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Assoc."],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Diabetes Self-Care Management (DSCM) is crucial for managing diabetes mellitus and improving patients\u2019 well-being. Research on the young age group in Jordan is limited, and there is a lack of studies using an evaluation tool for understanding diabetes pharmacotherapy. This study intends to fill the information gap by examining young Jordanian patients\u2019 knowledge and comprehension of type 1 diabetes mellitus (T1DM) and its treatment modalities, evaluating their psychological well-being, and examining the relationship between children\u2019s psychological health and self-care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This cross-sectional study was conducted in the Jordanian Ministry of Health hospitals in Amman from June 2021 to January 2022. A convenience sampling method was used to select Arabic-speaking diabetic patients aged 11-a8 years who provided signed consent. A sample size of 400 was estimated. A self-administered questionnaire was developed based on a literature review to assess sociodemographic characteristics and diabetes and insulin knowledge, and validated scales were used to assess self-management (SMOD-A) and psychological well-being (ChilD-S).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Analysis of the questionnaire responses revealed varying levels of knowledge among the participants. Approximately half of the children (49.0%) demonstrated a lack of knowledge of diabetes pharmacotherapy. Psychological well-being indicators indicated moderate levels of happiness and feeling fine. The analysis of self-management indicators highlighted areas for improvement. Positive weak but significant correlations were found between children\u2019s knowledge about diabetes (<jats:italic>r<\/jats:italic>\u2009=\u20090.255, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), diabetes pharmacotherapy knowledge (<jats:italic>r<\/jats:italic>\u2009=\u20090.125, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), psychological well-being (<jats:italic>r<\/jats:italic>\u2009=\u20090.112, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), and their diabetic self-management scores. A multivariate regression analysis identified predictors of self-management, including the child\u2019s school year (<jats:italic>p<\/jats:italic>\u2009=\u20090.035), ability to express feelings (<jats:italic>p<\/jats:italic>\u2009=\u20090.039), recent HbA1c levels (<jats:italic>p<\/jats:italic>\u2009=\u20090.028), and diabetes knowledge score (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Participants exhibited varying levels of knowledge about diabetes pharmacotherapy and self-management. Knowledge about diabetes was identified as a predictor for effective self-management. Moreover, glycemic control and diabetes mellitus awareness majorly impact overall self-management behaviors. Tailored education programs are necessary to fill knowledge gaps and enhance diabetes management among children.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s42506-024-00166-8","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T23:02:37Z","timestamp":1724108557000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of self-care among Jordanian children with type 1 diabetes mellitus"],"prefix":"10.1186","volume":"99","author":[{"given":"Salam","family":"Hamdan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esra\u2019","family":"Taybeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6678-670X","authenticated-orcid":false,"given":"Mervat M.","family":"Alsous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"issue":"1","key":"166_CR1","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/2251-6581-12-14","volume":"12","author":"SR Shrivastava","year":"2013","unstructured":"Shrivastava SR, Shrivastava PS, Ramasamy J. 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All patients were informed about the study and provided with an option to decline participation. Written informed consent was obtained from all participating patients. For younger participants, consent was secured from their parents (Supp.). All ethical considerations were considered, and the study adhered to the principles of the Declaration of Helsinki. All data was handled confidentially, and the participants\u2019 anonymity was preserved.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"19"}}