Hilliard Marisa E, Powell Priscilla W, Anderson Barbara J
Department of Pediatrics.
Am Psychol. 2016 Oct;71(7):590-601. doi: 10.1037/a0040359.
As members of multidisciplinary diabetes care teams, psychologists are well-suited to support self-management among youth with Type 1 diabetes (T1D) and Type 2 diabetes (T2D) and their families. Psychological and behavioral interventions can promote adherence to the complex and demanding diabetes care regimen, with the goals of promoting high quality of life, achieving optimal glycemic control, and ultimately preventing disease-related complications. This article reviews well-researched contemporary behavioral interventions to promote optimal diabetes family- and self-management and health outcomes in youth with T1D, in the context of key behavioral theories. The article summarizes the evidence base for established diabetes skills training programs, family interventions, and multisystemic interventions, and introduces emerging evidence for technology and mobile health interventions and health care delivery system interventions. Next steps in behavioral T1D intervention research include tailoring interventions to meet individuals' and families' unique needs and strengths, and systematically evaluating cost-effectiveness to advocate for dissemination of well-developed interventions. Although in its infancy, this article reviews observational and intervention research for youth with T2D and their families and discusses lessons for future research with this population. Interventions for youth with T2D will need to incorporate family members, consider cultural and family issues related to health behaviors, and take into account competing priorities for resources. As psychologists and behavioral scientists, we must advocate for the integration of behavioral health into routine pediatric diabetes care in order to effectively promote meaningful change in the behavioral and medical well-being of youth and families living with T1D and T2D. (PsycINFO Database Record
作为多学科糖尿病护理团队的成员，心理学家非常适合支持1型糖尿病（T1D）和2型糖尿病（T2D）青少年及其家庭的自我管理。心理和行为干预可以促进对复杂且要求严格的糖尿病护理方案的依从性，目标是提高生活质量、实现最佳血糖控制，并最终预防与疾病相关的并发症。本文在关键行为理论的背景下，回顾了经过充分研究的当代行为干预措施，以促进T1D青少年的最佳糖尿病家庭和自我管理以及健康结果。文章总结了既定糖尿病技能培训项目、家庭干预和多系统干预的证据基础，并介绍了技术和移动健康干预以及医疗保健提供系统干预的新证据。行为T1D干预研究的下一步包括调整干预措施以满足个人和家庭的独特需求及优势，并系统评估成本效益，以倡导推广完善的干预措施。尽管尚处于起步阶段，但本文回顾了针对T2D青少年及其家庭的观察性和干预性研究，并讨论了针对该人群未来研究的经验教训。针对T2D青少年的干预措施需要纳入家庭成员，考虑与健康行为相关的文化和家庭问题，并考虑资源的竞争优先级。作为心理学家和行为科学家，我们必须倡导将行为健康纳入常规儿科糖尿病护理，以便有效促进患有T1D和T2D的青少年及其家庭在行为和医疗福祉方面的有意义改变。（PsycINFO数据库记录）
