Psychosocial factors of adherence in pediatric Type 1 diabetes patients at different developmental stages: A literature review

Abstract

Poor adherence is common in children with Type 1 diabetes mellitus. A literature review was conducted to examine psychosocial factors affecting adherence in children with Type 1 diabetes and clarify the differences in these factors during different developmental stages. The eligibility criteria for inclusion in the review were met by 27 articles. As a result of comparison by age group, in childhood and elementary school, the parent's psychosocial factors are the main factors. In junior and senior high school students, the child's cognitive and emotional factors become more important, and the parent-child interaction and the parent's involvement in the treatment behavior also affects adherence. Supports that take into account these differences are needed.