The effect of an educational program on illness uncertainty in mothers of children with type 1 diabetes: a quasi-experimental study

Submitted: 10 March 2024
Accepted: 24 April 2024
Published: 31 May 2024
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The mother is traditionally the primary caregiver for the child, and uncertainty is a major source of psychological distress for parents of sick children. As a result, the current study sought to investigate the impact of an educational program on illness uncertainty in mothers of children with insulin-dependent diabetes mellitus (IDDM). This is a quasi-experimental study with a pretest-posttest design, involving 40 mothers of children with IDDM. After visiting the research site and recruiting eligible mothers, the researcher used the purposive sampling method to randomly assign them to one of two intervention and control groups. Taking into account their needs and conditions, mothers were scheduled for at least three sessions, with a 30-minute interval every other day. The data analysis revealed no significant differences between the two groups in terms of child age and gender, mother age and education level, number of children, and duration of diabetes. There was a significant difference in the total score of uncertainty, total score of ambiguity, lack of clarity, lack of information, unpredictability, and their dimensions between mothers of diabetic children before and after the intervention (P=0.02). Based on the findings, it is recommended that the educational needs of children and their mothers be assessed upon admission and that educational content be prepared and taught accordingly, thereby helping to reduce illness uncertainty in mothers.

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Baghaei N, Nandigam D, Casey J, et al. Diabetic Mario: Designing and evaluating mobile games for diabetes education. Games Health J 2016;5:270-8. )Persian( DOI: https://doi.org/10.1089/g4h.2015.0038
Elding Larsson H, Lundgren M, Jonsdottir B, et al. Safety and efficacy of autoantigen‐specific therapy with 2 doses of alum‐formulated glutamate decarboxylase in children with multiple islet autoantibodies and risk for type 1 diabetes: A randomized clinical trial. Pediatr Diabet 2018;19:410-9. DOI: https://doi.org/10.1111/pedi.12611
Le P, Ayers G, Misra-Hebert AD, et al. Adherence to the ADA’s Glycemic Goals in the Treatment of Diabetes Among Older Americans, 2001–2018. Diabetes Care 2022;45:1107-15. DOI: https://doi.org/10.2337/dc21-1507
Katsarou A, Gudbjörnsdottir S, Rawshani A, et al. Type 1 diabetes mellitus. Nat Rev Dis Primers 2017;3:17016. DOI: https://doi.org/10.1038/nrdp.2017.16
Roep BO, Thomaidou S, van Tienhoven R, Zaldumbide A. Type 1 diabetes mellitus as a disease of the β-cell (do not blame the immune system?). Nature Rev Endocrinol 2021;17:150-61. DOI: https://doi.org/10.1038/s41574-020-00443-4
Kingod N, Grabowski D. In a vigilant state of chronic disruption: How parents with a young child with type 1 diabetes negotiate events and moments of uncertainty. Sociol Health Illness 2020;42:1473-87. DOI: https://doi.org/10.1111/1467-9566.13123
Bailey Jr DE, Zhang Y. Merle Mishel: Uncertainty in Illness Theory. Nursing Theorists and Their Work E-Book. 2021 Jul 23:445.
Citak E, Tulek Z, Uzel O. Nutritional status in patients with head and neck cancer undergoing radiotherapy: a longitudinal study. Supportive Care Cancer 2019;27:239-47. DOI: https://doi.org/10.1007/s00520-018-4319-6
Lummer-Aikey S, Goldstein S. Sibling adjustment to childhood chronic illness: an integrative review. J Family Nurs 2021;27:136-53. DOI: https://doi.org/10.1177/1074840720977177
Oh WO, Heo YJ, Suk MH, Lee A. Korean childcare providers’ knowledge, attitudes, concerns, and practices of febrile convulsions. Int J Environ Res Public Health 2021;18:4855. DOI: https://doi.org/10.3390/ijerph18094855
Attaallah SA, Peters RM, Benkert R, et al. Developing a middle-range theory of heart failure self-care. Nurs Sci Qrtl 2021;34:168-77. DOI: https://doi.org/10.1177/0894318420987164
Sajjadi M, Rassouli M, Abbaszadeh A, et al. Psychometric properties of the Persian version of the Mishel's Uncertainty in Illness Scale in Patients with Cancer. Eur J Oncol Nurs 2014;18:52-7. DOI: https://doi.org/10.1016/j.ejon.2013.09.006
Yoo K. A study on the uncertainty and depression in mothers of hospitalized children. J Korean Acad Soc Nurs Edu 2013;15:346-57.
Yoo KH. A study on the uncertainty and depression in mothers of hospitalized children. J Korean Acad Soc Nurs Educ 2013;19:265-72. DOI: https://doi.org/10.5977/jkasne.2013.19.2.265
Noohi E, Abbaszadeh A. Process of patient education and orem, s self care theory, an integrative model curriculum: a qualitative study. J Qual Res Health Sci 2020;5:419-31.
Ashghali Farahani M, Maserat Aghdam Arjestan E, Haghani HA. Effect of role-play training on the knowledge of nursing students on patient education. Iran J Nurs 2018;31:29-40 DOI: https://doi.org/10.29252/ijn.31.115.29
Safari SS, Rahnama M, Mohammad AA, et al. The impact of individual motivational interview based on self-care and efficacy of type 2 diabetic patients. J Evolution Med Dent Sci 2019;8:0000. DOI: https://doi.org/10.14260/jemds/2019/749
Safari SS, Rahnama M, Abdullahi Mohammad A, Naderifar M. Impact of individual motivational interview based on self-care on the treatment adherence of type II diabetic patients. J Diabetes Nurs 2019;7:820-9.
Ho J, McElmurry BJ, Park CG, et al. Anxiety and uncertainty in Korean mothers of children with febrile convulsion: cross-sectional survey. J Clin Nurs 2011;20:1490-7. DOI: https://doi.org/10.1111/j.1365-2702.2010.03496.x
Mahdizadeh M, Nejat Mohammad A, Behnam Vashani H, Reyhani T. Effects of supportive educational program on anxiety of mothers of children undergoing the lumbar puncture. Evidence Based Care J 2016;6:29-38.
Jajormaneh F, Ghazavi Z, Mehrabi T, Najafi M. The effect of stress management training program on self-efficacy mothers of children with thalassemia. J Clin Nurs Midwif 2016;5:84-93.
Hosseinrezaei Z, Ghaljaei F, Najafi F. Effect of training on understanding the uncertainty and anxiety of mothers in children with febrile seizure in a hospital: a quasi-experimental study. Iranian J Pediatric Nurs 2019;6:39-44
Sajjadi M, Mohammadpour A, Mahmoudi M. Correlation between Uncertainty in the illness, demographic and clinical factors with adherence to treatment in patients with cancer. J Sabzevar Univ Med Sci 2017;24:205-10.

Supporting Agencies

Zabol University of Medical Sciences

How to Cite

Akbarizadeh, M. R., Ghaljaei, F., Hasanzadeh, A., Abdollahimohammad, A., & Naderifar, M. (2024). The effect of an educational program on illness uncertainty in mothers of children with type 1 diabetes: a quasi-experimental study. La Pediatria Medica E Chirurgica, 46(1). https://doi.org/10.4081/pmc.2024.335

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