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The Parental Experience of Caring for a Child with Type 1 Diabetes

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Abstract

Type 1 diabetes is the most common chronic metabolic condition seen in children and adolescents. Parents play an instrumental role in caring for a child with Type 1 diabetes. The present study aimed to explore experiences of parents as they look after their child who has a body that presents unique challenges to both maintaining health and meeting expectations for a conventional childhood. This qualitative study involved in-depth semi-structured interviews with 17 parents of children with Type 1 diabetes. Interpretative Phenomenological Analysis (IPA) was used to analyse parents’ accounts to elicit salient themes. Parents described how they responded to some of the embodied experiences of their child, through their own embodied acts of caregiving. Looking after a child with diabetes was a demanding experience, where the illness experience was dominated by the ‘constant-ness’ of the disease. This experience was heavily driven by a need for constant vigilance and careful management in the context of an unpredictable body. Parents also made comparisons of their child with a diabetic body with other types of health conditions and situations, to arrive at two different positions; one where they saw diabetes as a fortunate diagnosis compared to other childhood conditions, and the alternative position that diabetes was more challenging to live with than other illnesses. These comparisons provide a way of coping with the embodied unpredictability of childhood diabetes. Rather than viewing these comparisons as adaptive or maladaptive, health professionals may be able to understand the competing and contradictory accounts that parents provide as they attempt to make sense of the experience of parenting a child with a chronic illness.

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Author Contributions

F.R.: designed and executed the study, completed the data collection and analysis, and wrote the paper. M.B.: contributed to the design of the study and the data analysis, supervised all aspects of the study, and contributed to the writing and editing of drafts and the final manuscript. J.T.: co-supervised the study, provided feedback on drafts of the manuscript, contributed to editing the final manuscript. K.R.: co-supervised the study, contributed to the design and execution of the study and data analysis, provided feedback on drafts and the final manuscript.

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Authors and Affiliations

  1. School of Psychology, Massey University, Palmerston North, New Zealand

    Fathimath Rifshana, Joanne E. Taylor & Kirsty Ross

  2. School of Public Health, Massey University, Private Bag 11-222, Palmerston North, New Zealand

    Mary Breheny

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  1. Fathimath Rifshana
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  2. Mary Breheny
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Correspondence to Mary Breheny.

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The authors of this manuscript certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.

Human Participants Research

The research described included human participants. Ethical approval was granted by the Central Regional Ethics Committee of the Health and Disability Ethics Committees, New Zealand. All research procedures were conducted in accordance with the requirement of the Health and Disability Ethics Committee, including informed consent of participants.

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Rifshana, F., Breheny, M., Taylor, J.E. et al. The Parental Experience of Caring for a Child with Type 1 Diabetes. J Child Fam Stud 26, 3226–3236 (2017). https://doi.org/10.1007/s10826-017-0806-5

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