Current Diabetes Reports

, 19:57 | Cite as

Barriers and Facilitators Influencing Parental Transition of College-Bound Youth with Type 1 Diabetes Mellitus: An Integrative Review

  • Michelle M. NessEmail author
  • Jennifer Saylor
  • Janice Selekman
Psychosocial Aspects (SS Jaser, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Psychosocial Aspects


Purpose of Review

The purpose of this review was to synthesize current research about potential barriers impacting parents as they transition their college-bound youth with type 1 diabetes mellitus (T1DM) to college.

Recent Findings

Seven studies, 5 qualitative and 2 quantitative, met the qualifications for inclusion in this study by focusing on parents and were included in this review. Three potential barriers impacting the parental experience during the transition of their youth with T1DM to college were identified: developing and promoting autonomy, evolving relationships and roles in the parent/youth dyad, and distress. Parents consistently indicated concern about their youth’s ability to self-manage their T1DM and lack of support for their own transition.


This review indicates that several barriers may influence parents of adolescents with T1DM as they transition to becoming the parent of a college-bound youth with T1DM. The parental transition of launching their youth to college is more complex and unique for parents of youth with T1DM parents of youth without chronic conditions. Additional research focusing on the identification of desired supports for parents and the development of specific interventions to assist parents as they transition with their college-bound youth with T1DM is recommended.


Type 1 diabetes Parents Transition College 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as:•• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Michelle M. Ness
    • 1
    Email author
  • Jennifer Saylor
    • 1
  • Janice Selekman
    • 1
  1. 1.University of DelawareNewarkUSA

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