Resumo

MABIZELA, Simphiwe; DEACON, Elmari; VAN RENSBURG, Esme  e  BEKKER, Christiaan I.. Protective factors in resilient South African youth with type 1 diabetes: A qualitative study. Afr. j. prim. health care fam. med. (Online) [online]. 2025, vol.17, n.1, pp.1-8. ISSN 2071-2936.  https://doi.org/10.4102/phcfm.v17i1.4935.

BACKGROUND: Self-managing type 1 diabetes (T1D) can be challenging, especially for adolescents in a critical developmental stage. Some adolescents struggle to successfully self-manage T1D and struggle to keep it well-controlled into adulthood. Despite this concern, there is a notable lack of evidence-based research on protective factors and/or resources to support adolescents living with T1D in South Africa AIM: This study aimed to explore and describe the protective factors of resilience among South African adolescents living with well-controlled T1D SETTING: The study was conducted at the Centre for Diabetes and Endocrinology (CDE) in Parktown, Gauteng, South Africa, a specialised facility offering comprehensive, multidisciplinary care for adolescents with T1D METHODS: A qualitative descriptive research design was used, and seven semi-structured interviews were conducted, transcribed and thematically analysed RESULTS: Four themes emerged from the data: Just do it: Commit to the diabetes care plan; It takes a village to raise a child living with diabetes; The silver lining of developing positive characteristics and It's a process of continuously learning about T1D CONCLUSION: Internal abilities (planning, taking responsibility, perseverance and determinism) and external resources (parents, family members, school, mentors) foster positive outcomes and adjustment for adolescents with well-controlled T1D. The potential for adolescents with T1D to use available internal abilities and external resources in managing their diabetes could be beneficial to the successful management of T1D CONTRIBUTION: The study addressed a gap in understanding protective factors involved in the successful self-management of adolescents living with well-controlled T1D in South Africa

Palavras-chave : adolescents; protective factors; qualitative descriptive design; resilience; self-management; type 1 diabetes; well-controlled.

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