PMID- 14655520
OWN - NLM
STAT- MEDLINE
DCOM- 20040116
LR  - 20151119
IS  - 1399-543X (Print)
IS  - 1399-543X (Linking)
VI  - 4
IP  - 1
DP  - 2003 Mar
TI  - Barriers to the treatment of adolescent type 2 diabetes--a survey of provider 
      perceptions.
PG  - 24-8
AB  - OBJECTIVE: Type 2 diabetes mellitus (T2DM) is increasingly common among children 
      and adolescents. However, achievement of good metabolic control has been 
      difficult in this population. The aim of this study was to survey pediatric 
      endocrine and diabetes specialists regarding the issues they consider to be 
      barriers to successful treatment of adolescent T2DM. METHODS: An electronic 
      questionnaire was administered to 220 physicians and nurses attending a 
      conference on pediatric diabetology in 2001. RESULTS: The issues that were most 
      strongly perceived as barriers to successful treatment of adolescents with T2DM 
      were prevalence of high-risk lifestyle in other family members (98%), lack of 
      immediate risk to life reducing patient motivation (89%), lack of guidelines 
      regarding optimal treatment (73%), prevalence of behavioral and/or psychiatric 
      disorders (71%), and cultural/language barriers (65%). The survey also revealed 
      that in the majority of clinics, T2DM education programs were not designed 
      specifically for type 2 patients nor delivered by a specifically trained 
      education team. Furthermore, despite the fact that cultural and ethnic 
      differences were identified as important barries to care, educational materials 
      designed for particular racial and cultural groups were used in only 37% of the 
      clinics. CONCLUSIONS: This survey identifies a number of areas perceived by 
      clinicians to be significant barriers to successful treatment of T2DM in 
      adolescent patients. Given the multiple challenges identified by the survey, 
      programs addressed specifically to the characteristics of adolescents with T2DM 
      will be necessary, including materials appropriate to the developmental stage and 
      ethnic background of patients.
FAU - Pinhas-Hamiel, Orit
AU  - Pinhas-Hamiel O
AD  - Maccabi Health Care Services, Juvenile Diabetes Center, Hod-Hasharon, Israel. 
      Hamiels@012.net.il
FAU - Zeitler, Philip
AU  - Zeitler P
LA  - eng
PT  - Journal Article
PL  - Denmark
TA  - Pediatr Diabetes
JT  - Pediatric diabetes
JID - 100939345
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - Culture
MH  - Diabetes Mellitus, Type 2/psychology/*therapy
MH  - Endocrinology
MH  - Family
MH  - Female
MH  - Humans
MH  - Language
MH  - Life Style
MH  - Male
MH  - Mental Disorders/complications
MH  - Middle Aged
MH  - *Nurses
MH  - *Patient Compliance
MH  - Patient Education as Topic
MH  - Pediatrics
MH  - *Physicians
MH  - Risk Factors
MH  - Surveys and Questionnaires
EDAT- 2003/12/06 05:00
MHDA- 2004/01/17 05:00
CRDT- 2003/12/06 05:00
PHST- 2003/12/06 05:00 [pubmed]
PHST- 2004/01/17 05:00 [medline]
PHST- 2003/12/06 05:00 [entrez]
AID - PDI027 [pii]
AID - 10.1034/j.1399-5448.2003.00027.x [doi]
PST - ppublish
SO  - Pediatr Diabetes. 2003 Mar;4(1):24-8. doi: 10.1034/j.1399-5448.2003.00027.x.