A systematic review of parenting interventions for parents of children with type 1 diabetes.
OBJECTIVE
To summarize the parenting intervention literature for parents of children aged 2-10 years (mean age <10 years) with type 1 diabetes and to evaluate intervention efficacy in improving a range of parent, family and child outcomes. The present review de-emphasizes the traditional medical approach to illness management summarized in previous reviews and focuses on parenting factors identified in the literature as important to diabetes management. This review article is important as it outlines the present state of parenting intervention literature for this population.


METHODS
Electronic searches were conducted for seven databases (Cumulative index to nursing and allied health literature, MEDLINE, PsycINFO, PubMed, Scopus, The Cochrane library and Web of Science) from their start dates until April 2014. Reference lists of all included papers were also searched for potentially relevant articles.


RESULTS
Seven papers, representing six studies, met the inclusion criteria. Three studies primarily focused on improving parenting practices. The intervention programmes described in the remaining studies comprised multiple components; thus, it is difficult to establish the contribution of the parenting components to improving outcomes.


CONCLUSIONS
Parenting interventions may help to improve responsibility sharing and cooperation in diabetes management, child behaviour difficulties, parental behaviour, parents' psychological distress and child health outcomes. This review suggests the need for further well-designed trials of parenting interventions to determine their specific contribution to improving outcomes for this population.
Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia.
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Lohan
Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia.
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Morawska
Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia.
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Mitchell
D015982:Bias; D002648:Child; D002652:Child Behavior; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D015438:Health Behavior; D006801:Humans; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents / Q000523:psychology; D011788:Quality of Life
children; parenting interventions; systematic review; type 1 diabetes