The Effect of an Intervention Based on the Roy Adaptation Model on Glycated Haemoglobin Levels in Adolescents with Diabetes: A Randomised Controlled Trial
Journal of Holistic Nursing, 2026 (ESCI, Scopus)
- Publication Type: Article / Article
- Publication Date: 2026
- Doi Number: 10.1177/08980101261457665
- Journal Name: Journal of Holistic Nursing
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
- Keywords: adolescents, glycated hemoglobin, holistic nursing, randomized controlled trial, Roy Adaptation Model, type 1 diabetes
- Bursa Uludag University Affiliated: Yes
Abstract
Aim: This study evaluated the effect of a Roy Adaptation Model (RAM)-based educational intervention on A1C levels and adaptive behaviors in adolescents with type 1 diabetes, and its contribution to physiological, psychosocial, and behavioral adaptation within a holistic nursing framework. Methods: This randomized controlled trial included 60 adolescents aged 11 to 18 years followed in a pediatric endocrinology clinic. Participants were randomly assigned to an intervention group receiving structured RAM-based education, individualized tasks, and follow-up support (n = 30), or a control group receiving an educational brochure (n = 30). Data were collected at baseline and three months postintervention using a Sociodemographic Form, the Diabetes Knowledge Assessment Form, and clinical A1C records. Results: Compared with the control group, the intervention group showed significant improvements in diabetes knowledge, adaptive behaviors, and A1C levels (p < .05). Interventions targeting RAM's adaptive modes contributed to glycemic control by strengthening psychosocial adaptation. Conclusion: RAM-based nursing interventions promote physiological, psychosocial, and behavioral adaptation in adolescents with type 1 diabetes. Structured education enhances self-care, glycemic control, and coping. Integrating holistic nursing approaches into pediatric diabetes care is essential for improving outcomes.