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Diabetes Educ. 2009 May-Jun;35(3):428-38. doi: 10.1177/0145721709332814. Epub 2009 Mar 19.

Review of family-centered interventions to enhance the health outcomes of children with type 1 diabetes.

Author information

  • 1University of Missouri Sinclair School of Nursing, William Jewell College of Nursing, 500 College Hill, Liberty, MO 64068, USA. mcbrooml@william.jewell.edu

Abstract

PURPOSE:

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.

PMID:
19299519
[PubMed - indexed for MEDLINE]
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