Ilaria Milani

Mrs. Ilaria Milani


Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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IMIlaria Milani
Ilaria Milani
ECelisa cipponeri
elisa cipponeri
PRPaola Ripa
Paola Ripa
AMArianna Magon
Arianna Magon
STStefano Terzoni
Stefano Terzoni
Rosario CarusoRosario Caruso
Rosario Caruso
Health literacy (HL) plays a crucial role in the self-management and clinical outcomes of individuals with Type 1 Diabetes Mellitus (T1DM). Despite its significance, research on HL in this population remains fragmented. This scoping review aims to map the existing literature on HL in T1DM and assess its impact on disease management. A systematic search was conducted in PubMed, Embase, Scopus, Web of Science, and Google Scholar, covering studies up to January 2025. The review included 55 studies, primarily focusing on adolescents and young adults, examining key HL dimensions such as numeracy, self-efficacy, nutrition literacy, and the use of digital health technologies. Findings highlight that adequate HL levels are associated with improved diabetes self-care, glycemic control, and quality of life, while barriers such as low numeracy, social anxiety, and socioeconomic disparities hinder disease management. Limited research exists on HL interventions tailored to T1DM, underscoring the need for targeted strategies to enhance patient education and engagement. Given the complex interplay between HL and diabetes outcomes, integrating HL assessments into routine care and developing tailored interventions may improve long-term disease management and quality of life for individuals with T1DM.

11 October 2025 in Behavioral Sciences
Verified
Journal Article
Open access
PDF file
Mattia BozzettiMattia Bozzetti
Mattia Bozzetti
IMIlaria Marcomini
Ilaria Marcomini
Alessio Lo CascioAlessio Lo Cascio
Alessio Lo Cascio
MMMaria Rosaria Magurano
Maria Rosaria Magurano
EREleonora Ribaudi
Eleonora Ribaudi
DNDaniele Napolitano
Daniele Napolitano
Inflammatory bowel disease (IBD) affects not only patients but also their informal caregivers. Enhancing caregiver resilience may improve both caregiver well-being and patient outcomes. This study aimed to assess resilience levels in caregivers of individuals with IBD and identify key psychological and contextual predictors, including caregiver contributions to self-care, self-efficacy, and perceived care load. A multicentre cross-sectional study was conducted across nine IBD outpatient clinics in Italy. Caregiver resilience was measured using the Connor–Davidson Resilience Scale (CD-RISC 25). Additional tools included the Caregiver Contribution to Self-Care of Chronic Illness Inventory (CC-SC-CII) and Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Robust regression models identified predictors of total resilience and its subdomains. Among 275 caregivers (median age 53; 58.2% female) CD-RISC-25 levels were moderately high (median = 74 [IQR = 65–84]), with no significant differences between those caring for patients with Crohn’s disease or ulcerative colitis. SEM analyses showed that self-efficacy significantly predicted contributions to disease monitoring and management, but not maintenance. In turn, the management dimension was significantly associated with higher levels of resilience across four of five domains (trust, control, acceptance of change, and spirituality), while maintenance was uniquely associated with personal competence. Predictors including education and employment status showed no significant direct or indirect effects on CC-SC-CII. In conclusion, caregiver resilience in IBD is positively associated with self-efficacy and active engagement in disease management. Targeted support strategies may strengthen caregiver resources and promote sustainable care.

29 January 2026 in Journal of Neuroscience Nursing
Verified
Journal Article
Closed access
MPMonica Petralito
Monica Petralito
IMIlaria Milani
Ilaria Milani
SCStefano Romano Capatti
Stefano Romano Capatti
NTNaomi Tagliani
Naomi Tagliani
DNDaniele Napolitano
Daniele Napolitano
RCRosario Caruso
Rosario Caruso
BACKGROUND: Parkinson disease (PD) is the second most prevalent neurodegenerative condition and has a profound impact on patients’ quality of life. Effective management requires active self-care, in which health literacy (HL) plays a critical role by enabling patients to acquire, interpret, and apply knowledge about their condition. This review aimed to map the existing literature on HL in PD and assess its impact on disease management. METHODS: A scoping review was conducted in accordance with Joanna Briggs Institute guidelines and reported following Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Review. Relevant studies were identified through systematic searches of 7 major databases. Eligibility criteria were structured using the Population–Concept–Context framework. RESULTS: Sixteen studies were included, most published between 2016 and 2024 and predominantly from high-income countries. The studies investigated key HL dimensions, including knowledge of motor and nonmotor symptoms, medication management, and patient–provider communication. Findings revealed substantial gaps in functional HL, particularly in recognizing nonmotor symptoms and understanding pharmacological regimens, while interactive and critical HL were rarely assessed. Across studies, age, education level, and disease duration consistently influenced HL levels. Importantly, no standardized or personalized HL interventions for PD were identified. CONCLUSIONS: HL in PD remains underdeveloped, with current research largely focused on functional HL and limited exploration of interactive or critical domains. Integrating HL assessment into routine care and developing nursing-led, personalized interventions may improve self-care, treatment adherence, and long-term outcomes for people with PD. Future research should prioritize validated measurement tools, multimodal interventions, and studies in diverse populations to address existing gaps.

13 November 2024 in MethodsX
Verified
Journal Article
Open access
IMIlaria Milani
Ilaria Milani
ECElisa Cipponeri
Elisa Cipponeri
PRPaola Ripa
Paola Ripa
AMArianna Magon
Arianna Magon
SCSilvia Cilluffo
Silvia Cilluffo
RCRosario Caruso
Rosario Caruso
The rising prevalence and incidence of Type 1 Diabetes (T1D) highlights its impact on quality of life, long-term health complications, and the economic burden it poses across socio-economic strata. Effective management of T1D demands robust self-care skills, which are significantly influenced by health literacy (HL) levels; studies have shown that lower HL is associated with poorer health outcomes. This scoping review protocol is designed to identify literature trends and hidden patterns in research assessing HL among individuals with T1D. The review will consider studies that address HL in individuals with T1D across all age groups and settings. Studies published in English or those with an available HTML version will be included to allow automatic translation of the contents for non-English records. Guided by the Joanna Briggs Institute (JBI) guidelines and the PRISMA-ScR 2020 framework, this scoping review will systematically search electronic databases, including PubMed, Scopus, CINAHL, EMBASE, Google Scholar, and Web of Science (WoS) without time restrictions. Two independent reviewers will assess each study for eligibility and perform data extraction using a standardized form. • The review aims to map out the existing research landscape on HL in T1D and highlight areas requiring further investigation. • It seeks to establish connections between HL and self-care efficacy in T1D, contributing to improved patient education and management strategies. • Findings will inform future research directions and potentially influence policy and clinical practices surrounding diabetes care management.

27 March 2026 in Journal of Gastrointestinal and Liver Diseases
Verified
Journal Article
Open access
IMIlaria Milani
Ilaria Milani
DNDaniele Napolitano
Daniele Napolitano
MPMonica Petralito
Monica Petralito
SCStefano Romano Capatti
Stefano Romano Capatti
EGElena Gennari
Elena Gennari
Rosario CarusoRosario Caruso
Rosario Caruso
Background and Aims: Self-care has emerged as a pivotal component in the long-term management of inflammatory bowel disease, yet the literature remains fragmented regarding educational interventions supporting its implementation. This scoping review aims to systematically map existing educational strategies designed to promote self-care among individuals with inflammatory bowel disease and to identify barriers, facilitators, and implications for nursing practice. Methods: Following the Joanna Briggs Institute methodology, a scoping review was conducted across five electronic databases (PubMed, Embase, CINAHL, Web of Science, and Scopus) with no date restrictions. Eligible studies focused on educational interventions targeting at least one of the following dimensions of self-care: maintenance, monitoring, or management. Data extraction and synthesis were guided by a theoretical model of self-care. Findings were narratively synthesized and supported by summary tables and conceptual mapping. Results: Fourteen studies published over the past seventeen years were included. Interventions ranged from cognitive-behavioral therapy and digital health tools to structured group education programs. Most were implemented in high-income countries and delivered by multidisciplinary teams. Key barriers included time constraints, limited financial and human resources, and patient reluctance to adopt active roles. Facilitators encompassed the use of smartphone applications, teach-back methods, and communication tools such as patient passports. Reported outcomes included improvements in treatment adherence, psychological well-being, and patient engagement. Conclusions: Educational interventions, particularly when grounded in self-care theory and delivered by nursing professionals, can enhance autonomy and quality of life in individuals with inflammatory bowel disease. Future programs should emphasize personalization, inclusiveness, and long-term behavioral change, supported by robust evidence and sustainable implementation models.

26 September 2026 in Journal of Gastrointestinal and Liver Diseases
Verified
Journal Article
Open access
PDF file
IMIlaria Milani
Ilaria Milani
DNDaniele Napolitano
Daniele Napolitano
MPMonica Petralito
Monica Petralito
SCStefano Romano Capatti
Stefano Romano Capatti
EGElena Gennari
Elena Gennari
RCRosario Caruso
Rosario Caruso
Erratum for: Promoting Self-Care in Individuals with Inflammatory Bowel Disease: A Scoping Review J Gastrointestin Liver Dis. 2026;35:100-108.