Jundishapur Journal of Chronic Diseases Care

25/12/2025

Cancer Patients’ Experiences of Receiving Palliative Care

Cancer is a major global health burden that affects patients’ physical, emotional, and social well-being. As the disease advances, many patients require pal...

19/12/2025

Context:Self-management of type 1 diabetes in children and adolescents is critical for achieving optimal health outcomes. Identifying facilitators and barriers can guide the development of effective interventions.
Objectives:This systematic review synthesizes interventional studies to examine key factors influencing self-management and their impact on outcomes.
Methods:Following preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 guidelines, PubMed, Scopus, and Web of Science were searched up to August 10, 2025. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental designs. Study quality was assessed using the risk of bias 2 (RoB 2) tool for randomized trials and risk of bias in non-randomized studies (non-RCTs) of interventions (ROBINS-I) for non-randomized studies.
Results:Thirty-four studies comprising 4,584 participants aged 3 - 19 years were included. Of these, 65% were rated as low risk of bias and 35% as moderate risk. Interventions mainly involved self-management education (55%), family-centered programs (41%), digital technologies (35%), motivational strategies (32%), and psychological support (29%). Key facilitators included family involvement (47%), structured and repeated education (41%), healthcare team engagement (35%), motivational strategies (32%), and technological tools (30%). Barriers included fear of hypoglycemia (FOH, 29%), emotional stress (25%), lack of peer support (21%), limited access to educational resources (18%), cultural or language challenges (15%), and insufficient school-based education (12%). Interventions generally improved hemoglobin A1c (HbA1c), self-care behaviors, knowledge, self-efficacy, and quality of life.
Conclusions:This review underscores the multidimensional nature of self-management in pediatric type 1 diabetes. Effective programs should address both individual and contextual barriers while leveraging facilitators such as family support and technology. Given the generally low-to-moderate risk of bias, findings are robust but highlight the need for culturally tailored and longitudinal research.

Self-management of type 1 diabetes in children and adolescents is critical for achieving optimal health outcomes. Identifying facilitators and barriers can ...

04/12/2025

Population-Based Cancer Incidence Trends in Khuzestan Province, Iran: A Registry-Based Study

Understanding the geographical incidence of various types of cancer is the first step in effective planning....

17/11/2025

Symptoms, Ways of Transmission, Prevention, and Treatment of HIV Virus: A Review

https://doi.org/10.5812/jjcdc-164164

17/11/2025

The human immunodeficiency virus (HIV) in humans causes the disease acquired immune deficiency syndrome (AIDS). In the recent decade, one of the main challe...

17/11/2025

Polycyclic Aromatic Hydrocarbons Exposure and Its Impact on Increased Carcinogenic Risk and COPD: A Review

https://doi.org/10.5812/jjcdc-164263

17/11/2025

Polycyclic aromatic hydrocarbons (PAHs) are a group of environmental carcinogens that can cause problems for humans. The present narrative review aimed to a...

10/09/2025

Nursing Perspectives on Cancer-related Symptom Management in Palliative Care: A State-of-the-Art (SotA) Review Focused on Iran

10/09/2025

Integrating palliative care (PC) into oncology is essential for improving the quality of life (QoL) of patients with cancer. This review aims to provide a c...

25/07/2025

Hyperthyroidism results from the excessive release of thyroid hormones, and the biomarkers must be appropriately monitored to guide treatment selection and ...

04/07/2025

Type 2 diabetes mellitus (T2DM) is a multifaceted, chronic disease that requires self-management training and support. Attention to treatment adherence is c...

05/10/2024

Chronic renal failure is a progressive and irreversible disease that significantly affects the quality of life in its final stage. ...