Effectiveness of Safe Insulin Practice on Child Self-Efficacy and Satisfaction in Type-1 Diabetes Mellitus: Exploring Mothers Hope and Experiences


Authors : S. Subhavelvizhi; M.Melvin David; T.K. Sreedevi; Donamole Biju; Elby Aleyas; Divya. P; Dona K.J; D. Umavathi

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/5n8uksny

DOI : https://doi.org/10.38124/ijisrt/25jun105

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : This study aimed to explore mothers' hope and experiences and to evaluate the effectiveness of a safe insulin practice intervention on self-efficacy and satisfaction among children (≤12 years) with Type-1 Diabetes Mellitus (T1DM) at a tertiary care teaching hospital. An exploratory sequential mixed-methods design was used. Qualitative data were collected from eight mothers through semi-structured interviews and analyzed thematically. Subsequently, a quantitative pre- experimental one-group pre-test post-test design was conducted with 30 children with T1DM, who received a structured teaching program on safe insulin practices. Self-efficacy (Allen’s Scale) and satisfaction (Clare Bradley’s Scale) were assessed before and after the intervention. Qualitative findings revealed themes of initial shock and distress, evolving coping mechanisms, and profound hope fueled by observed improvements and support. Quantitative results showed a significant increase in children’s mean self-efficacy scores from 89.37 (SD 6.820) to 125.60 (SD 2.978) (t=23.701, p<0.001) and mean satisfaction scores from 29.87 (SD 5.211) to 36.50 (SD 3.093) (t=7.740, p<0.001) post-intervention. The study concludes that a structured educational intervention on safe insulin practices significantly enhances self-efficacy and satisfaction in children with T1DM, and underscores the resilient journey of hope experienced by their mothers.

Keywords : Type-1 Diabetes; Mothers Hope; Children; Self-Efficacy; Satisfaction; Safe Insulin Practice; Mixed-Methods

References :

  1.  M. Z. Banday, A. S. Sameer, and S. Nisar, “Pathophysiology of diabetes: An overview,” Avicenna J Med, vol. 10, no. 4, pp. 174–188, Oct 2020. (Adapted from thesis ref 3)
  2. International Diabetes Federation, IDF Diabetes Atlas (10th ed.). International Diabetes Federation, 2022. [Online]. Available: https://diabetesatlas.org (Adapted from thesis ref 1)
  3. J. A. Haegele, et al., “Exploring the experiences of parents raising children with Type-1 diabetes: A qualitative investigation,” Family Health and Chronic Illness Journal, vol. 10, no. 4, pp. 245–254, 2022. (Example style, adapted from thesis ref 37)
  4. American Diabetes Association, “Insulin therapy in the management of diabetes,” Diabetes Care, vol. 43, Supplement 1, pp. S50-S60, 2020. (Adapted from thesis ref 14)
  5. S. Shorey and V. Lopez, “Self-Efficacy in a Nursing Context,” in Health Promotion in Health Care – Vital Theories and Research, G. Haugan and M. Eriksson, Eds. Cham (CH): Springer, 2021, ch. 12. (Adapted from thesis ref 9)
  6. N. A. D. Al-Shorman, et al., “Evaluating the effectiveness of a diabetes education program on the self-efficacy of parents and adolescents with Type 1 Diabetes Mellitus in Jordan: A pre-experimental study,” Journal of Diabetes Education and Care, vol. 45, no. 2, pp. 123–134, 2023. (Example style, adapted from thesis ref 24, assuming this is the primary reference for this point)
  7. B. Kimbell, et al., “Managing Type 1 diabetes in young children using a hybrid closed-loop system: A thematic analysis,” Pediatric Endocrinology and Technology Journal, vol. 14, no. 1, pp. 56–66, 2022. (Example style, adapted from thesis ref 38).

This study aimed to explore mothers' hope and experiences and to evaluate the effectiveness of a safe insulin practice intervention on self-efficacy and satisfaction among children (≤12 years) with Type-1 Diabetes Mellitus (T1DM) at a tertiary care teaching hospital. An exploratory sequential mixed-methods design was used. Qualitative data were collected from eight mothers through semi-structured interviews and analyzed thematically. Subsequently, a quantitative pre- experimental one-group pre-test post-test design was conducted with 30 children with T1DM, who received a structured teaching program on safe insulin practices. Self-efficacy (Allen’s Scale) and satisfaction (Clare Bradley’s Scale) were assessed before and after the intervention. Qualitative findings revealed themes of initial shock and distress, evolving coping mechanisms, and profound hope fueled by observed improvements and support. Quantitative results showed a significant increase in children’s mean self-efficacy scores from 89.37 (SD 6.820) to 125.60 (SD 2.978) (t=23.701, p<0.001) and mean satisfaction scores from 29.87 (SD 5.211) to 36.50 (SD 3.093) (t=7.740, p<0.001) post-intervention. The study concludes that a structured educational intervention on safe insulin practices significantly enhances self-efficacy and satisfaction in children with T1DM, and underscores the resilient journey of hope experienced by their mothers.

Keywords : Type-1 Diabetes; Mothers Hope; Children; Self-Efficacy; Satisfaction; Safe Insulin Practice; Mixed-Methods

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