Long‐term effects of non‐pharmacological interventions in adolescents and young adults with type 1 diabetes: A systematic review and meta‐analysis.

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 interventio...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 21; no. 6; pp. 665 - 678
Autores principales: Lee, DaeEun, Lee, Haejung, Lee, Misoon, Park, Gaeun
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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      pub: John Wiley & Sons, Inc.
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        atl: Long‐term effects of non‐pharmacological interventions in adolescents and young adults with type 1 diabetes: A systematic review and meta‐analysis.
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          Lee, DaeEun
          Lee, Haejung
          Lee, Misoon
          Park, Gaeun
        affil: College of Nursing, Pusan National University, Yangsan‐si, South Korea
      sug:
        subj:
          Diabetes Mellitus, Type 1 Therapy
          Diabetes Mellitus, Type 1 Therapy
          Alternative Therapies Methods
          Treatment Outcomes Evaluation
          Human
          Funding Source
          Adolescence
          Adult
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          CINAHL Database
          Software Utilization
          Glycated Hemoglobin Blood
          Self Care
          Telephone Utilization
          Combined Modality Therapy
          Diabetes Mellitus, Type 1 Prevention and Control
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: 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. Linking Evidence to Action: Non‐pharmacological interventions are effective in improving HbA1c levels and self‐care in adolescents and young adults undergoing long‐term treatment. However, few studies have analyzed their effects on cardiovascular disease risk factors. Future studies should investigate the long‐term effects of non‐pharmacological interventions.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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