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PURPOSE: This concept analysis clarifies "assuming responsibility for self-care" by adolescents with type 1 diabetes. METHODS: Walker and Avant's (2005) methodology guided the analysis. RESULTS: Assuming responsibility for self-care was defined as a process specific to diabetes within the context of development. It is daily, gradual, individualized to person, and unique to the task. The goal is ownership that involves autonomy in behaviors and decision-making. PRACTICE IMPLICATIONS: Adolescents with type 1 diabetes need to be assessed for assuming responsibility for self-care. This achievement has implications for adolescents' diabetes management, short- and long-term health, and psychosocial quality of life.
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Hanna et al. (2009) studied this question.
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