Parenting interventions for parents of children with type 1 diabetes-a systematic review.

IF 2.1 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-09-22 DOI:10.1093/jpepsy/jsaf078

Mandy Jansen, Paul G Voorhoeve, Lianne Wiltink, Judith B Prins, Giesje Nefs

{"title":"Parenting interventions for parents of children with type 1 diabetes-a systematic review.","authors":"Mandy Jansen, Paul G Voorhoeve, Lianne Wiltink, Judith B Prins, Giesje Nefs","doi":"10.1093/jpepsy/jsaf078","DOIUrl":null,"url":null,"abstract":"Objectives: This systematic review (PROSPERO ID: CRD42022356654, AMNR junior research grant) evaluated the effectiveness of parenting interventions in pediatric type 1 diabetes, designed to enhance supportive parenting behaviors, in improving family dynamics, parent-, child-, and diabetes-related outcomes.Methods: We systematically searched PubMed, EMBASE, Cochrane, CINAHL, and PsycINFO for studies from 1980 to February 25, 2025. We included reports of controlled and uncontrolled studies describing quantitative change. Data were synthesized narratively, and intervention content was coded according to a behavioral taxonomy. Risk of bias was assessed using Cochrane's Risk of Bias (2.0) tool and the ROBINS-I tool for controlled and uncontrolled studies, respectively.Results: After screening 12,654 reports, we included 51 studies (across 72 reports) describing findings of 37 unique interventions. Most studies and outcomes had an increased risk of bias. Whereas overall effects were mixed, intensive, targeted interventions had the most impact on psychosocial and diabetes outcomes. Some preventive interventions and, notably, control groups also showed effects, with most promising effects in subgroups. Many preventive intervention studies were underpowered. A diabetes-specific focus seemed necessary, although not sufficient, to affect diabetes outcomes. Several strategies were used to stimulate parents toward changing their own and-ultimately-their children's behavior, although individual components could not be uniquely related to intervention effectiveness.Conclusions: Targeted and preventive parenting interventions serve as a potential, although not exclusive, approach to improve psychosocial and diabetes outcomes. Future research should elucidate which families benefit from parenting interventions compared to other educational or supporting interventions, thereby delineating their essential intervention components.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1093/jpepsy/jsaf078","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This systematic review (PROSPERO ID: CRD42022356654, AMNR junior research grant) evaluated the effectiveness of parenting interventions in pediatric type 1 diabetes, designed to enhance supportive parenting behaviors, in improving family dynamics, parent-, child-, and diabetes-related outcomes.

Methods: We systematically searched PubMed, EMBASE, Cochrane, CINAHL, and PsycINFO for studies from 1980 to February 25, 2025. We included reports of controlled and uncontrolled studies describing quantitative change. Data were synthesized narratively, and intervention content was coded according to a behavioral taxonomy. Risk of bias was assessed using Cochrane's Risk of Bias (2.0) tool and the ROBINS-I tool for controlled and uncontrolled studies, respectively.

Results: After screening 12,654 reports, we included 51 studies (across 72 reports) describing findings of 37 unique interventions. Most studies and outcomes had an increased risk of bias. Whereas overall effects were mixed, intensive, targeted interventions had the most impact on psychosocial and diabetes outcomes. Some preventive interventions and, notably, control groups also showed effects, with most promising effects in subgroups. Many preventive intervention studies were underpowered. A diabetes-specific focus seemed necessary, although not sufficient, to affect diabetes outcomes. Several strategies were used to stimulate parents toward changing their own and-ultimately-their children's behavior, although individual components could not be uniquely related to intervention effectiveness.

Conclusions: Targeted and preventive parenting interventions serve as a potential, although not exclusive, approach to improve psychosocial and diabetes outcomes. Future research should elucidate which families benefit from parenting interventions compared to other educational or supporting interventions, thereby delineating their essential intervention components.

查看原文本刊更多论文

1型糖尿病患儿父母的育儿干预——一项系统综述

目的：本系统综述（PROSPERO ID: CRD42022356654， AMNR青少年研究资助）评估了育儿干预在儿童1型糖尿病中的有效性，旨在增强支持性育儿行为，改善家庭动态、父母、孩子和糖尿病相关结局。方法：我们系统地检索了PubMed、EMBASE、Cochrane、CINAHL和PsycINFO从1980年到2025年2月25日的研究。我们纳入了描述数量变化的对照和非对照研究的报告。数据以叙事方式合成，干预内容按行为分类编码。对对照研究和非对照研究分别使用Cochrane's Risk of bias（2.0）工具和ROBINS-I工具评估偏倚风险。结果：在筛选了12654份报告后，我们纳入了51项研究（72份报告），描述了37种独特干预措施的结果。大多数研究和结果的偏倚风险增加。虽然总体效果好坏参半，但强化、有针对性的干预对心理社会和糖尿病结局的影响最大。一些预防性干预措施，特别是控制组也显示出效果，在亚组中效果最好。许多预防性干预研究的力度不足。对于影响糖尿病的结果来说，专门关注糖尿病似乎是必要的，尽管这还不够。研究人员使用了几种策略来刺激父母改变他们自己的行为，并最终改变他们孩子的行为，尽管个别因素不能唯一地与干预效果相关。结论：有针对性和预防性的父母干预措施是一种潜在的，尽管不是唯一的，改善社会心理和糖尿病结局的方法。未来的研究应该阐明与其他教育或支持性干预相比，哪些家庭从父母干预中受益，从而描绘出它们的基本干预成分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.