Journal of Pediatric Perspectives

Journal of Pediatric Perspectives

Family-Centered Interventions to Enhance Self-Management Among Children and Adolescents with Type 1 Diabetes: A Systematic Review

Articles in Press

Document Type : systematic review

Authors
Maryam Nakhaee Moghadam 1
Jalal Nourmohammadi 2
Fateme Mir 3
Elham Shafighi Shahri 4
1 Children and Adolescents Health Research Center, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.
2 Student Research Committee, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
3 Pediatrics Department, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
4 Children and Adolescents Health Research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran.
10.22038/jpp.2026.97393.5709
Abstract
Background: Family-centered care has emerged as a key strategy for supporting self-management in children and adolescents with type 1 diabetes (T1D). However, evidence regarding the effectiveness and core components of family-centered interventions remains fragmented. This systematic review synthesized current evidence on interventions designed to enhance self-management in pediatric T1D.
Methods: A systematic review was conducted following the PRISMA 2020 guidelines. Five electronic databases (PubMed, Scopus, Web of Science, Embase, and Google Scholar) were searched for English-language studies published between 2010 and 2026. Eligible studies evaluated family-centered interventions targeting self-management among children and adolescents with T1D. Study quality was assessed using the Cochrane Risk of Bias 2 tool, the Newcastle–Ottawa Scale, and the Critical Appraisal Skills Programme checklist, as appropriate.
Results: Thirty-three studies met the eligibility criteria. The evidence consistently demonstrated that family-centered interventions improved self-management by promoting shared responsibility, developmentally appropriate autonomy, family-based diabetes education, psychosocial support, and collaborative problem-solving. Behavioral strategies, multidisciplinary care, and technology-assisted family engagement further strengthened treatment adherence, glycemic control, self-efficacy, quality of life, and family functioning. Intervention effectiveness was influenced by developmental, cultural, and socioeconomic factors.
Conclusion: Family-centered interventions represent an effective approach to improving self-management and related clinical and psychosocial outcomes in children and adolescents with T1D. Integrating educational, behavioral, psychosocial, and technological strategies within routine family-centered diabetes care may enhance long-term disease management. Future high-quality longitudinal studies are needed to determine the most effective and sustainable intervention models across diverse healthcare settings.
Keywords
Adolescents
Children
Family-centered care
Self-management
Type 1 diabetes
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Journal of Pediatric Perspectives

Articles in Press, Accepted Manuscript
Available Online from 26 July 2026