What Are the Various Comprehensive Treatment Models to Improve Self-Efficacy and Self-Management in Adolescents with Diabetes Mellitus? A Scoping Review
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Abstract
Background: This review aimed to synthesize intervention models involving the role of adolescent and family support as part of comprehensive care to improve self-efficacy and self-management among adolescents with Diabetes Mellitus (DM).
Methods: A review was conducted to conform to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards. We searched PubMed, Research Gate, Science Direct, Cochrane Library databases, and grey literature. We included articles exploring family intervention models on improving self-efficacy and self-management among adolescents with DM, published from January 1, 2009, to June 30, 2022, and in English. Articles were declared eligible, reviewed critically, and then synthesized narratively.
Results: We identified 487 abstracts and title records from the initial search and excluded 409 irrelevant studies. Sixty-six full-text articles were screened, and nine were included in the synthesis. Five articles presented findings from using models focusing on child and adolescent intervention, while in the remaining four articles, the intervention models involved adolescents and their caregivers or parents. Only two models provide comprehensive care that requires collaboration among healthcare providers, patients, and families. Adolescent self-efficacy and self-management schemes as intermediary variables are closely related to everything that can influence health behavior, metabolic control, and quality of life for adolescents, which requires support from a multidisciplinary collaborative team.
Conclusion: Excellent comprehensive care team collaboration involving family support is essential to increase the self-efficacy and self-management of adolescents with DM.
1. Libman I, Haynes A, Lyons S, et al (2022). ISPAD Clinical practice consensus guidelines 2022: Definition, epidemiology, and classification of diabetes in children and adolescents. Pediatr Diabetes, 23(8):1160–74.
2. Patterson C, Guariguata L, Dahlquist G, et al (2014). Diabetes in the young - a global view and worldwide estimates of numbers of children with type 1 diabetes. Diabetes Res Clin Pract, 103(2):161–75.
3. Zeitler P, Arslanian S, Fu J, et al (2018). ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth. Pediatr Diabetes, 19:28–46.
4. Shah AS, Zeitler PS, Wong J, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Type 2 diabetes in children and adolescents. Pediatr Diabetes, 23(7):872–902.
5. Craig ME, Codner E, Mahmud FH, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Editorial. Pediatr Diabetes, 23(8):1157–9.
6. Croom A, Wiebe DJ, Berg CA, et al (2011). Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes. J Pediatr Psychol, 36(2):206–15.
7. Claramita M, Arininta N, Fathonah Y, et al (2020). A partnership-oriented and culturally-sensitive communication style of doctors can impact the health outcomes of patients with chronic illnesses in Indonesia. Patient Educ Couns, 103(2):292–300.
8. Ortiz-Domenech S, Cumba-Avilés E (2021). Diabetes-related stigma among adolescents: Emotional self-efficacy, aggressiveness, self-care, and barriers to treatment compliance. Salud y Conduct humana, 8(1):82–96.
9. Sullivan-Bolyai S, Bova C, Johnson K, et al (2014). Engaging teens and parents in collaborative practice: perspectives on diabetes self-management. Diabetes Educ, 40(2):178–90.
10. Batista AFMB, Silva ME de A, Nóbrega VM, et al (2021). Adolescents with type 1 diabetes mellitus and their process of developing autonomy for self-care. Rev Enferm Ref, 2021(8):1–8.
11. Katzman DK, Gordon C, Callahan T (2023). Neinstein’s Adolescent and Young Adult Health Care. 7th ed. Lippincott Williams & Wilkins.
12. de Wit M, Gajewska KA, Goethals ER, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents, and young adults with diabetes. Pediatr Diabetes, 23(8):1373–89.
13. Delamater AM, de Wit M, McDarby V, et al (2018). ISPAD Clinical Practice Consensus Guidelines 2018: Psychological care of children and adolescents with type 1 diabetes. Pediatr Diabetes, 19:237–49.
14. Hadad S, Ali MM, Sayed TA (2021). Psychological and behavioral complications in children and adolescents with type 1 diabetes mellitus in Sohag. Middle East Curr Psychiatry, 28(1):4–11.
15. Othman N, Wong YY, Lean QY, et al (2020). Factors affecting self-management among adolescents and youths with type 2 diabetes mellitus: A meta-synthesis. Vol. 40, European Journal of Integrative Medicine, 40:
16. Kapetanovic S, Boele S, Skoog T (2019). Parent-adolescent communication and adolescent delinquency: unraveling within-family processes from between-family differences. J Youth Adolesc, 48(9):1707–23.
17. Cho MK, Kim MY (2021). Relationship between diabetes family conflicts or problem recognition in illness self-management and quality of life of adolescents with t1dm and their parents. Int J Environ Res Public Health, 18(20):1–14.
18. Berger B, Sethe D, Hilgard D, et al (2017). Design of a self-management program for children aged 6-12 years with type 1 diabetes mellitus at the Community Hospital Herdecke, Germany. Complement Med Res, 24(4):255–63.
19. Sari M, Prabandari Y, Claramita M (2016). Physicians′ professionalism at primary care facilities from patients′ perspective: The importance of doctors′ communication skills. J Fam Med Prim Care, 5(1):56–60.
20. Bravo L, Killela MK, Reyes BL, et al (2020). Self-management, self-efficacy, and health-related quality of life in children with chronic illness and medical complexity. J Pediatr Heal Care, 34(4):304–14.
21. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med, 169(7):467–73.
22. Dhada B, Blackbeard D (2014). Using intervention mapping to develop a child diabetes support intervention. Procedia - Soc Behav Sci, 113:74–83.
23. Fiallo-Scharer R, Palta M, Chewning BA, et al (2017). Design and baseline data from a PCORI-funded randomized controlled trial of family-centered tailoring of diabetes self-management resources. Contemp Clin Trials, 58:58–65.
24. Mayer-Davis EJ, Maahs DM, Seid M, et al (2018). The flexible lifestyles empowering change (FLEX) intervention for adolescents with type 1 diabetes: Randomized clinical trial results for effect on metabolic status, diabetes-related behaviors, and quality of life. Lancet Child Adolesc Heal, 2(9):635–46.
25. Esfahani NN, Talakoub S, Jafari-Mianaei S, Mostofizadeh N (2021). Effect of group hope therapy on self-efficacy of adolescents with type 1 diabetes. Rev Assoc Med Bras, 67(12):1816–20.
26. Kichler JC, Seid M, Crandell J, et al (2018). The Flexible lifestyle empowering change (FLEX) intervention for self-management in adolescents with type 1 diabetes: Trial design and baseline characteristics. Contemp Clin Trials, 66:64–73.
27. Eisenberg M, Lipsky L, Dempster K, Liu A, Nansel T (2016). I should, but I can't: Controlled motivation and self-efficacy are related to disordered eating behaviors in adolescents with type 1 diabetes. J Adolesc Heal, 59(5):537–42.
28. D’Souza RS, Ryan M, Hawkes E, et al (2021). Questionnaire-based service evaluation of the efficacy and usefulness of SEREN: A structured education program for children and young people diagnosed with type 1 diabetes mellitus. BMJ Open Qual, 10(3):1–9.
29. Whittemore R, Liberti LS, Jeon S, et al (2016). Efficacy and implementation of an Internet psychoeducational program for teens with type 1 diabetes. Pediatr Diabetes, 17(8):567–75.
30. Kristensen LJ, Birkebaek NH, Mose AH, et al (2018). Multi-informant path models of the influence of psychosocial and treatment-related variables on adherence and metabolic control in adolescents with type 1 diabetes mellitus. PLoS One, 13(9):1–20.
31. Besser REJ, Bell KJ, Couper JJ, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Stages of type 1 diabetes in children and adolescents. Pediatr Diabetes, 23(8):1175–87.
32. Sundberg F, deBeaufort C, Krogvold L, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Managing diabetes in preschoolers. Pediatr Diabetes, 23(8):1496–511.
33. Istiono W, Claramita M, Ekawati F, et al (2015). Physician′s self-perceived abilities at primary care settings in Indonesia. J Fam Med Prim Care, 4(4):551–8.
34. Annan SF, Higgins LA, Jelleryd E, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Nutritional management in children and adolescents with diabetes. Pediatr Diabetes, 23(8):1297–321.
35. Hood KK, Iturralde E, Rausch J, Weissberg-Benchell J (2018). Preventing diabetes distress in adolescents with type 1 diabetes: Results 1 year after participation in the STePS program. Diabetes Care, 41(8):1623–30.
36. Lawton J, Blackburn M, Allen J, et al (2018). Patients’ and caregivers’ experiences of using continuous glucose monitoring to support diabetes self-management: Qualitative study. BMC Endocr Disord, 18(1):1–10.
37. Ying L, Ma F, Huang H, et al (2015). Parental monitoring, parent-adolescent communication, and adolescents’ trust in their parents in China. PLoS One, 10(8):1–9.
38. Gonzalez, Jeffrey S, Tanenbaum, et al (2016). Psychosocial Factors in Medication Adherence and Diabetes Self-Management: Implications for Research and Practice. Am Psychol, 71(7):539–51.
39. Ingrosso DMF, Primavera M, Samvelyan S, et al (2023). Stress and Diabetes Mellitus: Pathogenetic Mechanisms and Clinical Outcome. Horm Res Paediatr, 96(1):34–43.
40. Tuohy E, Rawdon C, Gallagher P, et al (2019). Children and young people’s experiences and perceptions of self-management of type 1 diabetes: A qualitative meta-synthesis. Heal Psychol Open, 6(2):1–24.
41. Whittemore R, Zincavage RM, Jaser SS, et al (2018). Development of an eHealth program for parents of adolescents with type 1 diabetes. Diabetes Educ, 44(1):72–82.
42. Sari Y, Isworo A, Upoyo AS, et al (2021). The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia. Health Qual Life Outcomes, 19(1):1–10.
43. Pringle J, Doi L, Jindal-Snape D, et al (2018). Adolescents and health-related behavior: Using a framework to develop interventions to support positive behaviors. Pilot Feasibility Stud, 4(1):1–10.
44. Varni JW, Delamater AM, Hood KK, et al (2018). PedsQL 3.2 Diabetes module for children, adolescents, and young adults: Reliability and validity in type 1 diabetes. Diabetes Care, 41(10):2064–71.
2. Patterson C, Guariguata L, Dahlquist G, et al (2014). Diabetes in the young - a global view and worldwide estimates of numbers of children with type 1 diabetes. Diabetes Res Clin Pract, 103(2):161–75.
3. Zeitler P, Arslanian S, Fu J, et al (2018). ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth. Pediatr Diabetes, 19:28–46.
4. Shah AS, Zeitler PS, Wong J, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Type 2 diabetes in children and adolescents. Pediatr Diabetes, 23(7):872–902.
5. Craig ME, Codner E, Mahmud FH, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Editorial. Pediatr Diabetes, 23(8):1157–9.
6. Croom A, Wiebe DJ, Berg CA, et al (2011). Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes. J Pediatr Psychol, 36(2):206–15.
7. Claramita M, Arininta N, Fathonah Y, et al (2020). A partnership-oriented and culturally-sensitive communication style of doctors can impact the health outcomes of patients with chronic illnesses in Indonesia. Patient Educ Couns, 103(2):292–300.
8. Ortiz-Domenech S, Cumba-Avilés E (2021). Diabetes-related stigma among adolescents: Emotional self-efficacy, aggressiveness, self-care, and barriers to treatment compliance. Salud y Conduct humana, 8(1):82–96.
9. Sullivan-Bolyai S, Bova C, Johnson K, et al (2014). Engaging teens and parents in collaborative practice: perspectives on diabetes self-management. Diabetes Educ, 40(2):178–90.
10. Batista AFMB, Silva ME de A, Nóbrega VM, et al (2021). Adolescents with type 1 diabetes mellitus and their process of developing autonomy for self-care. Rev Enferm Ref, 2021(8):1–8.
11. Katzman DK, Gordon C, Callahan T (2023). Neinstein’s Adolescent and Young Adult Health Care. 7th ed. Lippincott Williams & Wilkins.
12. de Wit M, Gajewska KA, Goethals ER, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents, and young adults with diabetes. Pediatr Diabetes, 23(8):1373–89.
13. Delamater AM, de Wit M, McDarby V, et al (2018). ISPAD Clinical Practice Consensus Guidelines 2018: Psychological care of children and adolescents with type 1 diabetes. Pediatr Diabetes, 19:237–49.
14. Hadad S, Ali MM, Sayed TA (2021). Psychological and behavioral complications in children and adolescents with type 1 diabetes mellitus in Sohag. Middle East Curr Psychiatry, 28(1):4–11.
15. Othman N, Wong YY, Lean QY, et al (2020). Factors affecting self-management among adolescents and youths with type 2 diabetes mellitus: A meta-synthesis. Vol. 40, European Journal of Integrative Medicine, 40:
16. Kapetanovic S, Boele S, Skoog T (2019). Parent-adolescent communication and adolescent delinquency: unraveling within-family processes from between-family differences. J Youth Adolesc, 48(9):1707–23.
17. Cho MK, Kim MY (2021). Relationship between diabetes family conflicts or problem recognition in illness self-management and quality of life of adolescents with t1dm and their parents. Int J Environ Res Public Health, 18(20):1–14.
18. Berger B, Sethe D, Hilgard D, et al (2017). Design of a self-management program for children aged 6-12 years with type 1 diabetes mellitus at the Community Hospital Herdecke, Germany. Complement Med Res, 24(4):255–63.
19. Sari M, Prabandari Y, Claramita M (2016). Physicians′ professionalism at primary care facilities from patients′ perspective: The importance of doctors′ communication skills. J Fam Med Prim Care, 5(1):56–60.
20. Bravo L, Killela MK, Reyes BL, et al (2020). Self-management, self-efficacy, and health-related quality of life in children with chronic illness and medical complexity. J Pediatr Heal Care, 34(4):304–14.
21. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med, 169(7):467–73.
22. Dhada B, Blackbeard D (2014). Using intervention mapping to develop a child diabetes support intervention. Procedia - Soc Behav Sci, 113:74–83.
23. Fiallo-Scharer R, Palta M, Chewning BA, et al (2017). Design and baseline data from a PCORI-funded randomized controlled trial of family-centered tailoring of diabetes self-management resources. Contemp Clin Trials, 58:58–65.
24. Mayer-Davis EJ, Maahs DM, Seid M, et al (2018). The flexible lifestyles empowering change (FLEX) intervention for adolescents with type 1 diabetes: Randomized clinical trial results for effect on metabolic status, diabetes-related behaviors, and quality of life. Lancet Child Adolesc Heal, 2(9):635–46.
25. Esfahani NN, Talakoub S, Jafari-Mianaei S, Mostofizadeh N (2021). Effect of group hope therapy on self-efficacy of adolescents with type 1 diabetes. Rev Assoc Med Bras, 67(12):1816–20.
26. Kichler JC, Seid M, Crandell J, et al (2018). The Flexible lifestyle empowering change (FLEX) intervention for self-management in adolescents with type 1 diabetes: Trial design and baseline characteristics. Contemp Clin Trials, 66:64–73.
27. Eisenberg M, Lipsky L, Dempster K, Liu A, Nansel T (2016). I should, but I can't: Controlled motivation and self-efficacy are related to disordered eating behaviors in adolescents with type 1 diabetes. J Adolesc Heal, 59(5):537–42.
28. D’Souza RS, Ryan M, Hawkes E, et al (2021). Questionnaire-based service evaluation of the efficacy and usefulness of SEREN: A structured education program for children and young people diagnosed with type 1 diabetes mellitus. BMJ Open Qual, 10(3):1–9.
29. Whittemore R, Liberti LS, Jeon S, et al (2016). Efficacy and implementation of an Internet psychoeducational program for teens with type 1 diabetes. Pediatr Diabetes, 17(8):567–75.
30. Kristensen LJ, Birkebaek NH, Mose AH, et al (2018). Multi-informant path models of the influence of psychosocial and treatment-related variables on adherence and metabolic control in adolescents with type 1 diabetes mellitus. PLoS One, 13(9):1–20.
31. Besser REJ, Bell KJ, Couper JJ, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Stages of type 1 diabetes in children and adolescents. Pediatr Diabetes, 23(8):1175–87.
32. Sundberg F, deBeaufort C, Krogvold L, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Managing diabetes in preschoolers. Pediatr Diabetes, 23(8):1496–511.
33. Istiono W, Claramita M, Ekawati F, et al (2015). Physician′s self-perceived abilities at primary care settings in Indonesia. J Fam Med Prim Care, 4(4):551–8.
34. Annan SF, Higgins LA, Jelleryd E, et al (2022). ISPAD Clinical Practice Consensus Guidelines 2022: Nutritional management in children and adolescents with diabetes. Pediatr Diabetes, 23(8):1297–321.
35. Hood KK, Iturralde E, Rausch J, Weissberg-Benchell J (2018). Preventing diabetes distress in adolescents with type 1 diabetes: Results 1 year after participation in the STePS program. Diabetes Care, 41(8):1623–30.
36. Lawton J, Blackburn M, Allen J, et al (2018). Patients’ and caregivers’ experiences of using continuous glucose monitoring to support diabetes self-management: Qualitative study. BMC Endocr Disord, 18(1):1–10.
37. Ying L, Ma F, Huang H, et al (2015). Parental monitoring, parent-adolescent communication, and adolescents’ trust in their parents in China. PLoS One, 10(8):1–9.
38. Gonzalez, Jeffrey S, Tanenbaum, et al (2016). Psychosocial Factors in Medication Adherence and Diabetes Self-Management: Implications for Research and Practice. Am Psychol, 71(7):539–51.
39. Ingrosso DMF, Primavera M, Samvelyan S, et al (2023). Stress and Diabetes Mellitus: Pathogenetic Mechanisms and Clinical Outcome. Horm Res Paediatr, 96(1):34–43.
40. Tuohy E, Rawdon C, Gallagher P, et al (2019). Children and young people’s experiences and perceptions of self-management of type 1 diabetes: A qualitative meta-synthesis. Heal Psychol Open, 6(2):1–24.
41. Whittemore R, Zincavage RM, Jaser SS, et al (2018). Development of an eHealth program for parents of adolescents with type 1 diabetes. Diabetes Educ, 44(1):72–82.
42. Sari Y, Isworo A, Upoyo AS, et al (2021). The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia. Health Qual Life Outcomes, 19(1):1–10.
43. Pringle J, Doi L, Jindal-Snape D, et al (2018). Adolescents and health-related behavior: Using a framework to develop interventions to support positive behaviors. Pilot Feasibility Stud, 4(1):1–10.
44. Varni JW, Delamater AM, Hood KK, et al (2018). PedsQL 3.2 Diabetes module for children, adolescents, and young adults: Reliability and validity in type 1 diabetes. Diabetes Care, 41(10):2064–71.
| Files | ||
| Issue | Vol 52 No 7 (2023) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i7.13234 | |
| Keywords | ||
| Diabetes mellitus Adolescent Family support Self-efficacy Self-management | ||
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How to Cite
1.
Prasetyawati A, Probandari A, Claramita M, Julia M. What Are the Various Comprehensive Treatment Models to Improve Self-Efficacy and Self-Management in Adolescents with Diabetes Mellitus? A Scoping Review. Iran J Public Health. 2023;52(7):1320-1333.
