{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:58:50Z","timestamp":1792789130284,"version":"4.5.0"},"reference-count":113,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"N\u00e6stved-Slagelse-Ringsted Hospitals\u2019 Local Research Fund","award":["A2125"],"award-info":[{"award-number":["A2125"]}]},{"name":"Steno Diabetes Center Zealand","award":["A47"],"award-info":[{"award-number":["A47"]}],"id":[{"id":"https:\/\/ror.org\/03w7awk87","id-type":"ROR","asserted-by":"crossref"}]},{"award":["A47"],"award-info":[{"award-number":["A47"]}],"id":[{"id":"https:\/\/ror.org\/03w7awk87","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009457","name":"Region Zealand","doi-asserted-by":"publisher","award":["Exercise First"],"award-info":[{"award-number":["Exercise First"]}],"id":[{"id":"10.13039\/501100009457","id-type":"DOI","asserted-by":"publisher"}]},{"award":["Exercise First"],"award-info":[{"award-number":["Exercise First"]}],"id":[{"id":"https:\/\/ror.org\/01dtyv127","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Research Unit for General Practice","award":["160-100380"],"award-info":[{"award-number":["160-100380"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Family and community are key support sources for children and adolescents with chronic illnesses. This study aimed to map the characteristics of family- and community-centered interventions for pediatric chronic somatic disease. Methods: This scoping review followed the Arksey and O\u2019Malley guidance. Through a systematic search in Medline (PubMed), EMBASE, PsycINFO, Cochrane, and CINAHL, free web sources, the gray literature, and citations, we identified publications of randomized controlled trials evaluating family- and community-centered interventions for children aged 0\u201317 years with asthma, type 1 diabetes, or juvenile idiopathic arthritis. Two or more reviewers independently conducted screening, verification of machine-assisted data extraction, risk-of-bias assessment, and narrative synthesis. Results: Of 7285 items identified, we included 76 publications on 71 interventions comprising 16,342 participants (median n = 157; IQR 81\u2013303; range 12\u20131316) with a median age of 9 (range 0\u201319) years. Interventions incorporating educational, psychosocial, and care-coordination elements targeted asthma (68%), type 1 diabetes (29%), and juvenile idiopathic arthritis (3%) that had lasted \u22646 months (63%) and were delivered in person (83%) by healthcare professionals (62%). Primary outcomes included symptom burden (44%), coping with the disease (24%), disease control (20%), activity participation, child psychosocial functioning, medication or healthcare use (18% each), or child quality of life (17%). Usual care (59%) and other treatment (31%) were frequent comparators. Conclusions: Most interventions were short-term, healthcare professional-led multicomponent programs compared with usual care. Primary outcomes targeted symptom management and disease control. Mixed diagnoses, peer support, family activities, and non-professional delivery were uncommon. This study identified gaps in diagnosis coverage and the need for additional high-quality studies.<\/jats:p>","DOI":"10.3390\/children13091232","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:39:24Z","timestamp":1789137564000},"page":"1232","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mapping Randomized Controlled Trials of Family- and Community-Centered Healthcare Interventions for Pediatric Asthma, Type 1 Diabetes, or Juvenile Idiopathic Arthritis\u2014A Scoping Review"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3694-4236","authenticated-orcid":false,"given":"Svetlana","family":"Solgaard Nielsen","sequence":"first","affiliation":[{"name":"The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Central and West Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"Department of Regional Health Research, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9717-918X","authenticated-orcid":false,"given":"Alessio","family":"Bricca","sequence":"additional","affiliation":[{"name":"Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7518-1897","authenticated-orcid":false,"given":"Stavros","family":"Orologas","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, European University Cyprus, Nicosia 1516, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5827-0885","authenticated-orcid":false,"given":"Ann-Marie","family":"Malby Schoos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Central and Western Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"Department of Pediatrics, Copenhagen University Hospital, Amager and Hvidovre Hospital, 2650 Hvidovre, Denmark"},{"name":"Copenhagen Prospective Studies on Asthma in Childhood (COPSAC), Copenhagen University Hospital, Herlev and Gentofte Hospital, 2200 Copenhagen, Denmark"},{"name":"Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Helene","family":"Bohr","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Central and Western Zealand Hospital, 4200 Slagelse, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8211-0999","authenticated-orcid":false,"given":"Kija Lin","family":"\u00d8stergaard","sequence":"additional","affiliation":[{"name":"The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Central and West Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"Department of Gynecology and Obstetrics, Zealand University Hospital, 4000 Roskilde, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4268-0721","authenticated-orcid":false,"given":"Julie","family":"Mondahl","sequence":"additional","affiliation":[{"name":"The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Central and West Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"The Research Department, Central and West Zealand Hospital, 4200 Slagelse, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2095-732X","authenticated-orcid":false,"given":"Sofie Ahlgreen","family":"Gram","sequence":"additional","affiliation":[{"name":"Sangens Hus (The House of Song), 7400 Herning, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4323-2974","authenticated-orcid":false,"given":"Dan","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Department of Prevention, Health Promotion and Community Care, 2730 Herlev, Denmark"},{"name":"Department of Public Health, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Demircioglu","family":"Bilgin","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Odense University Hospital (OUH), 5000 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Sofie Oxlund","family":"Hoppe","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4936-7644","authenticated-orcid":false,"given":"Tine Petz","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1189-2967","authenticated-orcid":false,"given":"Charlotte","family":"Simon\u00ff","sequence":"additional","affiliation":[{"name":"The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Central and West Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"Department of Regional Health Research, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1851-4370","authenticated-orcid":false,"given":"Alexander","family":"Luijk","sequence":"additional","affiliation":[{"name":"Centre for Health Research, Zealand University Hospital, Nyk\u00f8bing F, 4000 Roskilde, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0049-8585","authenticated-orcid":false,"given":"Line N\u00f8rgaard","family":"Remmen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"},{"name":"Occupational Therapy Programme, University College South Denmark, 6705 Esbjerg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Hallas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Central and Western Zealand Hospital, 4200 Slagelse, Denmark"},{"name":"Department of Pediatrics, Copenhagen University Hospital, Amager and Hvidovre Hospital, 2650 Hvidovre, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1192-5593","authenticated-orcid":false,"given":"Louisa","family":"Mittet","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mette T\u00e6kker","family":"Jensen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2412-5989","authenticated-orcid":false,"given":"Jeanette Reffstrup","family":"Christensen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, 8000 Aarhus, Denmark"},{"name":"Driven, Research Center for Motivation and Behavior Science, Department of Sport and Biomechanics, Faculty of Health Sciences, University of Southern Denmark, 5230 Odense, Denmark"},{"name":"Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"256","DOI":"10.3389\/fped.2019.00256","article-title":"Denton, Asthma in Children and Adults\u2014What Are the Differences and What Can They Tell us About Asthma?","volume":"7","author":"Trivedi","year":"2019","journal-title":"Front. 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