Date of Conferral

4-2-2026

Degree

Ph.D.

School

Health Sciences

Advisor

Theresa Gibble

Abstract

Type 1 diabetes (T1D), a chronic, autoimmune disease, challenges individuals and families to maintain constant blood glucose regulation. South Carolina, primarily a rural state, faces disproportionate challenges in managing T1D. Despite extensive research on T1D and rural healthcare challenges, a knowledge gap remains regarding how these challenges affect South Carolina families and the resources needed to manage their child’s T1D, limiting the development of targeted, effective health education interventions and perpetuating health disparities. Guided by the socio-ecological model (SEM), this qualitative descriptive-phenomenological study explored the lived experiences of parents managing their child’s T1D in South Carolina, focusing on their experiences and needs related to healthcare access, social support, transportation, and diabetes education. Semistructured interviews were conducted with 13 participants across South Carolina’s Pee Dee, Low Country, Midlands, and Upstate regions to examine the multiple levels of societal influence on T1D management. Using Colaizzi’s data analysis method, transcripts were hand-coded, yielding seven themes. Findings revealed statewide healthcare challenges, including physician shortages, limited access to specialist care, and gaps in diabetes education. Effective T1D management among South Carolina families requires a broad understanding of the condition, strong support networks, and adequate access to pediatric endocrinology services so families are not forced to travel long distances or out of state for care. These findings contribute to positive social change by informing health education efforts that strengthen support systems, expand learning opportunities, and promote equitable, accessible care for families managing T1D.

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Available for download on Wednesday, March 31, 2027

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