Abstract
Diabetes incurs heavy personal and health system costs. Self-management is required if complications are to be avoided. Adolescents face particular challenges as they learn to take responsibility for their diabetes. A systematic review of educational and psychosocial programmes for adolescents with diabetes was undertaken. This aimed to: identify and categorise the types of programmes that have been evaluated; assess the cost-effectiveness of interventions; identify areas where further research is required. Sixty-two papers were identified and subjected to a narrative review. Generic programmes focus on knowledge/skills, psychosocial issues, and behaviour/self-management. They result in modest improvements across a range of outcomes but improvements are often not sustained, suggesting a need for continuous support, possibly integrated into normal care. In-hospital education at diagnosis confers few advantages over home treatment. The greatest returns may be obtained by targeting poorly controlled individuals. Few studies addressed resourcing issues and robust cost-effectiveness appraisals are required to identify interventions that generate the greatest returns on expenditure.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Patient Education and Counseling |
| Vol/bind | 53 |
| Udgave nummer | 3 |
| Sider (fra-til) | 333-346 |
| Antal sider | 14 |
| ISSN | 0738-3991 |
| DOI | |
| Status | Udgivet - 1 jun. 2004 |
FN’s Verdensmål
Dette resultat bidrager til følgende verdensmål
