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A Review of Adolescent Adherence in Type 1 Diabetes and the Untapped Potential of Diabetes Providers to Improve Outcomes

  • Psychosocial Aspects (KK Hood and S Jaser, Section Editors)
  • Published:
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Abstract

Only 21 % of adolescents with type 1 diabetes (T1D) meet glycemic goals set forth by the American Diabetes Association. Adherence to therapy is a particular concern in this population, and the association between poor adherence and worsening glycemic control indicates that there is a critical need to improve adherence to therapy in adolescents with T1D. In this article, we review barriers to adherence in adolescents with T1D and discuss interventions aimed at improving adherence to therapy and glycemic control. Interventions include technology-based applications, family-based therapies, motivational interviewing, and others. Notably, less than 10 % of the interventions reviewed are provider-led, clinic-based interventions, and few have focused on regimen-related aspects of adherence. This article also outlines the importance of provider communication and the role of providers in facilitating adherence behaviors in adolescents with T1D. Finally, we suggest future directions of research to improve adherence to therapy in adolescents with T1D.

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Acknowledgments

This work was supported by the generous backing of the Odom Family and by awards from the National Institute of Diabetes and Digestive and Kidney Diseases (K23 NK088454 to SSJ; K08DK90146 to DJM) and JDRF (Career Development Award to DJM). The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official view of the US National Institutes of Health.

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Conflict of Interest

Karishma A. Datye, Daniel J. Moore, William E. Russell, and Sarah S. Jaser declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This is a review article and therefore does not contain any unpublished original studies with human or animal subjects performed by any of the authors.

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  1. Ian M. Burr Division of Pediatric Endocrinology and Diabetes, Vanderbilt University Medical Center, Nashville, TN, 37232, USA

    Karishma A. Datye, Daniel J. Moore, William E. Russell & Sarah S. Jaser

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  1. Karishma A. Datye
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Correspondence to Sarah S. Jaser.

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Datye, K.A., Moore, D.J., Russell, W.E. et al. A Review of Adolescent Adherence in Type 1 Diabetes and the Untapped Potential of Diabetes Providers to Improve Outcomes. Curr Diab Rep 15, 51 (2015). https://doi.org/10.1007/s11892-015-0621-6

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