Article

Assessment of experience, fears, barriers and adherence to insulin injection among the parents of early-diagnosed children with Diabetes

Muna Barakat1★, Souheil Hallit2, Diana Malaeb3, Malik Sallam4, Marah Al-Jamal5, Sara Ibrahim6, Huda M. Alshammari7, Sara Feras Abuarab5, Rasha Odeh6, Abeer Alassaf6★ Corresponding author

  1. 1Department of Clinical Pharmacy and Therapeutics, School of Pharmacy, Applied Science Private University, MEU Research Unit, Middle East University, Amman 541350, Jordan.
  2. 2School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
  3. 3College of Pharmacy, Gulf Medical University, Ajman P.O. Box 4184, United Arab Emirates; School of Pharmacy, Lebanese International University, Beirut 14404, Lebanon.
  4. 4Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, the University of Jordan; Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital; Department of Translational Medicine, Faculty of Medicine, Lund University, 22184 Malmö, Sweden, Amman 11942, Jordan.
  5. 5Department of Clinical Pharmacy and Therapeutics, School of Pharmacy, Applied Science Private University, Amman 541350, Jordan.
  6. 6Department of Pediatrics, School of Medicine, The University of Jordan, Queen Rania Street, Amman, 11942, Jordan.
  7. 7Clinical Pharmacy Department, College of Pharmacy, Northern Border University, Arar, Saudi Arabia.

CORRESPONDENCE

Muna Barakat

Department of Clinical Pharmacy and Therapeutics, School of Pharmacy, Applied Science Private University, MEU Research Unit, Middle East University, Amman 541350, Jordan.

m_barakat@asu.edu.jo

Received: 21-11-2023; Accepted: 13-12-2023.

Volume 22, Issue 3 · pp. 3015 · PUBLISHED 23 July 2024 · DOI: 10.18549/PharmPract.2024.3.3015

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ABSTRACT

Background: Regardless of the indisputable benefits of insulin therapy, initiating insulin for newly diagnosed type-1 children with diabetes might be intimidating for parents. This study assesses the experience, fears, barriers and adherence to insulin use among the parents of early-diagnosed children with diabetes. Methods: A cross-sectional online survey was utilized for data collection from 218 participants between February and March 2023 in Jordan. The survey consisted of six sections to evaluate and assess: sociodemographic for both children with diabetes and their parents, the experience of using the insulin, the diabetes fear of self-injecting questionnaire (D-FISQ), the barriers for insulin administration including both sociocultural and other insulin-related factors, and insulin adherence. Results: More than 80% of the participants perceived a number of sociocultural barriers to insulin administration such as the tendency for addiction, lower efficiency of insulin than oral medication, and preference for complementary medicine over insulin. More than two-thirds of the participants complained of insulin-related barriers such as infections and sudden death in addition to learning the correct injection method. The general fear level was low, 8.56±7.87 (out of 45); however, more fear of insulin injection and self-testing was significantly associated with both sociocultural and insulin-related barriers, especially at the younger age. Conclusion: The results of this study indicated that parents have several barriers to insulin administration, mainly related to insulin injection. Therefore, more awareness about insulin therapy can help adjust the cooperation of patients, acceptance of treatment, ending with improving the quality of life and well-being.

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    Barakat, M., Hallit, S., Malaeb, D., Sallam, M., Al-Jamal, M., Ibrahim, S., Alshammari, H. M., Abuarab, S. F., Odeh, R., & Alassaf, A. (2024). Assessment of experience, fears, barriers and adherence to insulin injection among the parents of early-diagnosed children with Diabetes. Pharmacy Practice, 22(3), 3015. https://doi.org/10.18549/PharmPract.2024.3.3015