{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T18:49:22Z","timestamp":1770490162694,"version":"3.49.0"},"reference-count":48,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T00:00:00Z","timestamp":1568073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objective<\/jats:title><jats:p>To investigate the effects of a home\u2010based nursing intervention programme established based on the Health Promotion Model on the health outcomes of adolescents with type 1 diabetes mellitus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>After diagnosed with diabetes, it is necessary to ensure that nursing care is not limited to the hospital setting but continues at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A quasi\u2010experimental design with a pre\u2010 and post\u2010test control group was used. The researchers have complied with the guidelines of TREND Checklist in presenting this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study was conducted in \u0130zmir, Turkey, with 71 adolescents (35 in an intervention group and 36 in a control group) diagnosed with type 1 diabetes mellitus who were registered at the paediatric endocrinology outpatient clinics of two hospitals and were selected using the convenience sampling method between June\u2013December 2017. A home\u2010based nursing intervention programme (5\u00a0week) was provided to the intervention group while standard care was provided to the control group. Data were collected at the baseline, and 3 and 6\u00a0months after a 5\u2010week home\u2010based nursing intervention. Multi\u2010way and one\u2010way analysis of variance, the Bonferroni correction, regression analysis, <jats:italic>t<\/jats:italic> test, chi\u2010squared analysis and a structural equation model were used for data analysis of the iterative measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the end of the home\u2010based nursing intervention programme, the HbA1c mean scores significantly decreased, while self\u2010efficacy perception, frequency of managing diabetes and taking responsibility in managing diabetes increased in the intervention group compared to those in the control group. Frequency of admission to the hospital and average costs were lower in the intervention group than in control group. The home\u2010based nursing intervention programme using structural equation modelling increased the frequency of managing diabetes and taking responsibility in managing diabetes and decreased HbA1c levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The home\u2010based nursing intervention programme was effective in decreasing HbA1c levels, increasing the frequency of diabetes management and taking responsibility in managing diabetes, and improving the self\u2010efficacy of the adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The home\u2010based nursing intervention programme can be applied by nurses to ease the transition of adolescents with type 1 diabetes mellitus and their parents to healthy daily life practices and ensure their glycemic controls after being discharged.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15040","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T18:14:36Z","timestamp":1566324876000},"page":"4513-4524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effects of a home\u2010based nursing intervention programme among adolescents with type 1 diabetes"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0279-8189","authenticated-orcid":false,"given":"K\u00fcbra P\u0131nar","family":"G\u00fcrkan","sequence":"first","affiliation":[{"name":"Public Health Nursing Department Faculty of Nursing Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z\u00fchal","family":"Bahar","sequence":"additional","affiliation":[{"name":"Public Health Nursing Department Ko\u00e7 University School of Nursing Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8828-0892","authenticated-orcid":false,"given":"Ece","family":"B\u00f6ber","sequence":"additional","affiliation":[{"name":"Internal Medicine Department of Pediatrics Pediatric Endokrinology Faculty of Medicine Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,10]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","first-page":"13","article-title":"Diagnosis and classification of diabetes mellitus","volume":"39","author":"American Diabetes Association (ADA)","year":"2018","journal-title":"Journal of Clinical and Applied Research and Education Diabetes Care"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721715579108"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsu111"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12702"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/edn.99"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta18200"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12466"},{"issue":"3","key":"e_1_2_12_9_1","first-page":"1","article-title":"Routine hospital admission versus out\u2010patient or home care in children at diagnosis of type 1 diabetes mellitus","author":"Clar C.","year":"2007","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_10_1","unstructured":"\u00c7\u00f6vener\u00c7.(2005).Tip 1 Diyabetli Adolesanlarda Sorun \u00c7\u00f6zme Becerisi. 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