Child Health Nurs Res.  2023 Jan;29(1):7-23. 10.4094/chnr.2023.29.1.7.

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

• Ispriantari A
• Agustina R
• Konlan KD
• Lee H

• KMID: 2538977
• DOI: http://doi.org/10.4094/chnr.2023.29.1.7

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.

Keyword

Adolescent; Child; Diabetes mellitus; Family; Review