Jundishapur Journal of Chronic Diseases Care

27/02/2026

Prior to implementing behavioral strategies, it is crucial to recognize the key obstacles that interfere with consistent engagement in physical activity by ...

27/01/2026

A Multidimensional Investigation of Pain and Pain Management Strategies in Veterans with Chronic Conditions Residing in Abadan, Iran
https://brieflands.com/journals/jjcdc/articles/166430

27/01/2026

Chronic pain is a multidimensional phenomenon with sensory, emotional, cognitive, and social consequences. Due to the nature of their long-term injuries and...

25/01/2026

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

25/01/2026

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

25/01/2026

Population-Based Cancer Incidence Trends in Khuzestan Province, Iran: A Registry-Based Study
https://doi.org/10.5812/jjcdc-165962

25/01/2026

Facilitators and Barriers of Self-management in Pediatric Type 1 Diabetes: A Systematic Review
https://brieflands.com/journals/jjcdc/articles/164179

25/01/2026

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

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....