Hannan, Margaret Susan
(2008)
FACTORS ASSOCIATED WITH INITIATING DISCUSSION OF REPRODUCTIVE HEALTH ISSUES BETWEEN TEEN GIRLS WITH TYPE 1 DIABETES AND THEIR MOTHERS.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
Objectives: To: 1) describe and examine the associations between general communication (GC) and intention to initiate discussion about reproductive health (RH) issues within mother-daughter dyads; 2) describe mothers' knowledge and attitudes of diabetes and RH and mothers' perceived available social support; 3) identify variables associated with mothers' intention to initiate discussion and actual discussion of RH issues with their daughters with type 1 diabetes; and, 4) explore mothers' perspectives about RH discussions.Design: This study of mothers used a sequential explanatory mixed method design. Phase 1, the quantitative study, utilized a repeated-measures (baseline, 3-month) correlational design as part of a larger randomized-controlled preconception counseling intervention study with diabetic adolescent girls. Mothers did not receive an intervention. Forty-four mothers participated; with a mean age of 45.3 years (SD=5.3, range 34-57.1) and 82% (n=36) were Caucasian. Phase 2, a qualitative descriptive study, used open-ended semi-structured telephone interviews with mothers. Ten mothers were selected by criterion-related purposeful sampling from the phase 1 sample. Qualitative content analysis techniques were used to analyze the qualitative data.Results: Mothers reported high levels of GC and moderate levels of intention to initiate RH discussions with their daughters. Few (55%) reported having actual RH discussions. Mothers' intention was significantly associated (r=.579, p<.05) with GC. Overall, mothers lacked knowledge about diabetes and RH, had strong attitudes and high perceived social support. There were significant (p<.05) time effects for mothers' knowledge, perceived barriers to their daughter preventing an unplanned pregnancy, and actual RH discussion. Five themes regarding mothers' perspectives of RH discussions were identified: 1) awareness 2) knowledge; 3) triggers for initiating discussions; 4) fears/concerns; and, 5) comfort level with discussions. Mothers were aware that their daughters should preplan pregnancies. They knew that an unplanned pregnancy may have detrimental maternal/fetal effects. A major trigger for initiating discussions was a steady boyfriend. Overall, mothers were not comfortable with RH discussions.Conclusions: Mothers lacked knowledge about RH and only half of the mothers initiated RH discussions with their diabetic daughters. Mothers could benefit from an intervention that provides information about diabetes and RH, and guidance on communication skills.
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Details
| Item Type: |
University of Pittsburgh ETD
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
7 April 2008 |
| Date Type: |
Completion |
| Defense Date: |
30 November 2007 |
| Approval Date: |
7 April 2008 |
| Submission Date: |
2 April 2008 |
| Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Nursing > Nursing |
| Degree: |
PhD - Doctor of Philosophy |
| Thesis Type: |
Doctoral Dissertation |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
adolescents; Mothers; sexual communication |
| Other ID: |
http://etd.library.pitt.edu/ETD/available/etd-04022008-132730/, etd-04022008-132730 |
| Date Deposited: |
10 Nov 2011 19:33 |
| Last Modified: |
15 Nov 2016 13:38 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/6700 |
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