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Emerging adulthood and Type 1 Diabetes: insights from the DAWN2 Study

Emerging adulthood and Type 1 Diabetes: insights from the DAWN2 Study
Emerging adulthood and Type 1 Diabetes: insights from the DAWN2 Study
Aims: To compare clinical, psychological, education and social variables in emerging adults (aged 18–30 years) with Type 1 diabetes with their adult counterparts aged >30 years. Methods: A single assessment multinational sample was surveyed as part of the larger second Diabetes Attitudes, Wishes and Needs (DAWN2) study. Participants completed a series of surveys incorporating demographic as well as clinical questions (comorbidities, hypoglycaemia) and validated self-report scales concerning psychosocial (health impact, quality of life, beliefs and attitudes, self-management behaviours, healthcare experience and family support) and diabetes education factors. Results: Emerging adults differed from adults aged >30 years with regard to a number of psychosocial variables. Emerging adults reported better overall quality of life, social support and support from their healthcare team compared with adults aged >30 years of age; however, emerging adults experienced greater diabetes-specific distress and were less engaged in self-management. Diabetes education was related to a number of indicators, while experience of discrimination was harmful, but these impacts did not differ between emerging adults and adults aged >30 years. An analysis of geographical regions suggested that emerging adults in North America and Europe had better well-being than older adults, while the opposite was observed in Asia. Conclusions: Emerging adults, particularly those in the later phase (ages 25–30 years) are especially at risk in terms of diabetes-specific distress. There is a need for novel interventions to meet the needs of these vulnerable emerging adults more effectively.
0742-3071
203-213
Vallis, Michael
9d9a7d3e-784d-4e36-8d7c-ba8c6a8b0c62
Willaing, Ingrid
91761202-569c-4a78-873c-516fcbdeb056
Holt, Richard
d54202e1-fcf6-4a17-a320-9f32d7024393
Vallis, Michael
9d9a7d3e-784d-4e36-8d7c-ba8c6a8b0c62
Willaing, Ingrid
91761202-569c-4a78-873c-516fcbdeb056
Holt, Richard
d54202e1-fcf6-4a17-a320-9f32d7024393

Vallis, Michael, Willaing, Ingrid and Holt, Richard (2018) Emerging adulthood and Type 1 Diabetes: insights from the DAWN2 Study. Diabetic Medicine, 34 (2), 203-213. (doi:10.1111/dme.13554).

Record type: Article

Abstract

Aims: To compare clinical, psychological, education and social variables in emerging adults (aged 18–30 years) with Type 1 diabetes with their adult counterparts aged >30 years. Methods: A single assessment multinational sample was surveyed as part of the larger second Diabetes Attitudes, Wishes and Needs (DAWN2) study. Participants completed a series of surveys incorporating demographic as well as clinical questions (comorbidities, hypoglycaemia) and validated self-report scales concerning psychosocial (health impact, quality of life, beliefs and attitudes, self-management behaviours, healthcare experience and family support) and diabetes education factors. Results: Emerging adults differed from adults aged >30 years with regard to a number of psychosocial variables. Emerging adults reported better overall quality of life, social support and support from their healthcare team compared with adults aged >30 years of age; however, emerging adults experienced greater diabetes-specific distress and were less engaged in self-management. Diabetes education was related to a number of indicators, while experience of discrimination was harmful, but these impacts did not differ between emerging adults and adults aged >30 years. An analysis of geographical regions suggested that emerging adults in North America and Europe had better well-being than older adults, while the opposite was observed in Asia. Conclusions: Emerging adults, particularly those in the later phase (ages 25–30 years) are especially at risk in terms of diabetes-specific distress. There is a need for novel interventions to meet the needs of these vulnerable emerging adults more effectively.

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Emerging Adults_DM_Revisions - Accepted Manuscript
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More information

Accepted/In Press date: 24 October 2017
e-pub ahead of print date: 14 January 2018
Published date: February 2018

Identifiers

Local EPrints ID: 415072
URI: http://eprints.soton.ac.uk/id/eprint/415072
ISSN: 0742-3071
PURE UUID: 63f7b584-5d5d-442f-9b65-6e387be35d04
ORCID for Richard Holt: ORCID iD orcid.org/0000-0001-8911-6744

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Date deposited: 25 Oct 2017 16:30
Last modified: 16 Mar 2024 05:51

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Contributors

Author: Michael Vallis
Author: Ingrid Willaing
Author: Richard Holt ORCID iD

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