Review of family-centered interventions to enhance the health outcomes of children with type 1 diabetes

Diabetes Educ. May-Jun 2009;35(3):428-38. doi: 10.1177/0145721709332814. Epub 2009 Mar 19.


Purpose: The purpose of this systematic literature review was to examine family-centered interventions that enhance the health outcomes of children with type 1 diabetes. The review summarizes the interventions and outcome measures that consisted of A1Cs, family relationships, and family conflict.

Methods: Multiple electronic databases were searched from their start date to September 2008 for reports of studies that examined family-centered interventions among children with type 1 diabetes.

Results: Nine publications, all randomized controlled trials, were located that investigated the effectiveness of family-centered interventions. Findings indicated that family-centered interventions significantly improved A1Cs, enhanced family dynamics, and decreased family conflict.

Conclusions: Family-centered interventions targeting children diagnosed with type 1 diabetes appear to be effective in enhancing health outcomes. These interventions focused on traditional 2-parent families, and many did not report race or ethnicity. Given the increasing number of single-parent households and divorced parents, a need exists to explore and develop family-centered interventions that target nontraditional family structures as well as addressing cultural differences.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Behavior Therapy*
  • Child
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / rehabilitation*
  • Family*
  • Humans
  • Interpersonal Relations
  • Patient Education as Topic*
  • Randomized Controlled Trials as Topic
  • Self Care*
  • Social Support