While children with type 1 diabetes (T1D) and their parents report significant sleep problems, few studies have focused on young included health-related quality of life (HRQOL) as an outcome disturbance. In addition, relatively little is known about the use devices, such continuous glucose monitors (CGMs), in link disturbances. This brief examines relationship between HRQOL explores disturbances related to CGM a sample T1D. Data are from baseline behavioral intervention pilot for 46 ages 2-5...

Background: The Structured Clinical Interview for DSM (SCID) is considered the gold standard assessment accurate, reliable psychiatric diagnoses; however, because of its length, complexity, and training required, SCID rarely used outside research. Objective: This paper aims to describe development initial validation a Web-based, self-report screening instrument (the Screening Assessment Guiding Evaluation-Self-Report, SAGE-SR) based on Diagnostic Statistical Manual Mental Disorders, Fifth...

Objective: To describe sociodemographic and parent psychosocial characteristics associated with patterns of continuous glucose monitor (CGM) use across the first 18 months post-type 1 diabetes (T1D) diagnosis among young children. Methods: One hundred fifty-seven parent-child dyads enrolled in a behavioral intervention for parents children (1-6 years) newly diagnosed T1D. Parents reported on baseline functioning; child CGM was assessed at five time points during post-diagnosis. Results: Most...

A Type 1 diabetes (T1D) diagnosis in young children can cause significant family stress. Parents may experience increased depressive symptoms, but less is known about early diabetes-specific functioning (i.e., parental self-efficacy to manage diabetes, hypoglycemia fear, and coparenting conflict). We evaluated a theoretically based model of among parents newly diagnosed with T1D (YC-T1D). The included parent demographic variables, child illness-factors, protective factors, general emotional...

ObjectivesThis paper explores parent coaching experiences supporting parents of young children newly diagnosed with type 1 diabetes in a clinical trial.MethodsIn trial for 157 parents, those the intervention arm (n=116) were paired coach (n=37; Mage=37.9 years, SD=3.9; 94.6% mothers, 81.1% White non-Hispanic). Coaches provided diabetes-specific social support. They completed monthly surveys and satisfaction/feasibility surveys, subset (n=7) undergoing qualitative interviews.ResultsThere...

Objectives: This paper explores parent coaching experiences supporting parents of young children newly diagnosed with type 1 diabetes in a clinical trial. Methods: In trial for 157 parents, those the intervention arm (n = 116) were paired coach 37; Mage 37.9 years, SD 3.9; 94.6% mothers, 81.1% White non-Hispanic). Parent coaches provided diabetes-specific social support. completed monthly surveys and satisfaction/feasibility surveys, subset 7) undergoing qualitative interviews at end this...

Purpose The purpose of the study was to explore facilitators and barriers self-management behaviors in adolescents with type 1 diabetes (T1D) inform development an mHealth platform. Methods Eight T1D, 9 parents, 13 health care providers participated separate focus groups that explored teen behaviors. Results Adolescents their parents have distinct preferences for handling management use technologies. Health support new technologies yet acknowledge concern meeting potential increased volume...

The COVID-19 pandemic resulted in daily functioning changes for many families. Adjustments may have impacted asthma management and subsequent morbidity. current study seeks to build upon extant literature by exploring differences youth exacerbations control, as well caregiver asthma-related quality of life (ArQOL) throughout transitional points.Ninety-three (9-17 years old) with their caregivers completed measures demographic/medical information, ArQOL. Participants were recruited between...

<sec> <title>BACKGROUND</title> The Structured Clinical Interview for DSM (SCID) is considered the gold standard assessment accurate, reliable psychiatric diagnoses; however, because of its length, complexity, and training required, SCID rarely used outside research. </sec> <title>OBJECTIVE</title> This paper aims to describe development initial validation a Web-based, self-report screening instrument (the Screening Assessment Guiding Evaluation-Self-Report, SAGE-SR) based on Diagnostic...

Children and teens with type 1 diabetes (T1D) their parents report shorter sleep duration greater disturbances related to management. Yet, few studies have specifically examined in young children T1D nor used both objective self-report measures. The purpose of this study was explore characteristics very the feasibility actigraph use measure high-risk population. Four nights child actigraphy data were collected at baseline for a subsample 11 families (age 2-5) participating diabetes-related...

Introduction: New onset of T1D is stressful for patients and families may be particularly so when the child acutely ill at diagnosis. To characterize family experiences new in young children, we examined associations among diabetic ketoacidosis (DKA) status, length hospitalization, demographics, parent psychological outcomes. We hypothesized that parents children DKA or with longer hospitalizations would have more depressive symptoms, perceived stress, anxiety. Methods: enrolled 157 (90%...

Background: Parents of young children with type 1 diabetes (PYC-T1D) may be susceptible to poor sleep due the 24/7 demands care and concerns about overnight hypoglycemia, yet patterns PYC-T1D shortly after T1D diagnosis have not been reported. We aimed describe in first 2 months post-diagnosis explore any differences continuous glucose monitor (CGM) use. Methods: Participants were 157 (M child age=4.5±1.6 years, 90% mothers, 61% White/non-Hispanic) assessed at baseline duration=27±15 days) a...

Introduction: Diabetes devices may improve glycemic control in young children (YC) with T1D. However, little is known about which families are most likely to start using diabetes soon after diagnosis. This study examined relationships among demographics, parent mood and anxiety, continuous glucose monitor (CGM) insulin pump use YC approximately the first 6 months post-diagnosis. Methods: Participants were 157 parent-child dyads, newly diagnosed T1D (child age M=4.5 years, 90% mothers, 61%...

Introduction: Elevated depressive symptoms are common in caregivers following their children’s T1D diagnoses. In the general population, strong social support and problem-solving abilities buffer during stressful life events. To evaluate whether these constructs apply to diagnosis-related distress, we examined associations among caregiver support, problem solving, after We hypothesized that higher solving would be related lower symptoms. Methods: Participants included 157 young children (M...

Parents of T1D preschoolers must balance nutrition, insulin needs, and eating behaviors this age group. The present study examined the relationship between parent feeding practices, child mealtime behavior, glycemic control in preschoolers. 36 parent-child dyads (2-5 y, T1D≥1 y) were part a baseline assessment for RCT (M age=4.7 y; M A1c=8.3; age=36.3 y). Parent practices measured using Structure Control Feeding Questionnaire (SCPF Table 1) Behavioral Pediatrics Assessment Scale (BPFAS 1)....

Objective Rural communities experience a significant asthma burden. We pilot tested the implementation of Easy Breathing, decision support program for improving primary care provider adherence to guidelines in rural community, and characterized risk factors enrollees.Methods implemented Breathing two practices years. Patient demographics, exposure histories, severity, medications, treatment plans were collected. Providers’ included frequency children with persistent who prescribed...