Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May 26;21(1):1207-1215.
doi: 10.1007/s40200-022-01054-8. eCollection 2022 Jun.

Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review protocol

Hanan AlBurno  1 , Liesbeth Mercken  1   2 , Hein de Vries  1 , Dabia Al Mohannadi  3 , Stefan Jongen  4 , Francine Schneider  1
Affiliations

Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review protocol

Hanan AlBurno et al. J Diabetes Metab Disord. .

Abstract

Objective: This systematic review aims to investigate the key socio-cognitive determinants associated with adherence/non-adherence to insulin treatment in late adolescents and young adults in the age range of 17-24 years with T1D.

Methods: A pre-specified search strategy will be used to search for studies in the electronic databases and citation indexes: PubMed, EMBASE, Web of Science, and PsycINFO. Two researchers will screen the title and the abstract independently, then will read and critically appraise the full text of each included study. A third independent reviewer will resolve disagreements in data extraction until consensus. Data will be extracted using the Population, Exposure, Outcomes, Study characteristics framework. Study selection will follow the updated guideline for reporting systematic reviews (PRISMA 2020) and will take place from 15 October 2021 to 1 January 2022. The methodological quality and risk of bias of the observational studies will be assessed by the JBI Critical Appraisal Checklist for Cohort and JBI Critical Appraisal Checklist for Analytical Cross Sectional Studies.

Results: A qualitative narrative synthesis will present the characteristics and the quality of studies and the outcomes of concern.

Conclusion: Based on the contemporary literature, this review will synthesize the evidence on the socio-cognitive determinants associated with adherence/non-adherence to insulin treatment in late adolescents and young adults in the age range of 17-24 years with T1D. The findings will help design patient-centered interventions to promote adherence to insulin in this age group, guide patients' consultations and diabetes self-management education (DSME) programs.Protocol registration: PROSPERO ID: CRD42021233074.

Keywords: Adherence; Adolescents; Insulin; Non-adherence; Socio-cognitive; Systematic review; Type 1 diabetes; Young adults.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interestThe authors have no conflicts of interest to declare that are relevant to the content of this article.

Figures

Fig. 1
Fig. 1
The I-Change Model. This figure has been reproduced with permission from de Vries H. An integrated approach for understanding health behavior; the I-change model as an example. Psychol Behav Sci Int J. 2017;2(2):555–85. https://doi.org/10.19080/PBSIJ.2017.02.555585
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. The World Health Organization. Global report on diabetes. https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_en.... Accessed 2 Jan 2021.
    1. Shahbazi H, Ghofranipour F, Amiri P, Rajab A. Factors affecting self-care performance in adolescents with type I diabetes according to the pen-3 cultural model. Int J Endocrinol Metab. 2018;16(4):e62582. doi: 10.5812/ijem.62582. - DOI - PMC - PubMed
    1. Razavi Z, Karimpourian A, Aramian LM, Bazmamoun H. Demographic characteristics of type 1 diabetic children and adolescents in Hamadan. Iran J Res Health Sci. 2015;15(3):196–199. - PubMed
    1. Borus JS, Laffel L. Adherence challenges in the management of type 1 diabetes in adolescents: prevention and intervention. Curr Opin Pediatr. 2010;22(4):405–411. doi: 10.1097/MOP.0b013e32833a46a7. - DOI - PMC - PubMed
    1. Datye KA, Moore DJ, Russell WE, Jaser SS. A review of adolescent adherence in type 1 diabetes and the untapped potential of diabetes providers to improve outcomes. Curr Diab Rep. 2015;15(8):1–9. doi: 10.1007/s11892-015-0621-6. - DOI - PMC - PubMed

LinkOut - more resources