviews were conducted with 8 individuals from each group. Interview transcripts were coded using content analysis. Emerged categories were compared among 3 groups. Half of adolescent patients and parents were surprised by the T2D diagnosis, despite most reporting that patients experienced common symptoms of T2D prior to diagnosis. Adolescents and parents recognized diet, exercise, and weight gain as risk factors after diagnosis, whereas physicians noted weight gain as a common risk factor pre-diagnosis. All 3 groups noted the importance of maintaining a healthy lifestyle and adherence to T2D management, though physicians noted the challenges from socioeconomic structural inequalities. Adolescent and parents were surprised by the T2D diagnosis, suggesting the need for increasing awareness of risk factors and symptomatology of T2D among at-risk adolescents and parents.
Keyphrases
- end stage renal disease
- risk factors
- young adults
- weight gain
- ejection fraction
- chronic kidney disease
- newly diagnosed
- physical activity
- healthcare
- mental health
- body mass index
- metabolic syndrome
- peritoneal dialysis
- weight loss
- cardiovascular disease
- type diabetes
- emergency department
- adipose tissue
- body composition
- quality improvement
- preterm birth
- high intensity
- patient reported