Purpose
The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases.
Methods
This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles.
Results
Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment.
Conclusion
It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

Citations

• Factors associated with healthcare transition readiness for adolescents with chronic conditions: A cross-sectional study
  Hye Seung Hong, YeoJin Im
  Journal of Child Health Care.2025; 29(3): 658.     CrossRef
• A Phenomenological Study of the Lived Illness Experience of Adolescents with Chronic Glomerular Disease
  Sug Young Lee
  Children.2025; 12(12): 1671.     CrossRef
• Research Trends in Family-Centered Care for Children With Chronic Disease
  YeoJin Im, Sunyoung Jung, YoungAh Park, Jeong Hee Eom
  CIN: Computers, Informatics, Nursing.2024; 42(7): 504.     CrossRef
• An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
  Hye Jin Kim, Eunjoo Lee
  Asian Oncology Nursing.2024; 24(2): 82.     CrossRef
• Comparative study on health behaviors among adolescents with chronic allergic disease before and during COVID-19 using data from the Korean Youth Health Panel Surveys
  Sunyeob Choi, Hyewon Shin, Dian Susmarini
  BMC Public Health.2024;[Epub]     CrossRef

Purpose
The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation- behavior skills model.
Methods
Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05.
Results
The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management.
Conclusion
It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

Citations

• A Pilot Randomized Control Trial to Prevent HIV/STIs in Hispanic Young Heterosexual Couples
  David Pérez-Jiménez, Patricia Noboa-Ortega, José A. Maldonado-Martínez
  Hispanic Journal of Behavioral Sciences.2025; 47(3): 255.     CrossRef
• Effectiveness of Pharmacist-Delivered Caregiver Education on Medication Use in a Type 1 Diabetes Camp for Children and Adolescents
  Hyeon Su Kim, Eunji Kim, Ji Eun Lee, Won Hye Choi, In Hye Gu, Eun Jung Hwang
  The Journal of Korean Diabetes.2025; 26(2): 122.     CrossRef
• 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
  In Hyeong Choi, In Young Cho
  Journal of Pediatric Nursing.2025; 85: 346.     CrossRef
• Factors affecting health promotion behavior of school-aged children in South Korea: a cross-sectional study
  Bo Ra Lim, Dong Hee Kim, Chung Min Cho
  Child Health Nursing Research.2025; 31(3): 165.     CrossRef
• Preferences for Text Messaging Supports During Youth Transition to Adult Mental Health Services: Theory-Informed Modified e-Delphi Study
  Negar Vakili, Janet A Curran, Roisin Walls, Debbie Phillips, Alanna Miller, Christine Cassidy, Lori Wozney
  JMIR Formative Research.2024; 8: e51690.     CrossRef
• User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
  Ji-Su Kim, Minhae Kim, Yeji Seo
  European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
• Managing the unmanageable through interdependence in adolescents living with type 1 diabetes and their parents: A constructivist grounded theory
  Pamela Farthing, Jill M.G. Bally, Marie Dietrich Leurer, Lorraine Holtslander, Munier A. Nour, Donna Rennie
  Journal of Pediatric Nursing.2022; 67: e191.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study
  Hyeok Gyu Park, Myoung Jin Kwon
  Journal of Korean Gerontological Nursing.2022; 24(4): 389.     CrossRef
• Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM
  Xiaoli Yao, Linlin Zhang, Jiwei Du, Lei Gao
  Psychiatric Quarterly.2021; 92(1): 49.     CrossRef
• What Affects Quality of Life for People with Type 1 Diabetes?: A Cross-Sectional Observational Study
  Mi-Kyoung Cho, Mi-Young Kim
  International Journal of Environmental Research an.2021; 18(14): 7623.     CrossRef