The purpose of this systematic literature review was to examine family-centered interventions that enhance the health outcomes of children with type 1 diabetes. The review summarizes the interventions and outcome measures that consisted of A1Cs, family relationships, and family conflict.
Methods
Multiple electronic databases were searched from their start date to September 2008 for reports of studies that examined family-centered interventions among children with type 1 diabetes.
Results
Nine publications, all randomized controlled trials, were located that investigated the effectiveness of family-centered interventions. Findings indicated that family-centered interventions significantly improved A1Cs, enhanced family dynamics, and decreased family conflict.
Conclusions
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.
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References
1.
American Diabetes Association.American Diabetes Association Complete Guide to Diabetes. Alexandria, VA: American Diabetes Association ; 2000.
2.
Health NIoDaDaKDotNIo.Prevalence of diabetes, among people under 20 years of age. In: Health NIo, ed; 2005.
3.
Karvonen M., Viik-Kajander M., Moltchanova E., Libman I., LaPorte R., Tuomilehto J.Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes Care. 2000 ;23(10):1516-1526.
4.
Pendley JS, Kasmen LJ, Miller DL, Donze J., Swenson C., Reeves G.Peer and family support in children and adolescents with type 1 diabetes . J Pediatr Psychol. 2002;27(5):429-438.
5.
Viner R., McGrath M., Trudinger P.Family stress and metabolic control in diabetes. Arch Dis Child. 1996;74(5): 418-421.
6.
Silverstein J., Klingensmith G., Copeland K., et al. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care. 2005;28(1):186-212.
7.
La Greca AM, Follansbee D., Skyler JSDevelopmental and behavioral aspects of diabetes management in youngsters . Child Health Care. 1990;19(3):132.
8.
Waller DA, Chipman JJ, Hardy BW, et al. Measuring diabetes-specific family support and its relation to metabolic control: a preliminary report. J Am Acad Child Psychol. 1986;25:415-418.
9.
Wysocki T.Behavioral assessment and intervention in pediatric diabetes. Behav Modif. 2006;30(1):72-92.
10.
Rubin RR, Peyrot M.Psychosocial problems and interventions in diabetes: a review of the literature . Diabetes Care. 1992;15(11): 1640-1657.
11.
Grey M.Interventions for children with diabetes and their families. Annu Rev Nurs Res. 2000;18:149-170.
12.
Winkley K., Landau S.Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials. BMJ. 2006;333(7558):65.
13.
Ellis DA, Templin T., Naar-King S., et al. Multisystemic therapy for adolescents with poorly controlled type I diabetes: stability of treatment effects in a randomized controlled trial. J Consult Clin Psychol. 2007;75(1):168-174.
14.
Naar-King S. , Ellis DA, Idalski A., Frey MA, Cunningham P.Multisystemic therapy decreases parental overestimation of adolescent responsibility for type 1 diabetes management in urban youth . Fam Syst Health . 2007;25(2):178-189.
15.
Wysocki T., Harris MA, Buckloh LM, et al. Effects of behavioral family systems therapy for diabetes on adolescents' family relationships, treatment adherence, and metabolic control . J Pediatr Psychol. 2006;31(9):928-938.
16.
Wysocki T., Harris MA, Greco P., et al. Randomized, controlled trial behavior therapy for families of adolescents with insulin-dependent diabetes mellitus. J Pediatr Psychol. 2000;25(1): 23-33.
17.
Hansson KU, Rydén O., Johnsson P.Parent-rated family climate: a concomitant to metabolic control in juvenile IDDM?Fam Syst Med. 1994;12(4):405-413.
18.
Ryden O., Nevander L., Johnsson P., et al. Family therapy in poorly controlled juvenile IDDM: effects on diabetic control, self-evaluation and behavioral symptoms. Acta Paediatr. 1994;83: 285-291.
19.
Gross AM, Magalnick LJ, Richardson P.Self-management training with families of insulin-dependent diabetic children: a controlled long-term investigation. Child Fam Behav Ther . 1985;7(1):35-50.
20.
Ellis DA, Yopp J., Templin T., et al. Family mediators and moderators of treatment outcomes among youths with poorly controlled type 1 diabetes: results from a randomized controlled trial. J Pediatr Psychol. 2007;32(2):194-205.
21.
Laffel LMB , Vangsness L., Connell A., Goebel-Fabbri A., Butler D., Anderson BJImpact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr. 2003;142(4):409-416.
22.
Wysocki T., Greco P., Harris MA, Bubb J., White NHBehavior therapy for families of adolescents with diabetes: maintenance of treatment effects. Diabetes Care. 2001;24(3):441-446.
23.
Wysocki T., Harris MA, Buckloh LM, et al. Randomized trial of behavioral family systems therapy for diabetes: maintenance of effects on diabetes outcomes in adolescents. Diabetes Care. 2007;30(3):555-560.
24.
Anderson BJ , Brackett J., Ho J., Laffel LMB.An office-based intervention to maintain parent-adolescent teamwork in diabetes management: impact on parent involvement, family conflict, and subsequent glycemic control . Diabetes Care. 1999;22(5):713-721.
25.
Satin W., La Greca AM, Zigo MA, Skyler JSDiabetes in adolescence: effects of multifamily group intervention and parent simulation of diabetes. J Pediatr Psychol. 1989;14(2):259-275.
26.
Robin AL, Foster SLNegotiating Parent-Adolescent Conflict: A Behavioral Family Systems Approach . New York, NY: Guilford ; 1989.
27.
Robin ALBehavioral family systems therapy for adolescents with anorexia nervosa . In: Kazdin AE, Weisz JR, eds. Evidence-Based Psychotherapies for Children and Adolescents. New York, NY: Guilford;2003:358-373.
28.
Quittner AL, Drotar D., Iveres-Landis C., Slocum N., Seidner D., Jacobsen J.Adherence to medical treatments in adolescents with cystic fibrosis: the development and evaluation of family-based interventions. In: Drotar D, ed. Promoting Adherence to Medical Treatment in Chronic Childhood Illness: Concepts, Methods, and Interventions. Mahwah, NJ: Lawrence Erlbaum Associates; 2000:383-407.
29.
Rosenbaum WLVariables Associated WithInvolvement and Frequency of Contact of Nonresidential Fathers With Their Children Following Divorce [dissertation]. New Orleans, LA: University of New Orleans; 2000 .
30.
Ganong LH, Coleman M.Stepfamily Relationships: Development, Dynamics, and Interventions . New York, NY: Kluwer Academic / Plenum; 2004.
31.
Ferreiro BWPresumption of join custody: a family policy dilemma. Fam Relat. 1990;39(4):420-426.
American Association of Clinical Endocrinologists.American Association of Clinical Endoctrinologists' medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract. 2007;13(suppl 1):1-68.
34.
Harris MA, Greco P., Wysocki T., Elder-Danda C., White NHAdolescents with diabetes from single-parent, blended, and intact families: health-related and family functioning. Fam Syst Health. 1999;17(2):181-196.
35.
Thompson SJ , Auslander WF, White NHInfluence of family structure on health among youths with diabetes. Health Soc Work. 2001 ;26(1):7-14.
36.
Jacobson AM , Hauser ST, Lavori P., Willett JB, et al. Family environment and glycemic control: a four-year prospective study of children and adolescents with insulin-dependent diabetes mellitus. Psychosom Med. 1994;56(5):401-409.
