Recent Developments

1 The National Health Service in the United Kingdom recently commissioned a review of educational and psychological interventions for adolescents with diabetes.4 This was to determine if there were interventions which were effective in improving biological or psychosocial outcomes. Sixty-two studies were included, which examined interventions such as learning social and coping skills, individual and family therapy, learning problem-solving skills and diabetes-related education in both individual and group settings. Many had small to medium beneficial effects and the review noted that such interventions are already generally regarded as integral to clinical services. However, the review also commented that it was not clear whether stratification of interventions should be by stage of diabetes, age of patient or specific problem, and whether individual or group intervention was more effective.

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