Parental Self-Efficacy in the Management of Pediatric Type 1 Diabetes Mellitus: A Subgroup Analysis Among CGM Sensor Users
Moderator
László Gulácsi, DrPH, Budapest, Hungary
Speakers
Áron Hölgyesi, PharmD, Óbuda University, Budapest, Hungary; Andrea Luczay; Péter Tóth-Heyn; Eszter Muzslay; Eszter Világos; Attila Szabó; Petra Baji, PhD; Levente Kovacs; Zsombor J Zrubka, MBA, PhD, MD, Initium Zrt., Budapest, III., Hungary; Marta Pentek, PhD, Óbuda University, Budapest, Hungary
OBJECTIVES: This study aimed at assessing parental self-efficacy in managing pediatric type 1 diabetes mellitus (T1DM) among parents of children wearing a continuous glucose monitoring (CGM) sensor.
METHODS: A cross-sectional study was conducted involving parent-child pairs from a Hungarian pediatric diabetes centre. Demographic characteristics, CGM wearing status and mode of insulin administration were recorded. Parents’ self-efficacy was examined with the Hungarian version of the Parental Self-Efficacy Scale for Diabetes Management (PSESDM), which consists of eight statements on parents’ self-perceived ability to manage their child’s diabetes effectively. The level of agreement with each statement can be indicated on a five-point Likert-scale, resulting in a total score ranging from 8 to 40. Descriptive methods were used to analyse the sample characteristics and response distribution on the PSESDM items, while differences by treatment modality were assessed with non-parametric tests.
RESULTS: A total of N=84 CGM wearers and their parents were included. No difference in demographic characteristics was observed between pump (N=51) and pen users (N=55). The PSESDM score was numerically higher in the pump subgroup (34.7 ±4.7 vs. 32.9 ±5.2; p=0.100). The item-level analysis showed that parents of pump users were more efficient than parents of pen users in finding ways to solve problems that arise in managing their child's diabetes (total disagreement 68.6% vs. 47.3% respectively; p=0.043) and in changing things they do not like about their child's disease (total disagreement 52.9% vs. 34.6% respectively; p=0.032).
CONCLUSIONS: The results suggest a positive association between insulin pump usage and parental self-efficacy. Our findings also draw clinicians' attention to areas where pen users’ parents need more assistance. Furthermore, the study confirmed the applicability of the PSESDM among parents of children wearing a CGM sensor. However, further studies are warranted to establish the measurement properties of its Hungarian language version.
METHODS: A cross-sectional study was conducted involving parent-child pairs from a Hungarian pediatric diabetes centre. Demographic characteristics, CGM wearing status and mode of insulin administration were recorded. Parents’ self-efficacy was examined with the Hungarian version of the Parental Self-Efficacy Scale for Diabetes Management (PSESDM), which consists of eight statements on parents’ self-perceived ability to manage their child’s diabetes effectively. The level of agreement with each statement can be indicated on a five-point Likert-scale, resulting in a total score ranging from 8 to 40. Descriptive methods were used to analyse the sample characteristics and response distribution on the PSESDM items, while differences by treatment modality were assessed with non-parametric tests.
RESULTS: A total of N=84 CGM wearers and their parents were included. No difference in demographic characteristics was observed between pump (N=51) and pen users (N=55). The PSESDM score was numerically higher in the pump subgroup (34.7 ±4.7 vs. 32.9 ±5.2; p=0.100). The item-level analysis showed that parents of pump users were more efficient than parents of pen users in finding ways to solve problems that arise in managing their child's diabetes (total disagreement 68.6% vs. 47.3% respectively; p=0.043) and in changing things they do not like about their child's disease (total disagreement 52.9% vs. 34.6% respectively; p=0.032).
CONCLUSIONS: The results suggest a positive association between insulin pump usage and parental self-efficacy. Our findings also draw clinicians' attention to areas where pen users’ parents need more assistance. Furthermore, the study confirmed the applicability of the PSESDM among parents of children wearing a CGM sensor. However, further studies are warranted to establish the measurement properties of its Hungarian language version.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
PCR55
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
SDC: Diabetes/Endocrine/Metabolic Disorders (including obesity), SDC: Pediatrics