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Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes

INTRODUCTION: Numerous psychosocial interventions have been conducted in children and adolescents with type 1 diabetes, aiming to improve their self‐management and autonomy acquisition. However, these tend to address family conflict and parental perspectives, and a scarce number of interventions exp...

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Autores principales: Rey Velasco, Elena, Pals, Regitze Anne Saurbrey, Skinner, Timothy Charles, Grabowski, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170454/
https://www.ncbi.nlm.nih.gov/pubmed/32318638
http://dx.doi.org/10.1002/edm2.120
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author Rey Velasco, Elena
Pals, Regitze Anne Saurbrey
Skinner, Timothy Charles
Grabowski, Dan
author_facet Rey Velasco, Elena
Pals, Regitze Anne Saurbrey
Skinner, Timothy Charles
Grabowski, Dan
author_sort Rey Velasco, Elena
collection PubMed
description INTRODUCTION: Numerous psychosocial interventions have been conducted in children and adolescents with type 1 diabetes, aiming to improve their self‐management and autonomy acquisition. However, these tend to address family conflict and parental perspectives, and a scarce number of interventions explore the outcomes among preteens. This review examined the outcomes of psychosocial interventions for preteens with type 1 diabetes, as an under‐researched field to date. METHODS: A systematic literature review of intervention studies with randomized controlled trial design, targeting preteens with type 1 diabetes, was conducted. Six databases were searched for publication periods from 1995 to October 2019. Quality of the interventions according to the International Society for Pediatric and Adolescent Diabetes (ISPAD), as well as reporting and effect sizes, were assessed. RESULTS: Twelve studies were selected, covering ten interventions. According to the topics identified, four of these interventions were categorized as self‐care programmes, three as psychosocial programmes and three as mixed. All of the interventions, except for one, covered ≥50% of the ISPAD recommendations. Reporting adequacy was negative only in one intervention. Main outcomes were glycemic control and self‐management, but effect sizes could only be calculated for half of the interventions with no overall significant effect. CONCLUSIONS: This review shows a lack of adequate psychosocial interventions targeting preteens with type 1 diabetes and actively involving them as participants. These intervention's educational programmes and methods should be standardized to guarantee successful results. New technologies and peer support implementation could be a promising pathway when designing these studies.
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spelling pubmed-71704542020-04-21 Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes Rey Velasco, Elena Pals, Regitze Anne Saurbrey Skinner, Timothy Charles Grabowski, Dan Endocrinol Diabetes Metab Reviews INTRODUCTION: Numerous psychosocial interventions have been conducted in children and adolescents with type 1 diabetes, aiming to improve their self‐management and autonomy acquisition. However, these tend to address family conflict and parental perspectives, and a scarce number of interventions explore the outcomes among preteens. This review examined the outcomes of psychosocial interventions for preteens with type 1 diabetes, as an under‐researched field to date. METHODS: A systematic literature review of intervention studies with randomized controlled trial design, targeting preteens with type 1 diabetes, was conducted. Six databases were searched for publication periods from 1995 to October 2019. Quality of the interventions according to the International Society for Pediatric and Adolescent Diabetes (ISPAD), as well as reporting and effect sizes, were assessed. RESULTS: Twelve studies were selected, covering ten interventions. According to the topics identified, four of these interventions were categorized as self‐care programmes, three as psychosocial programmes and three as mixed. All of the interventions, except for one, covered ≥50% of the ISPAD recommendations. Reporting adequacy was negative only in one intervention. Main outcomes were glycemic control and self‐management, but effect sizes could only be calculated for half of the interventions with no overall significant effect. CONCLUSIONS: This review shows a lack of adequate psychosocial interventions targeting preteens with type 1 diabetes and actively involving them as participants. These intervention's educational programmes and methods should be standardized to guarantee successful results. New technologies and peer support implementation could be a promising pathway when designing these studies. John Wiley and Sons Inc. 2020-03-03 /pmc/articles/PMC7170454/ /pubmed/32318638 http://dx.doi.org/10.1002/edm2.120 Text en © 2020 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Rey Velasco, Elena
Pals, Regitze Anne Saurbrey
Skinner, Timothy Charles
Grabowski, Dan
Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title_full Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title_fullStr Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title_full_unstemmed Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title_short Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
title_sort pre‐empting the challenges faced in adolescence: a systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170454/
https://www.ncbi.nlm.nih.gov/pubmed/32318638
http://dx.doi.org/10.1002/edm2.120
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