**6. Conclusions**

This review of the literature demonstrates a wide variety of psychological variables may mediate the relationship between regimen adherence and glycemic control in the families of youth with T1D. These psychological variables range from parental warmth and support to coerciveness and conflict in the parent-child relationship. It was also demonstrated that a wide variety of childhood behavioral patterns such as internalizing and externalizing, behavioral self-regulation and executive functioning, and peer-victimization may have similar relationships with regimen adherence and glycemic control in youth with T1D. The role of diabetes knowledge and the importance of it's measurement are suggested. Finally the development of new technology in diabetes care and management have been reviewed. The value of newer telehealth technologies are highlighted towards the latter sections of the review. The review demonstrates that Telehealth, used via the telephone or internet, is a cost-effective, convenient way for patients and their healthcare providers to manage and communicate about their diabetes regimen. The work by Geffken and colleagues demonstrates that telehealth can particularly useful for service delivery with families with youth with T1D. Telehealth allows treatment for families with youth with T1D with considerable barriers to their diabetes management such as those who require complex treatments and more frequent consultation with their diabetes care provider than distance or funding will allow. This review provides evidence on the value and critical inclusion of behavioral health services and research for the treatment of families youth with T1D.
