Quality Of Life In Children With Type 1 Diabetes: Family And Health Care Professionals’ Perspectives.
Keywords:
Type 1 diabetes, children, quality of life, parents,, nurses, Likert questionnaire, psychosocial impactAbstract
Background: Type 1 diabetes mellitus (T1DM) is a chronic condition that affects children’s physical, emotional, and social well-being. Understanding quality of life (QoL) from both family and health care professionals’ perspectives is essential for holistic management.
Objective: To evaluate the QoL of children with T1DM aged 5–18 years, as perceived by parents and nurses, and to identify areas of agreement and divergence between these perspectives.
Methods: A cross-sectional descriptive study was conducted involving 24 children with T1DM. Parents completed a 15-item Likert-scale questionnaire covering five domains: physical well-being, emotional well-being, social functioning, family impact, and health care support. Additionally, 100 nurses working in pediatric diabetes care completed the same questionnaire based on their professional observations. Data were analyzed using descriptive statistics, domain averages, and comparative visualizations (bar charts, pie charts, line plots, box plots, and scatter plots).
Results:
- Parents reported higher emotional distress and social limitations compared to nurses.
- Nurses emphasized medical adherence and resilience, particularly in older children.
- Both groups acknowledged family stress and the importance of health care support.
Conclusion: Parents and nurses perceive QoL in children with T1DM differently, with families emphasizing emotional and social burdens and nurses focusing on medical management and resilience. Integrating both perspectives is critical for comprehensive care. Future studies should include children’s self-reports and larger samples to strengthen findings
Downloads
References
Delamater AM. Quality of life in youth with type 1 diabetes. Diabetes Spectrum. 2000.
[2] Hilliard ME, et al. Stress and coping in families of children with diabetes. J Pediatr Psychol. 2012.
[3] Whittemore R, et al. Family perspectives on pediatric diabetes management. Pediatr Diabetes. 2014.
[4] Varni JW, et al. The PedsQL Diabetes Module: feasibility, reliability, validity. Diabetes Care. 2003.
[5] Nardi L, et al. Quality of life in children with type 1 diabetes and parent proxy reports. Pediatr Diabetes. 2008.
[6] Ingerski LM, et al. Health-related quality of life and adherence in pediatric T1D. J Pediatr Psychol. 2010.
[7] Cameron FJ, et al. ISPAD clinical practice consensus guidelines: psychological care. Pediatr Diabetes. 2018.
[8] American Diabetes Association. Standards of Medical Care in Diabetes—Children & Adolescents. Diabetes Care. 2025.
[9] Hoey H, et al. ISPAD guidelines: insulin therapy in children and adolescents. Pediatr Diabetes. 2018.
[10] Schwartz DD, et al. Depression and anxiety in adolescents with T1D: impact on QoL. Diabetes Res Clin Pract. 2014.
[11] Snoek FJ, et al. Psychological aspects of diabetes: improving outcomes. Diabet Med. 2015.
[12] Wagner DV, et al. Parent–child conflict and glycemic control in T1D. J Pediatr Psychol. 2014.
[13] Markowitz JT, et al. School-based diabetes management and psychosocial outcomes. Curr Diab Rep. 2015.
[14] Kalyva E, et al. Family functioning and QoL in children with T1D. J Child Health Care. 2011.
[15] Hatton DL, et al. Financial burden of pediatric diabetes care. Pediatr Diabetes. 2017.
[16] Anderson BJ, et al. Family involvement in diabetes management: outcomes. Diabetes Care. 1997.
[17] Murphy HR, et al. Structured education for pediatric T1D: randomized trial. Diabet Med. 2012.
[18] Battelino T, et al. Clinical targets for CGM in T1D: consensus. Diabetes Care. 2019.
[19] Weissberg-Benchell J, et al. Psychosocial outcomes with advanced diabetes technologies. Pediatr Diabetes. 2016.
[20] Tanenbaum ML, et al. Diabetes distress and QoL in adolescents. Diabet Med. 2014.
[21] Herzer M, et al. Sleep and glycemic control related to QoL. J Pediatr Psychol. 2011.
[22] Barnard KD, et al. Impact of hypoglycemia on QoL: pediatric perspectives. Diabet Med. 2010.
[23] Varni JW, et al. PedsQL Family Impact Module validation. Health Qual Life Outcomes. 2004.
[24] KIDSCREEN Group. KIDSCREEN-27 and -52 for child HRQoL assessment. 2006.
[25] World Health Organization. WHOQOL: development and psychometric properties. 1998.
[26] Laffel LM, et al. Sick-day management and psychosocial support. Diabetes Care. 2008.
[27] Glaff MJ, et al. School nurse roles in pediatric diabetes care. J Sch Nurs. 2013.
[28] Hood KK, et al. Adherence and psychosocial correlates in T1D. Diabetes Care. 2009.
[29] DCCT Research Group. Intensive therapy outcomes in T1D. N Engl J Med. 1993.
[30] Rawshani A, et al. Complications and QoL associations in T1D. Lancet Diabetes Endocrinol. 2018.
[31] Kordonouri O, et al. Sport participation and diabetes management in youth. Pediatr Diabetes. 2012.
[32] Wysocki T, et al. Behavioral interventions in pediatric diabetes. Diabetes Care. 2006.
[33] Riddell MC, et al. Exercise management in T1D for youth. Lancet Child Adolesc Health. 201.
.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.