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

Child Health Nurs Res

Associate Professor, College of Nursing ․ Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.

Published: January 2023

AI Article Synopsis

  • The study aimed to assess how family-centered interventions impact health outcomes for children and adolescents with type 1 diabetes mellitus (T1DM).
  • A thorough literature review identified nine studies from over 2,700 that met specific criteria, highlighting various types of interventions—both technology-based and non-technology-based—and their positive effects on health measures like glycated hemoglobin and diabetes self-management.
  • The findings suggest that family-centered approaches can significantly improve health outcomes for T1DM patients, indicating a need for further development of these interventions combined with other methodologies.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925297PMC
http://dx.doi.org/10.4094/chnr.2023.29.1.7DOI Listing

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