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Journal : Jurnal Ners

Effectiveness of Digital Health Interventions in Optimizing Parental Support For Adolescent Type 1 Diabetes Mellitus Management: A Systematic Review Elvi Kurnia Damayanti; Andri Setiya Wahyudi; Praba Diyan Rachmawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51440

Abstract

Adolescents with Type 1 Diabetes Mellitus (T1DM) require consistent self-management support, where parental involvement is crucial. However, the complexity of diabetes care often places a significant burden on families. Digital health interventions (DHIs) offer innovative ways to strengthen parental support but require further evaluation. This systematic review aims to examine the effectiveness of DHIs in optimizing parental support for adolescents managing T1DM. A systematic search was conducted across Scopus, PubMed, Web of Science, and ProQuest for studies published from 2015 to 2025. Following PRISMA guidelines, randomized controlled trials involving DHIs for parents of adolescents with T1DM were included. Quality was appraised using the Joanna Briggs Institute (JBI) checklist.Eleven studies were included, featuring DHIs such as mobile apps, web-based education, telehealth, and remote monitoring. These interventions improved parental outcomes, including increased knowledge, reduced stress, better monitoring, and greater self-efficacy. Adolescents also showed improved glycemic control, adherence, and emotional well-being.DHIs are effective in strengthening parental support and engagement in adolescent diabetes care. Integrating DHIs into family-centered nursing practice may enhance chronic illness management. Future studies should address cultural adaptations and long-term impacts.
Stategies For Reducing Substance Abuse Among Street Children: A Systematic Review Irawan Faisal Adi; Ferry Efendi; Praba Diyan Rachmawati
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54720

Abstract

Introduction: Substance abuse among adolescents, particularly street children, is a global public health concern influenced by demographic and social factors. While substance abuse in school settings has been widely studied, evidence focusing on street children remains limited. This review aims to evaluate strategies for reducing substance abuse among street children, with an emphasis on interventions affecting physical, mental, and social well-being. Method: This systematic review followed PRISMA 2020 guidelines and was registered in PROSPERO. Literature searches were conducted in four databases (Scopus, Web of Science, PubMed, and ProQuest), yielding 8,774 records. After screening and eligibility assessment, eight studies published between 2016 and 2025 were included. Study quality was appraised using the JBI critical appraisal tool, and findings were synthesized narratively. Results: Eight studies involving homeless or street-involved adolescents aged 10–19 years were reviewed. Commonly reported substance use included alcohol, cannabis, and inhalants. Interventions such as motivational interviewing, psychological reinforcement, and strength-based approaches were effective in reducing risky behaviors and increasing readiness for change. Conclusion: Motivational interviewing combined with community-based psychosocial support is effective in addressing substance abuse among high-risk adolescents. Sustainable interventions should be holistic and adapted to local cultural and structural contexts.