REVIEW PAPER
Psychoeducational interventions to improve adolescents’ medical management of diabetes: A comprehensive review
Submission date: 2016-11-28
Final revision date: 2017-02-24
Acceptance date: 2017-04-04
Online publication date: 2017-10-05
Publication date: 2017-10-05
Health Psychology Report 2018;6(1):10–39
KEYWORDS
TOPICS
ABSTRACT
Implementation of psychoeducational interventions for adolescents with diabetes is a critical component of medical management and overall well-being. There have been significant advances and innovations since the last major comprehensive review of the literature in 2006 (Murphy, Rayman, & Skinner, 2006). The increase in technologically assisted psychoeducational interventions using text, apps, and interactive Internet-based programming results in a qualitative update of psychoeducational interventions and program evaluations. Also noted is an increase in the number of family-focused interventions that have been evaluated and published. The results of the current comprehensive literature review yield 42 evaluative studies of psychoeducational interventions for adolescents with type 1 diabetes with mixed outcomes. Despite the variety of interventions and research designs, only two of the 42 studies reported moderate effect sizes. All the others indicated no effects or small effects. Although not conclusive, the most promising approaches involve the use of motivational interviewing involving individual, family, and technological support. The ramifications for future research, potential value of psychoeducational interventions for adolescents, and implementation of technology for delivering psychoeducational interventions for adolescents with diabetes are described.
REFERENCES (68)
1.
Aguilar, M. J., Pedro A. G., Gonzalez, E. Perez, M. C., & Padilla, C. A. (2012). A nursing educational intervention helped by One Touch UltraSmartTM improves monitoring and glycated haemoglobin levels in type I diabetic children. Journal of Clinical Nursing, 21, 1024–1032. doi: 10.1111/j.1365-2702.2011.03926.x.
2.
Anderson, B. J., Brackett, J., Ho, J., & Laffel, L. M. (1999). An office-based intervention to maintain parent-adolescent teamwork in diabetes management. Impact on parent involvement, family conflict, and subsequent glycemic control. Diabetes Care, 22, 713–721. doi: doi.org/10.2337/diacare.22.5.7....
3.
Anderson, B., Ho, J., Brackett, J., Finkelstein, D., & Laffel, L. (1997). Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus. The Journal of Pediatrics, 130, 257–265. doi: doi.org/10.1016/S0022-3476(97)....
4.
Babler, E., & Strickland, C. J. (2015). Normalizing adolescent experiences living with type 1 diabetes. The Diabetes Educator, 41, 351–360. doi: doi.org/10.1177/01457217155791....
5.
Bedrossian, J., Kerr, L., Robertson, L., Stewart, A., Suits, J., Patek, S., & Valdez, R. (2016). Critical design factors for information technology supporting type 1 diabetes management. In 2016 IEEE Systems and Information Engineering Design Symposium (SIEDS) (pp. 261–266). doi: doi.org/10.1109/SIEDS.2016.748....
6.
Corathers, S. D., Schoettker, P. J., Clements, M. A., List, B. A., Mullen, D., Ohmer, A., Shah, A., & Lee, J. (2015). Health-system-based interventions to improve care in pediatric and adolescent type 1 diabetes. Current Diabetes Reports, 15, 1–11. doi: doi.org/10.1007/s11892-015-066....
7.
Channon, S. J., Huws-Thomas, M. V., Rollnick, S., Hood, K., Cannings-John, R. L., Rogers, C., & Gregory, J. W. (2007). A multicenter randomized controlled trial of motivational interviewing in teenagers with diabetes. Diabetes Care, 30, 1390–1395. doi: http://dx.doi.org/10.2337/dc06....
8.
Cheraghi, F., Shamsaei, F., Mortazavi, S. Z., & Moghimbeigi, A. (2015). The effect of family-centered care on management of blood glucose levels in adolescents with diabetes. International Journal of Community Based Nursing and Midwifery, 3, 177–186.
9.
Chilton, R., & Pires-Yfantouda, R. (2015). Understanding adolescent type 1 diabetes self-management as an adaptive process: A grounded theory approach. Psychology & Health, 30, 1486–1504. doi: doi.org/10.1080/08870446.2015.....
10.
Christie, D., Thompson, R., Sawtell, M., Allen, E., Cairns, J., Smith, F., …Viner, R. (2014). Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: A cluster randomised controlled trial with integral process and economic evaluation – the CASCADE study. Health Technology Assessment, 18, 1–202. doi: 10.3310/hta18200.
11.
de Wit, M., Delemarre-van de Waal, H. A., Bokma, J. A., Haasnoot, K., Houdijk, M. C., Gemke, R. J., & Snoek, F. J. (2008). Monitoring and discussing health-related quality of life in adolescents with type 1 diabetes improve psychosocial well-being: A randomized controlled trial. Diabetes Care, 31, 1521–1526. doi: 10.2337/dc08-0394.
12.
de Wit, M., Delemarre-van de Waal, H. A., Bokma, J. A., Haasnoot, K., Houdijk, M. C., Gemke, R. J., & Snoek, F. J. (2010). Follow-up results on monitoring and discussing health-related quality of life in adolescent diabetes care: Benefits do not sustain in routine practice. Pediatric Diabetes, 11, 175–181. doi: 10.1111/j.1399-5448.2009.00542.x.
13.
Ellis, D. A., Frey, M. A., Naar-King, S., Templin, T., Cunningham, P. B., & Cakan, N. (2005). The effects of multisystemic therapy on diabetes stress among adolescents with chronically poorly controlled type 1 diabetes: Findings from a randomized, controlled trial. Pediatrics, 116, e826-e832. doi: 10.1542/peds.2005-0638.
14.
Elwyn, G., Wieringa, S., & Greenhalgh, T. (2016). Clinical encounters in the post-guidelines era. BMJ, 353, i3200. doi: doi.org/10.1136/bmj.i3200.
15.
Garcia-Perez, L., Perestelo-Perez, L., Serrano-Aguilar, P. & Del Mar Trujillo-Martin, M. (2010). Effectiveness of a psychoeducative intervention in a summer camp for children with type 1 diabetes mellitus. The Diabetes Educator, 36, 310–317. doi: 10.1177/0145721710361784.
16.
Goodall, T. A., & Kim, W. (1991). Self-management of diabetes mellitus: A critical review. Health Psychology, 10, 1–8. doi: doi.org/10.1037/0278-6133.10.1....
17.
Graue, M., Wentzel-Larsen, T., Hanestad, B. R., & Sovik, O. (2005). Evaluation of a programme of group visits and computer-assisted consultations in the treatment of adolescents with type 1 diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 22, 1522–1529. doi: 10.1111/j.1464-5491.2005.01689.x.
18.
Grey, M., Whittemore, R., Jeon, S. Murphy, K., Faulkner, M. S., & Delamater, A. (2013). Internet psycho-education programs improve outcomes in youth with type 1 diabetes. Diabetes Care, 36, 2475–2482. doi: 10.2337/dc12-2199.
19.
Hampson, S. E., Skinner, T. C., Hart, J., Storey, L., Gage, H., Foxcraft, D., …Walker, J. (2001). Effects of educational and psychosocial interventions for children with diabetes mellitus: A systematic review. Health Technology Assessment, 5, 1–79.
20.
Hanberger, L., Ludvigsson, J., & Nordfeldt, S. (2013). Use of a web 2.0 portal to improve education and communication in young patients with families: Randomized controlled trial. Journal of Medical Internet Research, 15, 1–13. doi: 10.2196/jmir.2425.
21.
Hanna, K. M., & Guthrie, D. (2003). Adolescents’ behavioral autonomy related to diabetes management and adolescent activities/rules. The Diabetes Educator, 29, 283–291. doi: doi.org/10.1177/01457217030290....
22.
Harris, M. A., Harris, B. S. & Mertlich, D. (2005). Brief report: In-home family therapy for adolescents with poorly controlled diabetes: Failure to maintain benefits at 6-month follow-up. Journal of Pediatric Psychology, 30, 683–688. doi: 10.1093/jpepsy/jsi055.
23.
Hart, K., Reaper, A., Pugh, S., & Phillips-Salimi, C. R. (2015). The effect of parental monitoring on diabetes management in adolescents: A systematic review of the literature. Retrieved from scholarworks.iupui.edu/handle/....
24.
Heinrich, E., Schaper, N. C., & de Vries, N. (2010). Self-management interventions for type 2 diabetes: A systematic review. European Diabetes Nursing, 7, 71–76. doi: doi.org/10.1002/edn.160.
25.
Holmes, C. S., Chen, R., Mackey, E., Grey, M., & Streisand, R. (2014). Randomized clinical trial of clinic-integrated, low-intensity treatment to prevent deterioration of disease care in adolescents with type 1 diabetes. Diabetes Care, 37, 1535–1543. doi: 10.2337/dc13-1053.
26.
Ioannidis, J. P. A. (2016). Why most clinical research is not useful. PLOS Med, 13, e1002049. doi: doi.org/10.1371/journal.pmed.1....
27.
Jaser, S. S., Patel, N., Rothman, R. L., Choi, L., & Whittemore, R. (2014). Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes. Diabetes Educator, 40, 659–667. doi: 10.1177/0145721714535990.
28.
Jaser, S. S., Whittemore, R., Chao, A., Jeon, S., Faulkner, M. S., & Grey, M. (2014). Mediators of 12-month outcomes of two internet interventions for youth with type 1 diabetes. Journal of Pediatric Psychology, 39, 306–315. doi: 10.1093/jpepsy/jst081.
29.
Kassai, B., Rabilloud, M., Bernoux, D., Michal, C., Riche, B., Ginhoux, T., …Nicolino, M. (2015). Management of adolescents with very poorly controlled type 1 diabetes by nurses: A parallel group randomized controlled trial. Trials, 16, 399. doi: doi.org/10.1186/s13063-015-092....
30.
Katz, M. L., Volkening, L. K. Butler, D. A., Anderson, B. J., & Laffel, L. M. (2014). Family-based psychoeducation and care ambassador intervention to improve glycemic control in youth with type 1 diabetes: A randomized trial. Pediatric Diabetes, 15, 142–150. doi: 10.1111/pedi.12065.
31.
Kichler, J, C, Kaugars, A. S., Marik, P., Nabors, L., & Alemzadeh, R. (2013). Effectiveness of groups for adolescents with type 1 diabetes mellitus and their parents. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 31, 280–293. doi: 10.1037/a0033039.
32.
Lawson, M. L., Cohen, N., Richardson, C., Orrbine, E., & Pham, B. (2005). A randomized trial of regular standardized telephone contact by a diabetes nurse educator in adolescents with poor diabetes control. Pediatric Diabetes, 6, 32–40. doi: 10.1111/j.1399-543X.2005.00091.x.
33.
Lipska, K. J., Krumholz, & H. M. (2017). Is hemoglobin A1c the right outcome for studies of diabetes? Journal of the American Medical Association. Advance online publication. doi: 10.1001/jama.2017.0029.
34.
Løding R. N., Wold, J. E., & Skavhaug, Å. (2008). Experiences with a group intervention for adolescents with type 1 diabetes and their parents. European Diabetes Nursing, 5, 9–14. doi: 10.1002/edn.96.
35.
Maranda, L., Lau, M., Stewart, S. M., & Gupta, O. T. (2015). A novel behavioral intervention in adolescents with type 1 diabetes mellitus improves glycemic control: Preliminary results from a pilot randomized control trial. The Diabetes Educator, 41, 224–230. doi: 10.1177/0145721714567235.
36.
Markowitz, J., C. Garvey, K., & M. B. Laffel, L. (2015). Developmental changes in the roles of patients and families in type 1 diabetes management. Current Diabetes Reviews, 11, 231–238.
37.
Millar, S. R., Perry, I. J., & Phillips, C. M. (2015). HbA1c alone is a poor indicator of cardiometabolic risk in middle-aged subjects with pre-diabetes but is Suitable for type 2 diabetes diagnosis: A cross-sectional study. PLOS ONE, 10, e0134154. https://doi.org/10.1371/journa....
38.
Minges, K. E., Whittemore, R., Chao, A. M., Jefferson, V., Murphy, K. M., & Grey, M. (2016). Clinical, psychosocial, and demographic factors are associated with overweight and obesity in early adolescent girls with type 1 diabetes. The Diabetes Educator, 42, 538–548. doi: doi.org/10.1177/01457217166540....
39.
Monaghan, M., Clary, L., Mehta, P., Stern, A., Sharkey, C., Cogen, F. R., …Streisand, R. (2015). Checking in: A pilot of a physician-delivered intervention to increase parent-adolescent communication about blood glucose monitoring. Clinical Pediatrics, 54, 1346–1353. doi: 10.1177/0009922815581833.
40.
Mulvaney, S. A., Anders, S., Smith, A. K., Pittel, E. J., & Johnson, K. B. (2012). A pilot test of a tailored mobile and web-based diabetes messaging system for adolescents. Journal of Telemedicine and Telecare, 18, 115–118. doi: 10.1258/jtt.2011.111006.
41.
Murphy, H. R., Rayman, G., & Skinner, T. C. (2006). Psycho-educational interventions for children and young people with Type 1 diabetes. Diabetic Medicine, 23, 935–943. doi: 10.1111/j.1464-5491.2005.01816.x.
42.
Murphy, H. R., Wadham, C., Hassler-Hurst, J., Rayman, G., & Skinner, T. C. (2012). Randomized trial of a diabetes self-management education and family teamwork intervention in adolescents with type 1 diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 29, e249-e254. doi: 10.1111/j.1464-5491.2012.03683.x.
43.
Murphy, H. R., Wadham, C., Rayman, G., & Skinner, T. C. (2007). Approaches to integrating paediatric diabetes care and structured education: Experiences from the Families, Adolescents, and Children’s Teamwork Study (FACTS). Diabetic Medicine: A Journal of the British Diabetic Association, 24, 1261–1268. doi: 10.1111/j.1464-5491.2007.02229.x.
44.
Nansel, T. R., Iannotti, R. J., & Liu, A. (2012). Clinic-integrated behavioral intervention for families of youth with type 1 diabetes: Randomized clinical trial. Pediatrics, 129, e866-e873. doi: 10.1542/peds.2011-2858.
45.
Nansel, T. R., Iannotti, R. J., Simons-Morton, B. G., Cox, C., Plotnick, L. P., Clark, L. M., & Zeitzoff, L. (2007). Diabetes personal trainer outcomes: Short-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabetes. Diabetes Care, 30, 2471–2477.
46.
Nansel, T. R., Iannotti, R. J., Simons-Morton, B. G., Plotnick, L. P., Clark, L. M., & Zeitzoff, L. (2009). Long-term maintenance of treatment outcomes: Diabetes personal trainer intervention for youth with type 1 diabetes. Diabetes Care, 32, 807–809. doi: 10.2337/dc08-1968.
47.
Nansel, T. R., Laffel, L. M. B., Haynie, D. L., Mehta, S. N., Lipsky, L. M., Volkening, L. K., …Liu, A. (2015). Improving dietary quality in youth with type 1 diabetes: Randomized clinical trial of a family-based behavioral intervention. The International Journal of Behavioral Nutrition and Physical Activity, 12, 58–69. doi: 10.1186/s12966-015-0214-4.
48.
Nansel, T. R., Thomas, D. M., & Liu, A. (2015). Efficacy of a behavioral intervention for pediatric type 1 diabetes across income. American Journal of Preventive Medicine, 49, 930–934. doi: 10.1016/j.amepre.2015.05.006.
49.
Newton, K. T., & Ashley, A. (2013). Pilot study of a web-based intervention for adolescents with type 1 diabetes. Journal of Telemedicine & Telecare, 19, 443–449. doi: 10.1177/1357633X13512069.
50.
Newton, K. H., Wiltshire, E. J., & Elley, C. R. (2009). Pedometers and text messaging to increase physical activity: Randomized controlled trial of adolescents with type 1 diabetes. Diabetes Care, 32, 813–815. doi: 10.2337/dc08-1974.
51.
Nicholas, D. B., Fellner, K. D., Frank, M., Small, M., Hetherington, R., Slater, R., & Daneman, D. (2012). Evaluation of an online education and support intervention for adolescents with diabetes. Social Work in Health Care, 51, 815–827. doi: 10.1080/00981389.2012.699507.
52.
Rajkumar, D., Ellis, D. A., May, D. K., Carcone, A., Naar-King, S., Ondersma, S., & Moltz, K. C. (2015). Computerized intervention to increase motivation for diabetes self-management in adolescents with type 1 diabetes. Health Psychology and Behavioral Medicine, 3, 236–250. doi: doi.org/10.1080/21642850.2015.....
53.
Sajatovic, M., Dawson, N. V., Perzynski, A. T., Blixen, C. E., Bialko, C. S., McKibbin, C. L., …Fuentes-Casiano, E. (2011). Best practices: Optimizing care for people with serious mental illness and comorbid diabetes. Psychiatric Services, 62, 1001–1003. doi: doi.org/10.1176/ps.62.9.pss620....
54.
Serlachius, A. S., Scratch, S. E., Northam, E. A., Frydenberg, E., Lee, K. J., & Cameron, F. J. (2016). A randomized controlled trial of cognitive behaviour therapy to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes. Journal of Health Psychology, 21, 1157–1169. doi: 10.1177/1359105314547940.
55.
Shalev, I., & Geffken, G. R. (2015). Use of self-regulation principles to improve adolescent treatment adherence to the medical regimen for diabetes. Journal of Psychotherapy Integration, Advance online publication. doi: doi.org/10.1037/int0000019.
56.
Shaw, S. R. (2016). Research-to-practice for school psychologists: Advances in evidence-based practice, clinical research, and implementation. School Psychology Forum, 10, 340–348.
57.
Spiegel, G., Bortsov, A., Bishop, F. K., Owen, D., Klingensmith, G. J., Mayer-Davis, E. J., & Maahs, D. M.
58.
(2012). Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: Is more intensive education needed? Journal of the Academy of Nutrition & Dietetics, 112, 1736–1746. doi: 10.1016/j.jand.2012.06.001.
59.
Stanger, C., Ryan, S. R., Delhey, L. M., Thrailkill, K., Li, Z., Li, Z., & Budney, A. J. (2013). A multicomponent motivational intervention to improve adherence among adolescents with poorly controlled type 1 diabetes: A pilot study. Journal of Pediatric Psychology, 38, 629–637. doi: jpepsy/jst032.
60.
Viklund, G., Ortqvist, E., & Wikblad, K. (2007). Assessment of an empowerment education programme. A randomized study in teenagers with diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 24, 550–556. doi: 10.1111/j.1464-5491.2007.02114.x.
61.
Von Sengbusch, S., Muller-Godeffroy, E., Hager, S., Reintjes, R., Hiort, O., & Wagner, V. (2006). Mobile diabetes education and care: Intervention for children and young people with type 1 diabetes in rural areas of northern Germany. Diabetic Medicine: A Journal of the British Diabetic Association, 23, 122–127. doi: 10.1111/j.1464-5491.2005.01754.x.
62.
Waller, H., Eiser, C., Knowles, J., Rogers, N., Wharmby, S., Heller, S., …Price, K. (2008). Pilot study of a novel educational programme for 11-16 year olds with type 1 diabetes mellitus: The KICk-OFF course. Archives of Disease in Childhood, 93, 927–931. doi: 10.1136/adc.2007.132126.
63.
Wang, Y. C., Stewart, S. M., Mackenzie, M., Nakonezny, P. A., Edwards, D., & White, P. C. (2010). A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care, 33, 1741–1743. doi: 10.2337/dc10-0019.
64.
Weissberg-Benchell, J., Glasgow, A. M., Tynan, W. D., Wirtz, P., Turek, J., & Ward, J. (1995). Adolescent diabetes management and mismanagement. Diabetes Care, 18, 77–82. doi: doi.org/10.2337/diacare.18.1.7....
65.
Whittemore, R., Jaser, S. S., Jeon, S. Liberti, L., Delamater, A., Murphy, K., …Grey, M. (2012). An internet coping skills training program for youth with type 1 diabetes: Six-month outcomes. Nursing Research, 61, 395–404. doi: 10.1097/NNR.0b013e3182690a29.
66.
Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Mauras, N., & White, N. H. (2007). Randomized trial of behavioral family systems therapy for diabetes: Maintenance of effects on diabetes outcomes in adolescents. Diabetes Care, 30, 555-560. doi: 10.2337/dc06-1613.
67.
Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Sobel Lochrie, A., Taylor, A., …White, N. H. (2008). Randomized, controlled trial of behavioral family systems therapy for diabetes: Maintenance and generalization of effects on parent-adolescent communication. Behavior Therapy, 39, 33–46. http://dx.doi.org/10.2337/dc06....
68.
Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., …White, N. H. (2006). Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships, treatment adherence, and metabolic control. Journal of Pediatric Psychology, 31, 928–938. doi: 10.1093/jpepsy/jsj098.
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