Family-centered interventions for children and adolescents with type 1 diabetes mellitus: an integrative review

Abstract

Purpose: The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).Methods: A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.Results: From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.Conclusion: Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

Impact of Health Education Based on IMCHB Model on School-age Children with Type 1 Diabetes

“…At present, studies suggest that genetic defects are the basis of the pathogenesis of type 1 diabetes, and this genetic defect is manifested in the HLA antigen of human chromosome 6 and other gene loci. Research suggests that type 1 diabetes has the characteristics of familial onset -if your parents have diabetes, you are more likely to suffer from this disease than people without this family history [16]. (3) Virus infection may be a trigger.…”

Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial

“…Behavioral health services are also limited in many pediatric diabetes care settings by the lack of trained mental health specialists [ 12 ], despite widespread acknowledgment of their value [ 13 ]. Furthermore, as family-centered care approaches have been shown to improve health outcomes in youth with T1D, there have been a growing number of calls to leverage technological advancements to promote the use of family-centered care through internet-based or other similar eHealth tools and interventions [ 14 ]. As regular attendance at diabetes clinics is part of the recommendations for the care of adolescents with T1D [ 15 ], such visits may provide a natural opportunity to deliver such eHealth interventions.…”

Self-care activities in pediatric patients with type 1 diabetes mellitus

“…Throughout this period, the essential factor becomes parental backing and engagement, as it plays a crucial role in motivating patients to independently manage their care routines and acclimate to the challenges brought about by this demanding scenario. Consequently, the enthusiasm of both the young patients and their parents to embrace and carry out the essential self-care tasks holds immense significance in shaping both short- and long-term health outcomes [ 3 ]. There is little data available from developing countries on pediatric patients’ self-care activities, and it seems that this concept has not been thoroughly investigated in children and adolescents outside developed countries.…”