‘It kinda sucks’: Illness perception of a group of South African adolescents with type 1 diabetes mellitus

African Journal of Primary Health Care & Family Medicine

Field Value
Title ‘It kinda sucks’: Illness perception of a group of South African adolescents with type 1 diabetes mellitus
Creator Lesage, Schvaugn Deacon, Elmari van Rensburg, Esmé Segal, David
Subject — illness perception; adolescents; diabetes management; poor glycaemic control; thematic analysis
Description Background: Living with diabetes is challenging, especially for adolescents at risk of poor glycaemic control. Understanding the illness perceptions of this group is important to be able to develop interventions for this growing population in need.Aim: This study explored the illness perception amongst adolescents living with type 1 diabetes (T1D) and how these perceptions interacted with the management of T1D.Setting: This study was conducted at a medical centre providing care for adolescents living with T1D in Parktown, South Africa.Methods: A qualitative, explorative design with semi-structured interviews was followed. A non-random purposive sampling method was utilised. The illness perception amongst eight adolescents, aged 12–18 years, at risk of poor glycaemic control, was analysed through thematic analysis.Results: Two subthemes related to illness perception were generated, namely (1) illness perception of T1D is negative and (2) living with T1D leads to a sense of being different. Furthermore, two subthemes were generated in relation to how illness perceptions interacted with diabetes management, namely (3) management of T1D is challenging and (4) management of T1D is motivated by fear.Conclusion: This group of adolescents with at-risk glycaemic control believed that T1D is difficult to manage, leading to a largely negative perception of the disease. This study contributes to the body of literature on adolescents where illness perception may play a role in adhering to diabetes care plans. This research may give additional insights into the awareness of illness perception in designing successful interventions.
Publisher AOSIS
Date 2021-02-17
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v13i1.2782
Source African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 9 pages 2071-2936 2071-2928
Language eng
Relation https://phcfm.org/index.php/phcfm/article/view/2782/4474 https://phcfm.org/index.php/phcfm/article/view/2782/4473 https://phcfm.org/index.php/phcfm/article/view/2782/4475 https://phcfm.org/index.php/phcfm/article/view/2782/4472
Coverage Africa; South Africa; Gauteng; Parktown — Adolescents
Rights Copyright (c) 2021 Schvaugn Lesage, Elmarí Deacon, Esmé van Rensburg, David Segal https://creativecommons.org/licenses/by/4.0