Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review
Non-adherence to insulin treatment is common in adolescents and young adults (AYAs) with type 1 diabetes (T1D) and is associated with increased morbidity and mortality. However, the socio-cognitive determinants (SCDs) of adherence in AYAs with T1D are less frequently represented in systematic review...
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Termedia Publishing House
2025-01-01
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| Series: | Health Psychology Report |
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| Online Access: | https://hpr.termedia.pl/Socio-cognitive-determinants-affecting-insulin-adherence-non-adherence-in-late-adolescents,194439,0,2.html |
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| author | Hanan AlBurno Francine Schneider Hein de Vries Dabia Al Mohanadi Stefan Jongen Liesbeth Mercken |
| author_facet | Hanan AlBurno Francine Schneider Hein de Vries Dabia Al Mohanadi Stefan Jongen Liesbeth Mercken |
| author_sort | Hanan AlBurno |
| collection | DOAJ |
| description | Non-adherence to insulin treatment is common in adolescents and young adults (AYAs) with type 1 diabetes (T1D) and is associated with increased morbidity and mortality. However, the socio-cognitive determinants (SCDs) of adherence in AYAs with T1D are less frequently represented in systematic reviews. This systematic review aimed to investigate the key SCDs associated with adherence/non-adherence to insulin treatment in AYAs in the age range of 17-24 years with T1D. A systematic review in PubMed, Embase, Web of Science, and PsycINFO was conducted. The search took place from 2021, to January 1st, 2022, and was repeated on June 5-7, 2022 and from July 18 to July 24, 2023. The methodological quality of stud-ies was assessed by the National Heart, Lung, and Blood Institute quality assessment tool for observational cohort and cross-sectional studies. Six articles representing 973 AYAs with T1D were included for data extraction. The identified SCDs included risk perceptions, attitude, family and friends’ social support, self-efficacy, and information factors. However, there was inconsistency in correlational findings among studies. The identified SCDs influencing insulin adherence in AYAs with T1D could serve as targets for patients’ consultations and tailored interventions to improve adherence and overall health outcomes, as well as for policymakers to integrate these interventions into diabetes care planning. However, further research in the area of factors affecting insulin adherence in quality-designed studies that use detailed and comprehensive measures for assessing adherence is needed. |
| format | Article |
| id | doaj-art-e9e8e080c21846858e2b20d04c8d9cc6 |
| institution | OA Journals |
| issn | 2353-4184 2353-5571 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Health Psychology Report |
| spelling | doaj-art-e9e8e080c21846858e2b20d04c8d9cc62025-08-20T01:50:42ZengTermedia Publishing HouseHealth Psychology Report2353-41842353-55712025-01-0113112610.5114/hpr/194439194439Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic reviewHanan AlBurno0https://orcid.org/0000-0001-7820-5629Francine Schneider1https://orcid.org/0000-0001-5901-6267Hein de Vries2https://orcid.org/0000-0002-3640-2517Dabia Al Mohanadi3https://orcid.org/0000-0002-6967-6047Stefan Jongen4https://orcid.org/0000-0002-9798-651XLiesbeth Mercken5https://orcid.org/0000-0002-5719-7647Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsDepartment of Endocrinology and Diabetes, Hamad General Hospital, Doha, QatarFaculty of Science and Engineering, Maastricht University, Maastricht, NetherlandsDepartment of Health Psychology, Open University of the Netherlands, Heerlen, NetherlandsNon-adherence to insulin treatment is common in adolescents and young adults (AYAs) with type 1 diabetes (T1D) and is associated with increased morbidity and mortality. However, the socio-cognitive determinants (SCDs) of adherence in AYAs with T1D are less frequently represented in systematic reviews. This systematic review aimed to investigate the key SCDs associated with adherence/non-adherence to insulin treatment in AYAs in the age range of 17-24 years with T1D. A systematic review in PubMed, Embase, Web of Science, and PsycINFO was conducted. The search took place from 2021, to January 1st, 2022, and was repeated on June 5-7, 2022 and from July 18 to July 24, 2023. The methodological quality of stud-ies was assessed by the National Heart, Lung, and Blood Institute quality assessment tool for observational cohort and cross-sectional studies. Six articles representing 973 AYAs with T1D were included for data extraction. The identified SCDs included risk perceptions, attitude, family and friends’ social support, self-efficacy, and information factors. However, there was inconsistency in correlational findings among studies. The identified SCDs influencing insulin adherence in AYAs with T1D could serve as targets for patients’ consultations and tailored interventions to improve adherence and overall health outcomes, as well as for policymakers to integrate these interventions into diabetes care planning. However, further research in the area of factors affecting insulin adherence in quality-designed studies that use detailed and comprehensive measures for assessing adherence is needed.https://hpr.termedia.pl/Socio-cognitive-determinants-affecting-insulin-adherence-non-adherence-in-late-adolescents,194439,0,2.htmlsystematic reviewtype 1 diabetessocio-cognitive determinantsinsulin adherence and non-adherenceadolescents and young adults |
| spellingShingle | Hanan AlBurno Francine Schneider Hein de Vries Dabia Al Mohanadi Stefan Jongen Liesbeth Mercken Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review Health Psychology Report systematic review type 1 diabetes socio-cognitive determinants insulin adherence and non-adherence adolescents and young adults |
| title | Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review |
| title_full | Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review |
| title_fullStr | Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review |
| title_full_unstemmed | Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review |
| title_short | Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review |
| title_sort | socio cognitive determinants affecting insulin adherence non adherence in late adolescents and young adults with type 1 diabetes a systematic review |
| topic | systematic review type 1 diabetes socio-cognitive determinants insulin adherence and non-adherence adolescents and young adults |
| url | https://hpr.termedia.pl/Socio-cognitive-determinants-affecting-insulin-adherence-non-adherence-in-late-adolescents,194439,0,2.html |
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