2016
DOI: 10.1111/dme.13276
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A systematic review of interventions to improve outcomes for young adults with Type 1 diabetes

Abstract: BackgroundMany young adults with Type 1 diabetes experience poor outcomes. The aim of this systematic review was to synthesize the evidence regarding the effectiveness of interventions aimed at improving clinical, behavioural or psychosocial outcomes for young adults with Type 1 diabetes.MethodsElectronic databases were searched. Any intervention studies related to education, support, behaviour change or health service organizational change for young adults aged between 15‐30 years with Type 1 diabetes were in… Show more

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Cited by 79 publications
(98 citation statements)
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“…This study will add to the evidence of how clinics should be restructured to be more responsive to the needs of this population and will inform the on‐going intervention that the D1 Now Study team are currently developing and evaluating. The findings will contribute to a multifaceted development approach to user‐centred development . Such development work has helped to inform core components of the D1 Now intervention.…”
Section: Resultsmentioning
confidence: 89%
“…This study will add to the evidence of how clinics should be restructured to be more responsive to the needs of this population and will inform the on‐going intervention that the D1 Now Study team are currently developing and evaluating. The findings will contribute to a multifaceted development approach to user‐centred development . Such development work has helped to inform core components of the D1 Now intervention.…”
Section: Resultsmentioning
confidence: 89%
“…A variety of educational and behavioural interventions for adolescents with Type 1 diabetes have demonstrated some benefit in terms of glycaemic control; however, the feasibility of incorporating such interventions into clinical practice may be limited by healthcare resources and time, thus limiting scalability [3][4][5][6][7]. Text-messaging interventions have been studied in young people with Type 1 diabetes, and remain a practical and promising strategy [8][9][10].…”
Section: Introductionmentioning
confidence: 99%
“…In a 2001 review evaluating the effectiveness of psychoeducational interventions in adolescents with T1DM, Hampson et al observed that most interventions were associated with a small (0.6%) and a non‐significant reduction in HbA1c levels . In recent years, several systematic reviews have been conducted to evaluate the metabolic impact of education programs on patients with T1DM . One of the reviews pointed out to a lack of well‐delineated studies and a great heterogeneity among the methodologies.…”
Section: Discussionmentioning
confidence: 99%
“…Studies 5,[8][9][10][11][12] assessing education in T1DM have used different strategies and types of intervention, as well as varying durations of exposure and patient selection, hindering comparisons among them. A few of these studies have shown sustained improvement in glycemic control, with the most effective interventions being those that associate formal aspects of diabetes knowledge and strategies to improve coping and resilience both in patients and caregivers.…”
Section: Introductionmentioning
confidence: 99%