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Behavioral assessment and intervention in pediatric diabetes
1Nemours Children's Clinic, FL, USA.
Behavior Modification
|December 7, 2005
Summary
This review covers behavioral assessment and intervention for pediatric diabetes mellitus. It details common barriers, assessment tools, and evidence-based interventions to improve management and metabolic control in children and adolescents.
Area of Science:
- Behavioral science
- Pediatric endocrinology
- Clinical psychology
Background:
- Diabetes mellitus is a chronic condition requiring lifelong management in children and adolescents.
- Behavioral and psychosocial factors significantly impact adherence to medical regimens and metabolic control.
- Effective management necessitates addressing behavioral barriers alongside medical treatment.
Purpose of the Study:
- To review empirical research on behavioral assessment and intervention methods for pediatric diabetes mellitus.
- To summarize common behavioral challenges and validated assessment approaches.
- To discuss evidence-based behavioral interventions and provide clinical recommendations.
Main Methods:
- Systematic review of empirical research literature.
- Summarization of pathophysiology, medical management, and monitoring of pediatric diabetes.
- Description of behavioral assessment tools and intervention strategies.
Main Results:
- Common behavioral barriers include issues with treatment adherence, diabetes-related fears, avoidance behaviors, and social skills deficits.
- Validated assessment methods exist for adherence, fears, social skills, and stressors.
- Empirically supported interventions target adherence, social skills, coping, family dynamics, anxiety, stress, and weight control.
Conclusions:
- Behavior change specialists play a crucial role in evaluating and intervening in behavioral problems associated with pediatric diabetes.
- A range of evidence-based behavioral interventions can improve diabetes management and metabolic outcomes.
- Clinical practice recommendations are provided for specialists working with pediatric populations with diabetes mellitus.
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