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Individuals with inflammatory bowel disease experience a considerable number of symptoms and are burdened by both physical and psychological symptoms, particularly during active disease. Healthcare professionals' focus of assessment needs to be broadened to encompass multiple symptoms. Greater attention needs to be given to fatigue and psychological symptoms.

Type of publicationArticle (peer-reviewed)Link to publisher's version http://dx.doi.org/10.1111/j. 1365-2648.2010.05423.x Access to the full text of the published version may require a subscription. Rights WHAT IS ALREADY KNOWN ABOUT THIS TOPIC• Psychosocial interventions are more promising than education interventions in improving glycaemic control and other outcomes for type 1 diabetes in childhood.• Improvements in the quality of randomized controlled trial methods are needed to increase effectiveness of interventions for type 1 diabetes in childhood• Theory-based interventions demonstrate greater efficacy than atheoretical interventions WHAT THIS PAPER ADDS• A systematic and rigorous approach to the scientific development of interventions is necessary in order to establish a range of effective interventions for managing type 1 diabetes in childhood• Psychosocial and family therapy interventions have been developed in recent years with greater scientific rigour than education interventions• Future reviews on the effectiveness of interventions for childhood type 1 diabetes need to include criteria for assessing the science of intervention development. IMPLICATIONS FOR PRACTICE AND/OR POLICY• Education of children and adolescents with TID, and their families, needs to be supported by psychosocial and possibly family therapy interventions.• Interventions built from theory and that are systematically-developed 4 demonstrate greater efficacy and thus potential for future application, in practice settings compared to interventions that are atheoretical and not systematically developed.• Further research is needed to test existing efficacious interventions in terms of their effectiveness in clinical practice, and prior to widespread implementation in practice settings.5

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