Effects of Parental Involvement on Glycemic Control in Adolescents With Type 1 Diabetes Mellitus: A Scoping Review

Abstract

Type 1 diabetes mellitus (T1DM) is typically diagnosed in pediatric patients. Transitioning from supported management in childhood to self-management in adolescence is an important step. Parental psychosocial influence is a possible factor in adolescents’ disease control. This review summarized the effects of parental involvement on glycemic control in adolescents with T1DM by focusing on hemoglobin A1c (HgbAIc). A scoping review per the Guidance for Systematic Scoping Reviews was conducted with the following inclusion criteria: (a) studies in English, (b) focused on adolescents with T1DM, (c) outcomes included HgbAIc, and (d) focused on parental influence of children with T1DM. Of 476 articles, 14 were included. The study outcomes were classified based on direct or indirect influence. “Parental support for adherence” and “parental conflict” significantly affected HgbAIc control. This study provides current evidence on parental influence on glycemic control in adolescents.

Advancing Family Science Through Synthesis Research

“…Parenting in the context of a health-related challenge was the focus of three reviews (Lee et al, 2023;Thompson et al, 2023;Yamaguchi et al, 2023). Thompson et al completed an integrative review of parental decision-making related to the timing of the introduction of complementary foods (i.e., solids), factors influencing decision-making, and information sources.…”

“…In contrast to the Thompson et al (2023) review of a normative transition, Lee et al (2023) and Yamaguchi et al (2023) completed scoping reviews of parenting in the context of serious illnesses. Lee et al examined sleep quality in parents of children with tracheostomies or home ventilators, providing evidence of poor sleep quality leading to negative consequences for parents' health, quality of life, and family relationships.…”

“…Lee et al examined sleep quality in parents of children with tracheostomies or home ventilators, providing evidence of poor sleep quality leading to negative consequences for parents' health, quality of life, and family relationships. Yamaguchi et al (2023) reviewed studies of the effects of parental involvement on glycemic control in adolescents with Type 1 diabetes and found that both positive (parental support for adherence) and negative (parental conflict) parenting behaviors were most often significantly linked to control. They concluded that more research is needed on family system variables influencing glycemic control.…”