Family-Based Interventions Targeting Improvements in Health and Family Outcomes of Children and Adolescents with Type 1 Diabetes: a Systematic Review

Marissa A. Feldman; Lindsay M. Anderson; Jenna B. Shapiro; Aneta M. Jedraszko; Meredyth Evans; Lindsey E.G. Weil; Kimberly P. Garza; Jill Weissberg-Benchell

doi:10.1007/s11892-018-0981-9

Family-Based Interventions Targeting Improvements in Health and Family Outcomes of Children and Adolescents with Type 1 Diabetes: a Systematic Review

Marissa A. Feldman
, Lindsay M. Anderson
, Jenna B. Shapiro
, Aneta M. Jedraszko
, Meredyth Evans
, Lindsey E.G. Weil
, Kimberly P. Garza
, Jill Weissberg-Benchell

Research output: Contribution to journal › Review article › peer-review

22 Scopus citations

Abstract

Purpose of Review: A systematic review was conducted of family-based interventions to improve glycemic control, adherence, and psychosocial outcomes in children and adolescents with type 1 diabetes (T1D). Electronic databases were searched for randomized controlled trials (RCTs) published since the seminal Diabetes Control and Compliance Trial (DCCT). Interventions are summarized and findings reviewed to help guide clinical practice and future research. Recent Findings: Twenty-five RCTs are reviewed. The majority of studies (n = 15) focused on interventions targeting both children and adolescents and their caregivers and were delivered in diabetes clinics, outpatient settings, mental health clinics, or participants’ homes. Summary: Family-based interventions for youth with T1D appear effective at improving diabetes and family-centered outcomes. Additional research is needed to examine the pathways to improvement in glycemic control, as outcomes were mixed. Future research should also involve measures beyond HbA1c given new markers for sustained health improvement and outcomes are being explored.

Original language	English (US)
Article number	15
Journal	Current diabetes reports
Volume	18
Issue number	3
DOIs	https://doi.org/10.1007/s11892-018-0981-9
State	Published - Mar 1 2018
Externally published	Yes

Keywords

Adherence
Adolescents
Children
Family-based interventions
Self-care
Type 1 diabetes

ASJC Scopus subject areas

Internal Medicine
Endocrinology, Diabetes and Metabolism

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10.1007/s11892-018-0981-9

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Feldman, M. A., Anderson, L. M., Shapiro, J. B., Jedraszko, A. M., Evans, M., Weil, L. E. G., Garza, K. P., & Weissberg-Benchell, J. (2018). Family-Based Interventions Targeting Improvements in Health and Family Outcomes of Children and Adolescents with Type 1 Diabetes: a Systematic Review. Current diabetes reports, 18(3), Article 15. https://doi.org/10.1007/s11892-018-0981-9

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abstract = "Purpose of Review: A systematic review was conducted of family-based interventions to improve glycemic control, adherence, and psychosocial outcomes in children and adolescents with type 1 diabetes (T1D). Electronic databases were searched for randomized controlled trials (RCTs) published since the seminal Diabetes Control and Compliance Trial (DCCT). Interventions are summarized and findings reviewed to help guide clinical practice and future research. Recent Findings: Twenty-five RCTs are reviewed. The majority of studies (n = 15) focused on interventions targeting both children and adolescents and their caregivers and were delivered in diabetes clinics, outpatient settings, mental health clinics, or participants{\textquoteright} homes. Summary: Family-based interventions for youth with T1D appear effective at improving diabetes and family-centered outcomes. Additional research is needed to examine the pathways to improvement in glycemic control, as outcomes were mixed. Future research should also involve measures beyond HbA1c given new markers for sustained health improvement and outcomes are being explored.",

keywords = "Adherence, Adolescents, Children, Family-based interventions, Self-care, Type 1 diabetes",

author = "Feldman, \{Marissa A.\} and Anderson, \{Lindsay M.\} and Shapiro, \{Jenna B.\} and Jedraszko, \{Aneta M.\} and Meredyth Evans and Weil, \{Lindsey E.G.\} and Garza, \{Kimberly P.\} and Jill Weissberg-Benchell",

note = "Publisher Copyright: {\textcopyright} 2018, Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2018",

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doi = "10.1007/s11892-018-0981-9",

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AU - Anderson, Lindsay M.

AU - Shapiro, Jenna B.

AU - Jedraszko, Aneta M.

AU - Evans, Meredyth

AU - Weil, Lindsey E.G.

AU - Garza, Kimberly P.

AU - Weissberg-Benchell, Jill

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AB - Purpose of Review: A systematic review was conducted of family-based interventions to improve glycemic control, adherence, and psychosocial outcomes in children and adolescents with type 1 diabetes (T1D). Electronic databases were searched for randomized controlled trials (RCTs) published since the seminal Diabetes Control and Compliance Trial (DCCT). Interventions are summarized and findings reviewed to help guide clinical practice and future research. Recent Findings: Twenty-five RCTs are reviewed. The majority of studies (n = 15) focused on interventions targeting both children and adolescents and their caregivers and were delivered in diabetes clinics, outpatient settings, mental health clinics, or participants’ homes. Summary: Family-based interventions for youth with T1D appear effective at improving diabetes and family-centered outcomes. Additional research is needed to examine the pathways to improvement in glycemic control, as outcomes were mixed. Future research should also involve measures beyond HbA1c given new markers for sustained health improvement and outcomes are being explored.

KW - Adherence

KW - Adolescents

KW - Children

KW - Family-based interventions

KW - Self-care

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Family-Based Interventions Targeting Improvements in Health and Family Outcomes of Children and Adolescents with Type 1 Diabetes: a Systematic Review

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Keywords

ASJC Scopus subject areas

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