Review of Family-centered Interventions to Enhance the Health Outcomes of Children With Type 1 Diabetes

Abstract

Family-centered interventions targeting children diagnosed with type 1 diabetes appear to be effective in enhancing health outcomes. These interventions focused on traditional 2-parent families, and many did not report race or ethnicity. Given the increasing number of single-parent households and divorced parents, a need exists to explore and develop family-centered interventions that target nontraditional family structures as well as addressing cultural differences.

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…[214][215][216][217] The four reviews include a total of 67 RCTs, of which 11 appeared in more than one review, with 56 unique studies in total. Only one of the four included systematic reviews mentioned the country setting for its included studies (McBroom and Enriquez: 215 USA and Sweden). Publication date of RCTs ranged from 1985 to 2008.…”

“…217 The next of our four reviews to be published explored family centred interventions. 215 Two reviews were published in 2010, one studying adherence promoting factors 214 and the other investigating educational, psychosocial and family therapy interventions. 216 The setting of the interventions included clinic and home based, and were delivered in group, individual, family and multiple family settings.…”

“…The overall quality of these four systematic reviews was poor, with three categorised as lower quality (scoring ≤ 30), [214][215][216] and one classed as higher quality (scoring ≥ 31) with a R-AMSTAR score of 41 217 ( Table 112). …”

“…Teamwork interventions are characterised by the review authors as interventions which include 'education and discussion focused on parent-teen responsibility sharing of diabetes tasks and avoiding conflicts that undermine teamwork'. 215 Evidence from the review exploring effectiveness of educational, psychosocial and family therapy interventions shows promising results for some intervention types, with evidence suggesting that education offers less potential for improving T1DM-related health outcomes compared with psychosocial or family therapy 216 (see Table 115 for meta-analyses results, Table 116 for narrative summaries and Figure 47 for summary of quantitative evidence). Author's reflections and lessons learned: the clinics were most warmly received in communities where there were few existing services; difficulties arose if the role of the new clinic was perceived to overlap with existing programmes The nurse and dietitian need to develop trust and overcome concerns with patients and local physicians before implementing any programme continued DOI: 10.3310/hsdr02530 HEALTH SERVICES AND DELIVERY RESEARCH 2014 VOL.…”

Improved Health-related Quality of Life in Children and Adolescents with Type 1diabetes: A Two-year Prospective Family Intervention RCT Study

“…Methodological questions have been raised, pointing out the need for larger samples in randomized controlled studies in combination with long-term follow-ups [10][11][12]. The effectiveness of family interventions have been discussed in systematic reviews and some positive effects on family climate, diabetes-related knowledge and glycemic control have been shown [12][13][14].…”