Psychoeducational Interventions in Children and Adolescents with Type-1 Diabetes: A Systematic Review

  1. Bárbara Luque
  2. Joaquín Villaécija
  3. Rosario Castillo-Mayén
  4. Esther Cuadrado
  5. Sebastián Rubio
  6. Carmen Tabernero
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2022

Volumen: 33

Número: 1

Páginas: 35-43

Tipo: Artículo

DOI: 10.5093/CLYSA2022A4 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

Hay dudas acerca de la efectividad de las intervenciones psicoeducativas en menores y adolescentes con diabetes tipo 1, motivo por el cual se realizó una revisión sistemática de acuerdo con el protocolo PRISMA. Se analizaron distintas bases de datos (Pubmed, Cochrane, PsycINFO y PsyARTICLES) con los siguientes criterios de inclusión: artículos de los últimos diez años, con población con diabetes tipo 1 de edades comprendidas entre los 6 y 18 años que hubieran participado en cualquier intervención psicoeducativa. Se revisaron 20 estudios y los resultados mostraron una mejora en la hemoglobina glicosilada, en el conocimiento de la enfermedad y en algunas variables psicosociales tras estas intervenciones. Las características que parecen estar detrás del éxito de estas intervenciones psicoeducativas son el diseño adecuado a las características de la población, la participación de profesionales de la psicología y de la educación, la continuidad del programa en el tiempo y el uso de herramientas digitales y otras estrategias de interacción. Se destaca la necesidad de realizar más estudios y que sean replicados en diferentes grupos de menores y adolescentes.

Información de financiación

Funding: This study was supported by the Spanish Ministry of Science, Innovation and University via a doctoral FPU grant to the second author (FPU18/04504), and was developed while a project was financially supported by the same public organization (PID2019-107304RB-I00), in which the main researchers are co-authors of the paper.

Financiadores

Referencias bibliográficas

  • *Abolfotouh, M. A., Kamal, M. M., El-Bourgy, M. D., & Mohamed, S. G. (2011). Quality of life and glycemic control in adolescents with type 1 diabetes and the impact of an education intervention. International Journal of General Medicine, 4, 141-152. https://doi.org/10.2147/IJGM.S16951
  • *Altundag, S., & Bayat, M. (2016). Peer interaction and group education for adaptation to disease in adolescents with type 1 diabetes mellitus. Pakistan Journal of Medical Sciences, 32(4), 1010-1014. https://doi. org/10.12669/pjms.324.9809
  • American Diabetes Association (ADA, 2020). Diabetes type 1 complications. https://www.diabetes.org/diabetes/complications
  • Armour, T. A., Norris, S. L., Jack, L., Zhang, X., & Fisher L. (2005). The effectiveness of family interventions in people with diabetes mellitus: A systematic review. Diabetic Medicine, 22(10), 1295-1305. https:// doi.org/10.1111/j.1464-5491.2005.01618.x
  • Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman. Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., Kolb, L. E., LavinTompkins, J. M., McLeod, J., Maryniuk, M., Mensing, C., Orzeck, E. A., Pope, D. D., Pulizzi, J. L., Reed, A. A, … Wang, J. (2017). 2017 National standards for diabetes self-management education and support. Diabetes Care, 40(10), 1409-1419. https://doi.org/10.2337/dci17-0025
  • Bilbao-Cercós, A., Beniel-Navarro, D., Pérez-Marín, M., Montoya-Castilla, I., Alcón-Sáez, J. J., & Prado-Gascó, V. J. (2014). El autoconcepto y la adaptación a la enfermedad en pacientes diabéticos pediátricos. Clínica y Salud, 25(1), 57-65. https://doi.org/10.5093/cl2014a5
  • Bonoto, B. C., de Araújo, V. E., Godói, I. P., de Lemos, L. L., Godman, B., Bennie, M., Diniz, L. M., & Junior, A. A. (2017). Efficacy of mobile Apps to support the care of patients with diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. JMIR mHealth and uHealth, 5(3), e4. https://doi.org/10.2196/mhealth.6309
  • *Brorsson, A. L., Leksell, J., Andersson-Franko, M., & Lindholm-Olinder, A. (2019). A person-centered education for adolescents with type 1 diabetes-A randomized controlled trial. Pediatric Diabetes, 20(7), 986- 996. https://doi.org/10.1111/pedi.12888
  • Bueno, J. M., Marco, M. D., Leal, A., Orozco, D., & Mira, J. J. (1993). An evaluation study of a scale of diabetological education in primary care. Atención Primaria, 11(7), 344-348.
  • Cajal, B., Jiménez, R., Gervilla, E., & Montaño, J. J. (2020). Doing a systematic review in health sciences. Clínica y Salud, 31(2), 77-83. https://doi. org/10.5093/clysa2020a15
  • Charalampopoulos, D., Hesketh, K. R., Amin, R., Paes, V. M., Viner, R. M., & Stephenson, T. (2017). Psycho-educational interventions for children and young people with type 1 diabetes in the UK: How effective are they? A systematic review and meta-analysis. PLoS One, 12(6), e0179685. https://doi.org/10.1371/journal.pone.0179685
  • *Christie, D., Thompson, R., Sawtell, M., Allen, E., Cairns, J., Smith, F., Jamieson, E., Hargreaves, K., Ingold, A., Brooks, L., Wiggins, M., Oliver, S., Jones, R., Elbourne, D., Santos, A., Wong, I. C. K., O’Neil, S., Strange, V., Hindmarsh, P., … Viner, R. M. (2016). Effectiveness of a structured educational intervention using psychological delivery methods in children and adolescents with poorly controlled type 1 diabetes: A cluster-randomized controlled trial of the CASCADE intervention. BMJ Open Diabetes Research & Care, 4(1), e000165. https://doi.org/10.1136/ bmjdrc-2015-000165
  • DeShazo, J., Harris, L., & Pratt, W. (2010). Effective intervention or child’s play? A review of video games for diabetes education. Diabetes Technology & Therapeutics, 12(10), 815-822. https://doi.org/10.1089/dia.2010.0030
  • *Emiliana, P., Agustini, N., Allenidekania, & Rustina, Y. (2019). A preliminary study on “PRISMA” education in improving self-management and level of compliance in children with type-1 diabetes mellitus. Comprehensive Child and Adolescent Nursing, 42(sup1), 115-121. https://doi.org/10.1080/24694193.2019.1578432
  • *García-Pérez, L., Perestelo-Pérez, L., Serrano-Aguilar, P., & Del Mar TrujilloMartín, M. (2010). Effectiveness of a psychoeducative intervention in a summer camp for children with type 1 diabetes mellitus. The Diabetes Educator, 36(2), 310–317. https://doi.org/10.1177/0145721710361784
  • *Grey, M., Whittemore, R., Jeon, S., Murphy, K., Faulkner, M. S., Delamater, A., & TeenCope Study Group (2013). Internet psycho-education programs improve outcomes in youth with type 1 diabetes. Diabetes Care, 36(9), 2475-2482. https://doi.org/10.2337/dc12-2199
  • 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(8), e175. https://doi.org/10.2196/jmir.2425
  • *Hawkes, C. P., Willi, S. M., & Murphy, K. M. (2019). A structured 1-year education program for children with newly diagnosed type 1 diabetes improves early glycemic control. Pediatric Diabetes, 20(4), 460-467. https://doi.org/10.1111/pedi.12849
  • *Hood, K. K., 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), 1623-1630. https://doi.org/10.2337/dc17-2556
  • *Iafusco, D., Galderisi, A., Nocerino, I., Cocca, A., Zuccotti, G., Prisco, F., & Scaramuzza, A. (2011). Chat line for adolescents with type 1 diabetes: A useful tool to improve coping with diabetes: a 2-year follow-up study. Diabetes Technology & Therapeutics, 13(5), 551-555. https:// doi.org/10.1089/dia.2010.0188
  • Ingersoll, G. M., & Marrero, D. G. (1991). A modified quality-of-life measure for youths: Psychometric properties. The Diabetes Educator, 17(2), 114-118. https://doi.org/10.1177/014572179101700219
  • International Diabetes Federation (IDF, 2019). IDF diabetes atlas (9th ed.). https://www.diabetesatlas.org
  • *Jaser, S. S., Whittemore, R., Choi, L., Nwosu, S., & Russell, W. E. (2019). Randomized trial of a positive psychology intervention for adolescents with type 1 diabetes. Journal of Pediatric Psychology, 44(5), 620-629. https://doi.org/10.1093/jpepsy/jsz006
  • Jenhani, M., Gaha, K., Nabouli, R., Ghedira, A., & Abdelaziz, A. (2005). Effectiveness of patient education on glycemic control in insulin treated patients in general practice. Diabetes & Metabolism, 31(4), 376-381. https://doi.org/10.1016/S1262-3636(07)70207-0
  • Johnson, B., Norman, P., Sanders, T., Elliott, J., Whitehead, V., Campbell, F., Hammond, P., Ajjan, R., & Heller, S. (2019). Working with insulin, carbohydrates, ketones and exercise to manage diabetes (WICKED): Evaluation of a self-management course for young people with type 1 diabetes. Diabetic Medicine, 36(11), 1460-1467. https://doi. org/10.1111/dme.14077
  • *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(2), 142-150. https://doi.org/10.1111/ pedi.12065
  • Kazemi, S., Parvizy, S., Atlasi, R., & Baradaran, H. R. (2016). Evaluating the effectiveness of peer-based intervention in managing type I diabetes mellitus among children and adolescents: A systematic review. Medical Journal of the Islamic Republic of Iran, 30, 442.
  • Liu, F., Guan, Y., Li, X., Xie, Y., He, J., Zhou, Z. G., & Li, L. (2020). Different effects of structured education on glycemic control and psychological outcomes in adolescent and adult patients with type 1 diabetes: A systematic review and meta-analysis. International Journal of Endocrinology, 2020, e9796019. https://doi.org/10.1155/2020/9796019
  • *Mauri, A., Schmidt, S., Sosero, V., Sambataro, M., Nollino, L., Fabris, F., Corò, A., Scantamburlo, A., Marcon, M. L., Cazziola-Merlotto, M., Ciani, T., Tessarin, M., & Paccagnella, A. (2017). A structured therapeutic education program for children and adolescents with type 1 diabetes: An analysis of the efficacy of the “Pediatric Education for Diabetes” project. Minerva Pediatrics, 73(2), 159-166. https://doi.org/10.23736/ S0026-4946.17.04634-5
  • McCaul, K. D., Glasgow, R. E., & Schafer, L. C. (1987). Diabetes regimen behaviors. Predicting adherence. Medical Care, 25(9), 868-881. https:// doi.org/10.1097/00005650-198709000-00005
  • Menezes, M. M., Lopes, C. T., & Nogueira, L. (2016). Impact of educational interventions in reducing diabetic complications: A systematic review. Revista Brasileira de Enfermagem, 69(4), 773-784. https://doi. org/10.1590/0034-7167.2016690422i
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi. org/10.1371/journal.pmed.1000097
  • Murphy, H. R., Rayman, G., & Skinner, T. C. (2006). Psycho-educational interventions for children and young people with type 1 diabetes. Diabetic Medicine, 23(9), 935-943. https://doi.org/10.1111/j.1464- 5491.2006.01816.x
  • *Murphy, H. R., Wadham, C., Hassler-Hurst, J., Rayman, G., Skinner, T. C., & Families and Adolescents Communication and Teamwork Study (FACTS) Group (2012). Randomized trial of a diabetes self-management education and family teamwork intervention in adolescents with type 1 diabetes. Diabetic Medicine, 29(8), e249-e254. https://doi. org/10.1111/j.1464-5491.2012.03683.x
  • Pals, R. A. S., Skinner, T., Velasco, E. R., & Grabowski, D. (2020). The role of theories in interventions targeting preteens with type 1 diabetes: A critical literature review. Child: Care, Health and Development, 46(2), 155-174. https://doi.org/10.1111/cch.12730
  • Papalia, D., & Martorell, G. (2017). Desarrollo humano [Human development]. McGraw Hill Education.
  • *Petrovski, G., & Zivkovic, M. (2017). Impact of Facebook on glucose control in type 1 diabetes: A three-year cohort study. JMIR diabetes, 2(1), e9. https://doi.org/10.2196/diabetes.7693
  • Portilla del Cañal, L., & Jo, A. S. (1995). Construcción y validación de un cuestionario para evaluar la respuesta adaptativa a la enfermedad en pacientes diabéticos. Revista Cubana de Psicología, 12(3), 193-201.
  • *Price, K. J., Knowles, J. A., Fox, M., Wales, J. K., Heller, S., Eiser, C., Freeman, J. V., & KICk-OFF Study group (2016). Effectiveness of the kids in control of food (KICk-OFF) structured education course for 11-16 years old with type 1 diabetes. Diabetic Medicine, 33(2), 192-203. https://doi. org/10.1111/dme.12881
  • Rhee, S. Y., Kim, C., Shin, D. W., & Steinhubl, S. R. (2020). Present and future of digital health in diabetes and metabolic disease. Diabetes & Metabolism Journal, 44(6), 819-827. https://doi.org/10.4093/ dmj.2020.0088
  • *Santiprabhob, J., Kiattisakthavee, P., Likitmaskul, S., Chaichanwattanakul, K., Wekawanich, J., Dumrongphol, H., Sriwijitkamol, A., Peerapatdit, T., & Nitiyanant, W. (2012). Glycemic control, quality of life and selfcare behavior among adolescents with type 1 diabetes who attended a diabetes camp. The Southeast Asian Journal of Tropical Medicine and Public Health, 43(1), 172-184.
  • Spanish Diabetes Federation (SDF, 2020). Types of diabetes. https://fedesp. es/diabetes/tipos/#Diabetes_tipo_1
  • Spanish Society of Pediatric Endocrinology (SSPE, 2019). What you should know about diabetes in the pediatric age. https://www.mscbs.gob.es/ organizacion/sns/planCalidadSNS/pdf/excelencia/cuidadospaliativosdiabetes/DIABETES/Lo_que_debes_saber_sobre_la_diabetes_en_la_ edad_pediatrica.pdf
  • Thomas, B. H., Ciliska, D., Dobbins, M., & Micucci, S. (2004). A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing, 1(3), 176-184. https://doi.org/10.1111/j.1524- 475X.2004.04006.x
  • Urzeal , C., Bota, A., Teodorescu, S., Vl iculescu, M., Baker, J. S., & The Kidscreen Group Europe (2020). Quality of life in Romanian children with type 1 diabetes: A cross-sectional survey using an interdisciplinary healthcare intervention. Healthcare, 8(4), 382. https://doi.org/10.3390/ healthcare8040382
  • Varni, J. W., Burwinkle, T. M., Jacobs, J. R., Gottschalk, M., Kaufman, F., & Jones, K. L. (2003). The PedsQL in type 1 and type 2 diabetes: Reliability and validity of the Pediatric Quality of Life Inventory generic core scales and type 1 diabetes module. Diabetes Care, 26(3), 631-637. https://doi.org/10.2337/diacare.26.3.631
  • Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800-812. https://doi.org/10.1097/00005650-200108000-00006
  • *Verbeek, S., Vos, R. C., Mul, D., & Houdijk, M. E. (2011). The influence of an educational program on the HbA(1c)-level of adolescents with type 1 diabetes mellitus: A retrospective study. Journal of Pediatric Endocrinology & Metabolism, 24(1-2), 15-19. https://doi.org/10.1515/ jpem.2011.104
  • *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(8), 1741- 1743. https://doi.org/10.2337/dc10-0019
  • *Whittemore, R., Liberti, L. S., Jeon, S., Chao, A., Minges, K. E., Murphy, K., & Grey, M. (2016). Efficacy and implementation of an Internet psychoeducational program for teens with type 1 diabetes. Pediatric Diabetes, 17(8), 567-575. https://doi.org/10.1111/pedi.12338
  • Winkley, K., Ismail, K., Landau, S., & Eisler, I. (2006). Psychological interventions to improve glycaemic control in patients with type 1 diabetes: Systematic review and meta-analysis of randomised controlled trials. BMJ (Clinical research ed.), 333(7558), 65. https:// doi.org/10.1136/bmj.38874.652569.55
  • Wood, R., & Bandura, A. (1989). Impact of conceptions of ability on selfregulatory mechanisms and complex decision making. Journal of Personality and Social Psychology, 56(3), 407-415. https://doi. org/10.1037//0022-3514.56.3.407
  • World Health Organization (WHO, 2013). Global action plan for the prevention and control of NCDs 2013-2020. https://www.who.int/ publications/i/item/9789241506236
  • World Health Organization (WHO, 2020). Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/ noncommunicable-diseases
  • World Health Organization (WHO, 2021). Diabetes. https://www.who.int/ news-room/fact-sheets/detail/diabetes