Long-term effects of non-pharmacological interventions in adolescents and young adults with type 1 diabetes: A systematic review and meta-analysis
- Forfatter(e)
- Lee, D., Lee, H., Lee, M., Park, G.
- År
- 2024
- Tidsskrift
- Worldviews on Evidence-Based Nursing
- Sider
- 13
- Kategori(er)
- Livskvalitet og trivselSelvfølelse og selvtillit Somatisk sykdom (inkl. smertetilstander)
- Tiltakstype(r)
- Psykoedukative tiltak (inkl. videobasert modellæring)E-helsetiltak (spill, internett, telefon)
- Abstract
Background: Consistent diabetes control is crucial for patients with type 1 diabetes (T1D) to prevent diabetic complications. Analyzing the long-term effects of non-pharmacological interventions can improve diabetes management.
Aim: To examine the long-term effects of non-pharmacological interventions in adolescents and young adults with T1D through a systematic review and meta-analysis of randomized controlled trials (RCTs).
Methods: The searches, without any year limitations, were conducted in seven databases. Two reviewers independently performed data extraction and risk of bias assessments. The meta-analysis was conducted using the RevMan 5.4 program and R Studio. The study was registered with PROSPERO (CRD42024503185).
Results: A total of 40 studies were included in the systematic review, of which 28 were included in the meta-analysis. Notably, non-pharmacological interventions were effective in improving glycated hemoglobin (HbA1c) at 6 months and self-care at >12 months of follow-up. Subgroup analyses revealed that combined interventions encompassing self-care behavior management, education, and psychological interventions could enhance self-care. Additionally, a combination of face-to-face and telephonic communication was effective in improving HbA1c.