Straton Emma, Perkins Amanda, Maya Giselle, White Sydney, Grundman Jody, Hilliard Marisa E, Streisand Randi
Children's National Hospital, 111 Michigan Avenue, NW Washington, Washington, DC, 20010, U.S.A.
The George Washington University School of Medicine, Washington, DC, U.S.A.
Curr Diab Rep. 2025 Aug 12;25(1):44. doi: 10.1007/s11892-025-01601-6.
Health care professionals (HCPs), including physicians, nurse practitioners, nurses, diabetes educators, and dietitians, play a crucial role in recognizing and addressing behavioral and psychosocial concerns as part of comprehensive diabetes care. This review examines HCP-delivered behavioral interventions for youth with type 1 diabetes (T1D), highlighting their structure, outcomes, and opportunities for improvement.
Effective interventions were intensive, personalized, and family-centered, often incorporating motivational interviewing to address individual needs. In contrast, interventions with limited impact faced challenges such as low participation and difficulties maintaining intervention fidelity. HCP-delivered behavioral interventions show promise in improving both glycemic and psychosocial outcomes, yet barriers remain. Enhancing HCP training, intervention personalization, clinical integration, fidelity strategies, sustainability, accessibility, and interdisciplinary collaboration can strengthen future interventions. Refining these approaches will help optimize diabetes care, improve quality of life, and ensure more equitable access to behavioral support for youth with T1D and their families.
医疗保健专业人员（包括医生、执业护士、护士、糖尿病教育工作者和营养师）在识别和解决行为及社会心理问题方面发挥着关键作用，这是综合糖尿病护理的一部分。本综述探讨了医疗保健专业人员为1型糖尿病（T1D）青少年提供的行为干预措施，重点介绍了其结构、效果以及改进的机会。
有效的干预措施是密集的、个性化的且以家庭为中心的，通常采用动机性访谈来满足个体需求。相比之下，影响有限的干预措施面临着诸如参与度低和难以维持干预保真度等挑战。医疗保健专业人员提供的行为干预措施在改善血糖和社会心理结果方面显示出前景，但障碍仍然存在。加强医疗保健专业人员培训、干预个性化、临床整合、保真度策略、可持续性、可及性以及跨学科合作可以加强未来的干预措施。完善这些方法将有助于优化糖尿病护理，提高生活质量，并确保为患有T1D的青少年及其家庭提供更公平的行为支持。
