The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
Adherence challenges in the management of type 1 diabetes in adolescents: prevention and intervention
Open accessAbstract
PURPOSE OF REVIEW: Despite the availability of effective therapies, adolescents with type 1 diabetes demonstrate poorer adherence to treatment regimens compared with other pediatric age groups. Nonadherence is tightly linked to suboptimal glycemic control, increasing morbidity, and risk for premature mortality. This article will review barriers to adherence and discuss interventions that have shown promise in improving outcomes for this population. RECENT FINDINGS: Adolescents face numerous obstacles to adherence, including developmental behaviors, flux in family dynamics, and perceived social pressures, which compound the relative insulin resistance brought on by pubertal physiology. Some successful interventions have relied on encouraging nonjudgmental family support in the daily tasks of blood glucose monitoring and insulin administration. Other interventions overcome these barriers through the use of motivational interviewing and problem-solving techniques, flexibility in dietary recommendations, and extending provider outreach and support with technology. SUMMARY: Effective interventions build on teens' internal and external supports (family, technology, and internal motivation) in order to simplify their management of diabetes and provide opportunities for the teens to share the burdens of care. Although such strategies help to minimize the demands placed upon teens with diabetes, suboptimal glycemic control will likely persist for the majority of adolescents until technological breakthroughs allow for automated insulin delivery in closed loop systems.
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Cites
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Self-citationRelationship of Depression and Diabetes Self-Care, Medication Adherence, and Preventive Care
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Cited by
Lowenthal, E. D., Bakeera-Kitaka, S., Marukutira, T., Chapman, J., Goldrath, K., & Ferrand, R. A. (2014) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(13)70363-3 · Cited by 466
Henry, R. R., Thakkar, P., Tong, C., Polidori, D., & Alba, M. (2015) · Diabetes Care · doi:10.2337/dc15-1730 · Cited by 285
Insulin-pump therapy for type 1 diabetes mellitus
Pickup, J. C. (2012) · New England Journal of Medicine · doi:10.1056/nejmct1113948 · Cited by 270
Hanauer, D. A., Wentzell, K., Laffel, N., & Laffel, L. M. (2009) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2008.0022 · Cited by 261
Self-citationRosenberg, A. R., Yi-Frazier, J. P., Eaton, L., Wharton, C., Cochrane, K., Pihoker, C., Baker, K. S., & McCauley, E. (2015) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsv004 · Cited by 179
Metadata
- Authors
- Borus, J. S., & Laffel, L.
- Venue
- Current Opinion in Pediatrics
- Published
- 2010-08
- Volume
- 22
- Issue
- 4
- Pages
- 405-411
- ISSN
- 1040-8703 (ISSN-L)
- OpenAlex
- W2110218771
- Cited by
- 353
- References
- 54
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- green
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
