Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Family-centered interventions for children and adolescents with type 1 diabetes mellitus: an integrative review

  • Ispriantari, Aloysia (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University, Department of Nursing, Institute of Technology and Health Science) ;
  • Agustina, Rismia (Department of Nursing, College of Medicine, National Cheng Kung University, School of Nursing, Faculty of Medicine, Lambung Mangkurat University) ;
  • Konlan, Kennedy Diema (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University, Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences) ;
  • Lee, Hyejung (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
  • Received : 2022.09.13
  • Accepted : 2022.12.26
  • Published : 2023.01.31
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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-technology-based interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parent-child 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

References

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