ArticleInternational journal of endocrinology and metabolism2018
Factors Affecting Self-Care Performance in Adolescents with Type I Diabetes According to the PEN-3 Cultural Model.
Article in International journal of endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- The Roulette Metaphor in Living with Type 1 Diabetes: Semiotic Dynamics and the Regulation of Self-Experience in Christin's Case.Integrative psychological & behavioral science · 2026Article
- Self-care needs and obstacles of adolescents with type 1 diabetes: a narrative review.Diabetology & metabolic syndrome · 2026Review
- Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review.Health psychology report · 2025Review
- Macroergonomic components of the patient work system shaping dyadic care management during adolescence: a case study of type 1 diabetes.Ergonomics · 2024Article
- Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus.International journal of environmental research and public health · 2024Review
- Solving teenage and young mothers' childhood immunization hesitance and non-compliance through mobile immunization friendly service for working mothers in Ibadan, Nigeria- A research note.PLOS global public health · 2023Article
- Effectiveness of educational intervention on women's participation to cervical cancer screening: a quasi-experimental study based on PEN-3 model.BMC cancer · 2022Article
- Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review protocol.Journal of diabetes and metabolic disorders · 2022Article
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- Effect of self-efficacy-based training on metabolic control of patients with type 2 diabetes.International journal of physiology, pathophysiology and pharmacology · 2022Article
- Type 1 Diabetes Patient Experiences Before and After Transfer from a Paediatric to an Adult Hospital.Patient preference and adherence · 2022Article
- Determinants of adherence to insulin and blood glucose monitoring among adolescents and young adults with type 1 diabetes in Qatar: a qualitative study.F1000Research · 2022Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescence is the most difficult period to control and manage type 1 diabetes (T1D), and various perceptions, enablers, and nurturers influence self-care behaviors in these patients.
objectivesThe purpose of this study was to identify factors affecting self-care performance in adolescents with T1D, according to the PEN-3 cultural model.
methodsIn this study, in-depth interviews were conducted initially with 26 participants, and one group discussion was held with 13 participants. Assessment domains of the PEN-3 model (key influence on health behaviors and impact of behavior on health) guided the analysis of qualitative study and focus group data. Finally, the data were classified to a 3 × 3 table, based on the PEN-3 model.
resultsThe most common positive PEN included awareness of self-care behaviors, attitude towards the disease, impact of spirituality on self-care, easy access to needed medical services, and maternal support. The negative PEN included attitude of patients and parents towards reasons of becoming sick (why me), awareness about the disease and its causes, low self-efficacy, limited training, high cost of blood glucose test strips, lack of educational therapeutic curricula based on spirituality, ignoring the role of spirituality in treatment and self-care, and conflict between parents and patients.
conclusionsThe results of this study can be used to guide the development of cultural group therapy interventions aimed at increasing adherence to self-care behaviors among Iranian adolescents with T1D.
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