This longitudinal study examines the little researched, yet extremely important, transition from high school to young adulthood among late adolescents (17-21 years of age) with type 1 diabetes. These adolescents are in a challenging time when their glycemic control, diabetes management, and quality of life may be relatively worse, their peers are involved in alcohol use and weight control behaviors, and they need to be assuming responsibility for their diabetes. Thus, we will be focusing on outcome variables of glycemic control, quality of life, diabetes management, alcohol use, weight control behaviors, and assumption of responsibility for diabetes. Building upon research from younger adolescents, we will also examine personal and environmental factors influencing glycemic control, diabetes-related quality of life, diabetes management, and responsibility for diabetes within two major situational transitions: education and living situation. To capture this transition from high school to young adulthood, we will follow key variables among 150 late adolescents for approximately 18 months, from the last 3 months in high school through the first year post-high school. Multi-level regression modeling will be used to examine both changes over time in outcome, personal, and environmental factors as well as how changes overtime in the outcomes are related to environmental and personal characteristics in the context of situational transitions. Identifying these key times and influential factors will provide information critical to designing future effective interventions to improve glycemic control and quality of life for these adolescents as they transition to adulthood. In addition, this study addresses two objectives of the Program Announcement PA-03-159: Chronic Illness Self-Management in Children. First, it addresses the objective that focuses on examining factors that promote the transfer of self-management responsibility, including the stage of development. This study also addresses a second objective, examining factors to sustain self-management and integration of it within the home, school, and community.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR009810-04
Application #
7742183
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Hardy, Lynda R
Project Start
2007-01-18
Project End
2011-11-30
Budget Start
2009-12-01
Budget End
2010-11-30
Support Year
4
Fiscal Year
2010
Total Cost
$401,840
Indirect Cost
Name
Indiana University-Purdue University at Indianapolis
Department
Type
Schools of Nursing
DUNS #
603007902
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
Hanna, Kathleen M; Weaver, Michael T; Slaven, James E et al. (2015) Weight control behaviors among emerging adults with type 1 diabetes. Diabetes Educ 41:444-51
Hanna, Kathleen M; Stupiansky, Nathan W; Weaver, Michael T et al. (2014) Alcohol use trajectories after high school graduation among emerging adults with type 1 diabetes. J Adolesc Health 55:201-8
Hanna, Kathleen M; Scott, Linda L; Schmidt, Karen K (2014) Retention strategies in longitudinal studies with emerging adults. Clin Nurse Spec 28:41-5
Hanna, Kathleen M; Weaver, Michael T; Slaven, James E et al. (2014) Diabetes-related quality of life and the demands and burdens of diabetes care among emerging adults with type 1 diabetes in the year after high school graduation. Res Nurs Health 37:399-408
Hanna, Kathleen M; Weaver, Michael T; Stump, Timothy E et al. (2014) Emerging Adults with Type 1 Diabetes during the First Year Post-High School: Perceptions of Parental Behaviors. Emerg Adulthood 2:128-137
Hanna, Kathleen M; Weaver, Michael T; Stump, Timothy E et al. (2014) The Relationship of Worry About Hypoglycemia With Diabetes-specific and Typical Youth Behavior Among Emerging Adults With Type 1 Diabetes. Diabetes Educ 40:533-542
Hanna, Kathleen M; Weaver, Michael T; Stump, Timothy E et al. (2013) Readiness for living independently among emerging adults with type 1 diabetes. Diabetes Educ 39:92-9
Hanna, Kathleen M; Woodward, Jason (2013) The transition from pediatric to adult diabetes care services. Clin Nurse Spec 27:132-45
Hanna, K M; Weaver, M T; Stump, T E et al. (2013) Initial findings: primary diabetes care responsibility among emerging adults with type 1 diabetes post high school and move out of parental home. Child Care Health Dev 39:61-8
Stupiansky, Nathan W; Hanna, Kathleen M; Slaven, James E et al. (2013) Impulse control, diabetes-specific self-efficacy, and diabetes management among emerging adults with type 1 diabetes. J Pediatr Psychol 38:247-54

Showing the most recent 10 out of 12 publications