THEORETICAL REVIEW OF THE STRATEGIES

Theoretical Review of the Strategies

Theoretical Review of the Strategies

Plan

A major public health trend of the decade of 1990 was to focus on the health status and health-related quality of life outcomes.1, 2 work in the field of diabetes treatment and research during this time gave examples of this approach, 3 and much research has benefited, both directly and indirectly, many of these principles studies.4-6 is in the spirit of this approach in the health and quality of life, along with previous studies, which many current efforts to review, understand and develop interventions to promote the results of physical and psychological health are carried out. pediatric diabetes is no exception, with at least three full reports published since 2000 on the effectiveness of behavioral interventions designed to optimize health outcomes in children and adolescents with type 1 diabetes diabetes.7-9

Hampson et al. 7 conducted a meta-analysis to determine that behavioral interventions are effective in promoting psychosocial, metabolic, self-management, diabetes knowledge and results. His rigorous statistical approach outlined some treatments, particularly those with a theoretical foundation, which offers more promise in terms of psychological and physiological outcomes.10-12 also were able to provide a quantitative analysis of public health impact of these interventions through use of RE-AIM framework.13 However, their overall conclusion about behavioral interventions for adolescents with type 1 diabetes was offered by small and medium beneficial effects through these results.

Northam et al.8 provide a comprehensive review of the literature on behavioral interventions for children and adolescents with type 1 diabetes in psychological and metabolic outcomes. They noted that most interventions are some technical aspects of psycho-educational or cognitive-behavioral and ultimate goal to promote behavioral change related to diabetes management. However, most use non-standard interventions specific to a study involving multiple components, making it difficult to draw conclusions across studies.

Finally, a recent systematic review and meta-analysis9 in order to identify the effectiveness of psychological interventions on metabolic outcomes concluded that interventions generally psychological in children and adolescents with diabetes show evidence of weak but significant to improve health outcomes. These authors also noted that psychological outcomes are improved in the few studies that included measures of these constructs.

Although these three reports are different approaches to the review of the effectiveness, vary in their approaches to the review itself, and include studies with different methodological limitations, a singular item appears on the status of behavioral interventions in children and adolescents with diabetes Type 1: Although it is promising evidence of effectiveness, there is still much work to do. Given that this issue will probably ask for more research and more refined methods of treatment, is positive. However, the global nature of such reviews (ie, review of treatment packs and synthesis of results in all approaches) offers conclusions that are generally insufficient to guide clinicians and researchers to the components optimal intervention or approaches. Therefore, the aim of this paper to re-examine and integrate the results of three previous reviews, focusing on the use of their findings suggest that the ...