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

Child Health Nursing Research 2023³â 29±Ç 1È£ p.7 ~ 23
KMID : 1102120230290010007
 ( Ispriantari Aloysia ) - Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute

 ( Agustina Rismia ) - National Cheng Kung University College of Medicine Department of Nursing
 ( Konlan Kennedy Diema ) - Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute
ÀÌÇýÁ¤ ( Lee Hye-Jung ) - Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute

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.
KeyWords

Adolescent, Child, Diabetes mellitus, Family, Review
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