Review of Health Care Professional-Delivered Behavioral Interventions for Youth with Type 1 Diabetes.

IF 6.4 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Diabetes Reports Pub Date : 2025-08-12 DOI:10.1007/s11892-025-01601-6

Emma Straton, Amanda Perkins, Giselle Maya, Sydney White, Jody Grundman, Marisa E Hilliard, Randi Streisand

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引用次数: 0

Abstract

Purpose of review: Health care professionals (HCPs), including physicians, nurse practitioners, nurses, diabetes educators, and dietitians, play a crucial role in recognizing and addressing behavioral and psychosocial concerns as part of comprehensive diabetes care. This review examines HCP-delivered behavioral interventions for youth with type 1 diabetes (T1D), highlighting their structure, outcomes, and opportunities for improvement.

Recent findings: Effective interventions were intensive, personalized, and family-centered, often incorporating motivational interviewing to address individual needs. In contrast, interventions with limited impact faced challenges such as low participation and difficulties maintaining intervention fidelity. HCP-delivered behavioral interventions show promise in improving both glycemic and psychosocial outcomes, yet barriers remain. Enhancing HCP training, intervention personalization, clinical integration, fidelity strategies, sustainability, accessibility, and interdisciplinary collaboration can strengthen future interventions. Refining these approaches will help optimize diabetes care, improve quality of life, and ensure more equitable access to behavioral support for youth with T1D and their families.

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卫生保健专业人员对青少年1型糖尿病患者进行行为干预的综述

综述目的：卫生保健专业人员（HCPs），包括医生、执业护士、护士、糖尿病教育者和营养师，在认识和处理行为和社会心理问题方面发挥着至关重要的作用，这些问题是糖尿病综合护理的一部分。本综述研究了hcp为青少年1型糖尿病（T1D）提供的行为干预措施，强调了其结构、结果和改进机会。最近的发现：有效的干预是密集的、个性化的、以家庭为中心的，经常结合动机性访谈来解决个人需求。相比之下，影响有限的干预措施面临着参与度低和难以保持干预保真度等挑战。hcp提供的行为干预在改善血糖和社会心理结果方面显示出希望，但仍然存在障碍。加强HCP培训、干预个性化、临床整合、保真策略、可持续性、可及性和跨学科合作可以加强未来的干预。完善这些方法将有助于优化糖尿病护理，提高生活质量，并确保青少年糖尿病患者及其家庭更公平地获得行为支持。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.