The Role of Psychosocial Factors in Wellbeing and Self-Care in Young Adults with Type 1 Diabetes

The purpose of this study is to explore the relationship between glycaemic control, locus of control beliefs, diabetes knowledge and wellbeing in young adults with type 1 diabetes. A cross-sectional study of forty-two young adults (16-25 years) with type 1 diabetes recruited from two diabetes clinics in London. Participants completed postal questionnaires designed for this specific population. Wellbeing was assessed by the W-B12, locus of control by the ADDLoC and diabetes knowledge by the ADKnowl. HbA1c was employed as a measure of glycaemic control. Results indicated that external (health professionals) and internal locus of control beliefs and diabetes knowledge were significantly associated with psychological wellbeing. Patients place high expectations on their practitioners and accordingly, practitioners need to address patients’ diabetes knowledge to help them to manage their diabetes effectively and independently. The relationship between internal and external locus of control beliefs, diabetes knowledge and wellbeing indicates the importance of addressing empowerment and self-efficacy in psychoeducation interventions for this client group.