Cargando…

A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs

BACKGROUND: With rising incidence of type 1 diabetes (T1D) diagnoses among children and the high levels of distress experienced by the caregivers of these children, caregiver support is becoming increasingly important. Historically, relatively few support resources have existed. Increasing use of th...

Descripción completa

Detalles Bibliográficos
Autores principales: Oser, Tamara K, Oser, Sean M, McGinley, Erin L, Stuckey, Heather L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238834/
https://www.ncbi.nlm.nih.gov/pubmed/30291073
http://dx.doi.org/10.2196/diabetes.8966
_version_ 1783371460523327488
author Oser, Tamara K
Oser, Sean M
McGinley, Erin L
Stuckey, Heather L
author_facet Oser, Tamara K
Oser, Sean M
McGinley, Erin L
Stuckey, Heather L
author_sort Oser, Tamara K
collection PubMed
description BACKGROUND: With rising incidence of type 1 diabetes (T1D) diagnoses among children and the high levels of distress experienced by the caregivers of these children, caregiver support is becoming increasingly important. Historically, relatively few support resources have existed. Increasing use of the Internet, and blogs in particular, has seen a growth of peer support between caregivers of children with T1D. However, little is known about the type and quality of information shared on T1D caregiver blogs. At the same time, the information on such blogs offers a new window into what challenges and successes caregivers experience in helping to manage their children’s T1D. OBJECTIVE: The purpose of this study was to (1) analyze blogs of caregivers to children with T1D to better understand the challenges and successes they face in raising a child with T1D, and (2) assess the blogs for the presence of unsafe or inaccurate clinical information or advice. METHODS: An inductive thematic qualitative study was conducted of three blogs authored by caregivers of children living with T1D, which included 140 unique blog posts and 663 associated comments. Two physician investigators evaluated the blogs for presence of clinical or medical misinformation. RESULTS: Five major themes emerged: (1) the impact of the child’s diagnosis, (2) the burden of intense self-management experienced in caring for a child with T1D, (3) caregivers’ use of technology to ease their fear of hypoglycemia and impacts that device alarms associated with this technology have on caregiver burden, (4) caregivers’ perceptions of frequently missed or delayed diagnosis of T1D and the frustration this causes, and (5) the resilience that caregivers develop despite the burdens they experience. Misinformation was exceedingly rare and benign when it did occur. CONCLUSIONS: Blog analysis represents a novel approach to understand the T1D caregiver’s experience. This qualitative study found many challenges that caregivers face in raising a child with T1D. Despite the many barriers caregivers face in managing their children’s T1D, they find support through advocacy efforts and peer-to-peer blogging. Blogs provide a unique avenue for support, with only rare and benign findings of medical misinformation, and may be a resource that diabetes care providers can consider offering to families for support.
format Online
Article
Text
id pubmed-6238834
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-62388342018-12-27 A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs Oser, Tamara K Oser, Sean M McGinley, Erin L Stuckey, Heather L JMIR Diabetes Original Paper BACKGROUND: With rising incidence of type 1 diabetes (T1D) diagnoses among children and the high levels of distress experienced by the caregivers of these children, caregiver support is becoming increasingly important. Historically, relatively few support resources have existed. Increasing use of the Internet, and blogs in particular, has seen a growth of peer support between caregivers of children with T1D. However, little is known about the type and quality of information shared on T1D caregiver blogs. At the same time, the information on such blogs offers a new window into what challenges and successes caregivers experience in helping to manage their children’s T1D. OBJECTIVE: The purpose of this study was to (1) analyze blogs of caregivers to children with T1D to better understand the challenges and successes they face in raising a child with T1D, and (2) assess the blogs for the presence of unsafe or inaccurate clinical information or advice. METHODS: An inductive thematic qualitative study was conducted of three blogs authored by caregivers of children living with T1D, which included 140 unique blog posts and 663 associated comments. Two physician investigators evaluated the blogs for presence of clinical or medical misinformation. RESULTS: Five major themes emerged: (1) the impact of the child’s diagnosis, (2) the burden of intense self-management experienced in caring for a child with T1D, (3) caregivers’ use of technology to ease their fear of hypoglycemia and impacts that device alarms associated with this technology have on caregiver burden, (4) caregivers’ perceptions of frequently missed or delayed diagnosis of T1D and the frustration this causes, and (5) the resilience that caregivers develop despite the burdens they experience. Misinformation was exceedingly rare and benign when it did occur. CONCLUSIONS: Blog analysis represents a novel approach to understand the T1D caregiver’s experience. This qualitative study found many challenges that caregivers face in raising a child with T1D. Despite the many barriers caregivers face in managing their children’s T1D, they find support through advocacy efforts and peer-to-peer blogging. Blogs provide a unique avenue for support, with only rare and benign findings of medical misinformation, and may be a resource that diabetes care providers can consider offering to families for support. JMIR Publications 2017-10-26 /pmc/articles/PMC6238834/ /pubmed/30291073 http://dx.doi.org/10.2196/diabetes.8966 Text en ©Tamara K Oser, Sean M Oser, Erin L McGinley, Heather L Stuckey. Originally published in JMIR Diabetes (http://diabetes.jmir.org), 26.10.2017. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on http://diabetes.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Oser, Tamara K
Oser, Sean M
McGinley, Erin L
Stuckey, Heather L
A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title_full A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title_fullStr A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title_full_unstemmed A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title_short A Novel Approach to Identifying Barriers and Facilitators in Raising a Child With Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
title_sort novel approach to identifying barriers and facilitators in raising a child with type 1 diabetes: qualitative analysis of caregiver blogs
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238834/
https://www.ncbi.nlm.nih.gov/pubmed/30291073
http://dx.doi.org/10.2196/diabetes.8966
work_keys_str_mv AT osertamarak anovelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT oserseanm anovelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT mcginleyerinl anovelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT stuckeyheatherl anovelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT osertamarak novelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT oserseanm novelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT mcginleyerinl novelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs
AT stuckeyheatherl novelapproachtoidentifyingbarriersandfacilitatorsinraisingachildwithtype1diabetesqualitativeanalysisofcaregiverblogs