Department of Clinical and School Psychology, Nova Southeastern University, USA.
J Pediatr Psychol. 2023 May 20;48(5):428-447. doi: 10.1093/jpepsy/jsad018.
Psychosocial interventions targeting glycemic health in youth with type 1 diabetes (T1D) have been promising. Nonetheless, disparities in T1D treatment and outcomes are pervasive among racially/ethnically minoritized (REM) youth and a systematic review examining the inclusion of REM youth in psychosocial interventions is lacking. Therefore, the present systematic review examined the literature to determine the inclusion of REM youth with T1D in psychosocial interventions.
A systematic literature review was conducted per PRISMA guidelines for psychosocial intervention studies of youth (<19 years) with T1D between 2011 and 2022 using PubMed, PsycINFO, CINAHL, and MedLine. Tables of contents for JPP, CPPP, and Diabetes Care were also reviewed. The date last searched was April 26, 2022. Studies were examined for risk of bias using the QualSyst rating system.
Twenty-four studies met inclusion criteria with a total of 3,117 participants. Studies utilized various psychological interventions (e.g., CBT, MI, behavioral modalities). Seventeen studies reported participants' race/ethnicity and eleven studies included >20% REM youth.
One study examined the impact of interventions on REM youth or whether the intervention reduces existing racial/ethnic disparities. Implications for future research and practice are discussed.
针对 1 型糖尿病（T1D）青少年血糖健康的心理社会干预措施已初见成效。尽管如此，在少数族裔（REM）青少年中，T1D 的治疗和结果仍存在明显差异，而缺乏对 REM 青少年纳入心理社会干预措施的系统评价。因此，本系统评价旨在通过文献回顾，确定 REM 青少年在心理社会干预措施中的纳入情况。
根据 PRISMA 指南，对 2011 年至 2022 年间针对 T1D 青少年（<19 岁）的心理社会干预研究进行了系统文献综述，检索了 PubMed、PsycINFO、CINAHL 和 MedLine。还对 JPP、CCPP 和 Diabetes Care 的目录进行了回顾。最后一次检索日期为 2022 年 4 月 26 日。使用 QualSyst 评分系统评估了研究的偏倚风险。
符合纳入标准的研究共有 24 项，共纳入 3117 名参与者。研究采用了各种心理干预措施（如 CBT、MI、行为模式）。有 17 项研究报告了参与者的种族/民族，有 11 项研究纳入了>20%的 REM 青少年。
有一项研究考察了干预措施对 REM 青少年的影响，或干预措施是否减少了现有的种族/民族差异。讨论了对未来研究和实践的影响。
