A review of adolescent adherence in type 1 diabetes and the untapped potential of diabetes providers to improve outcomes.

Abstract:

:Only 21 % of adolescents with type 1 diabetes (T1D) meet glycemic goals set forth by the American Diabetes Association. Adherence to therapy is a particular concern in this population, and the association between poor adherence and worsening glycemic control indicates that there is a critical need to improve adherence to therapy in adolescents with T1D. In this article, we review barriers to adherence in adolescents with T1D and discuss interventions aimed at improving adherence to therapy and glycemic control. Interventions include technology-based applications, family-based therapies, motivational interviewing, and others. Notably, less than 10 % of the interventions reviewed are provider-led, clinic-based interventions, and few have focused on regimen-related aspects of adherence. This article also outlines the importance of provider communication and the role of providers in facilitating adherence behaviors in adolescents with T1D. Finally, we suggest future directions of research to improve adherence to therapy in adolescents with T1D.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Datye KA,Moore DJ,Russell WE,Jaser SS

doi

10.1007/s11892-015-0621-6

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

51

issue

8

eissn

1534-4827

issn

1539-0829

journal_volume

15

pub_type

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