Review of Health Care Professional-Delivered Behavioral Interventions for Youth with Type 1 Diabetes

Document Type

Journal Article

Publication Date

8-12-2025

Journal

Current diabetes reports

Volume

25

Issue

1

DOI

10.1007/s11892-025-01601-6

Keywords

Adolescents; Behavioral intervention; Health care professionals; Type 1 diabetes; Youth

Abstract

PURPOSE OF REVIEW: 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. RECENT FINDINGS: 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.

Department

Pediatrics

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