Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework

Abstract

Background

This study examined the effects of treatment-related decisional conflict, parental self-efficacy, and nursing support on parents' perceptions of shared decision-making for children with type 1 diabetes, using the ODSF (Ottawa Decision Support Framework). It also sought to provide foundational data for developing nursing interventions that enhance these perceptions

Methods

Data were collected with a structured questionnaire measuring decisional conflict, parental self-efficacy, nurse–parent support, and shared decision-making. Participants were 137 primary caregivers of children diagnosed with type 1 diabetes mellitus who were receiving outpatient or inpatient care. Participants were recruited from Chonnam National University Hospital in Gwangju Metropolitan City and from diabetes mellitus online community in South Korea. Data collection was conducted via online questionnaires from June through august 2024

Results

Factors that significantly affected perceptions of shared decision-making were having a college degree or higher (β = 0.23, p = 0.012), having only one child (β = −0.21, p = 0.026), and experiencing decisional conflict (β = −0.17, p = 0.036). The model explained 20.5 % of the variance in shared decision-making perceptions (adjusted R² = 0.205, F = 5.39, p < 0.001)

Conclusion

Educational level, number of children, and decisional conflict influence how parents perceive shared decision-making in the management of type 1 diabetes mellitus. These perceptions may be enhanced by considering parental demographics and by implementing strategies that reduce decisional conflict