The use of puppets as a strategy for communicating with children with type 1 diabetes mellitus

Valéria De Cássia Sparapani, Eufemia Jacob, Francine De Montigny, Luzia Iara Pfeifer, Amanda Mota Pacciulio Sposito, Regina Aparecida Garcia de Lima, Lucila Castanheira Nascimento
2013 Journal of Nursing Education and Practice  
The use of puppets is an effective strategy for promoting children to express thoughts and feelings about daily experiences. However, very little information is available about its use in children with type 1 diabetes mellitus. The procedures for using puppets during qualitative interviews in children with Type 1 diabetes mellitus were described, which involved three steps: 1) constructing the scenario − a "stage" that simulates the environments they encounter (school, home); 2) making puppets
more » ... 2) making puppets that represent the child and people (parents, teachers, siblings, friends) encountered daily, and 3) promoting expression of thoughts and feelings using puppets during qualitative interviews. The advantages of using puppets were to allow children with type 1 diabetes mellitus to freely express thoughts and feelings about living with diabetes, to provide them with opportunities to demonstrate diabetes management behaviors, and expose factors that may interfere with diabetes management. A limitation to the use of puppets was the interviewer requiring skills to dynamically engage the child and encourage their active participation during the interaction. The use of puppets was recommended as a creative strategy for use in children with type 1 diabetes mellitus during qualitative interviews. Published by Sciedu Press 187 through involvement in age-appropriate activities that would allow themselves to express openly about their thoughts, feelings, and experiences [5, 6] . The environment, where the contact with the child will take place, has also to be prepared. Besides promoting greater involvement with the child, a suitable environment favors his/her interaction with the professional, including the child's body expressions [7] . Offering choices about the environment where the interaction would take place and incorporating the choices during interviews would facilitate success in obtaining the data [7] . The professional would also be able to assess the type of environments where children have their daily activities and where their social interactions occur. These issues can make children feel more comfortable and able to talk more openly about their experiences [7] . Although technological resources such as internet, interactive scenarios, and mobile communication devices exist and promote successful interactions [11] , these technologies were not always available in resource limited areas. Some studies report the positive and negative aspects of using dynamic techniques with children such as toys, puppets, games, and story-telling [8, 9] . Health professionals and researchers have used simple and relatively cheap strategies such as the use of puppets. Successful experiences with the use of puppets were reported in clinical practice [12] , education [13, 14] , and research [2, 15, 16] . These studies emphasized the success of the use of this strategy in children with chronic diseases who require daily management of the disease, coping strategies, and adaptation [10, 13] .
doi:10.5430/jnep.v4n2p186 fatcat:cvswnpukhbex5cw73p3nqe3gba