A5043621801- Diabetes Management and Research
- Adolescent and Pediatric Healthcare
- Diabetes and associated disorders
- Childhood Cancer Survivors' Quality of Life
- Diabetes Management and Education
- Pancreatic function and diabetes
- Family Support in Illness
- Family and Disability Support Research
- Resilience and Mental Health
- Mobile Health and mHealth Applications
- Injury Epidemiology and Prevention
- Agriculture and Farm Safety
- Mindfulness and Compassion Interventions
- Health and Lifestyle Studies
- Burn Injury Management and Outcomes
Children's National
2021-2024
University of Florida
2023
National Hospital
2022
Abstract Objective Diabetes distress (DD) is a negative emotional response related to the burdens of living with type 1 diabetes (T1D) and linked outcomes, such as hemoglobin A1c (A1c). Yet, less known about how other glycemic indicators, average blood glucose time in range, relate DD, which demographic characteristics are associated higher DD. Methods In total, 369 teens (Mage 15.6 ± 1.4, 51% female, MT1D duration 6.7 3.8 years) screened for DD using The Problem Areas Diabetes—Teen Version...
Background: Continuous glucose monitor (CGM) use has been linked with better glycemic outcomes (HbA1c), yet many adolescents type 1 diabetes (T1D) struggle to maintain optimal CGM use. Methods: This study examined and its association HbA1c psychosocial factors among T1D experiencing at least moderate distress (N = 198). We mean differences in HbA1c, distress, diabetes-related family conflict, quality of life user groups ( Current Users, Past Never Users). Results: Users demonstrated...
Abstract THR1VE! is an ongoing multisite randomized clinical trial of a positive psychology intervention designed to treat diabetes distress and improve glycemic outcomes in teens with type 1 diabetes. Due the COVID-19 pandemic restrictions on research changes care, was adapted from in-person enrollment protocol remote through series development testing strategies. We discuss process transitioning demonstrated feasibility recruitment, enrollment, retention outcomes. These findings offer...
Abstract Parents are at increased risk for psychological sequelae following their child’s burn injury which has demonstrated negative impacts on the child. The current study sought to address gaps in literature factors parental distress by examining relationships among demographic variables, characteristics, and child functioning after injury, with parent post-traumatic stress symptoms (PTSS). Participants included parents of 660 pediatric patients from a regional clinic. completed measures...
Pediatric burn injuries are common that traumatic for the child and their families. Although many families report high amounts of distress soon after injury, most resilient do not continue to experience prolonged psychosocial problems. The aim was identify factors associated with parent resilience pediatric injury.Fifty-seven parents young children (< 5 years old) enrolled in a longitudinal assessment study. Baseline evaluations were conducted within 1 week injury included medical chart...
Eighteen percent of new diagnoses type 1 diabetes (T1D) occur in children ages 9 and younger, the burden management young predominantly falls on parents. Despite significant amount information parents must learn implement quickly after diagnosis, little research has examined self-efficacy soon diagnosis a longitudinal manner. The current study changes parent over time, depressive symptoms stress child T1D as predictors at 12- 18-months post-diagnosis.One hundred fifty-seven primary...
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...
Abstract Objective Parents of young children with new-onset type 1 diabetes (T1D) often experience significant distress and struggle T1D management during a challenging developmental stage. The First STEPS (Study Type in Early childhood Parenting Support) trial evaluated stepped-care behavioral intervention comprising increasingly intensive steps (peer parent coach, cognitive-behavioral counseling, consultations educator psychologist) based on need. improved parental depressive symptoms...
Objective: Up to half of adolescents with type 1 diabetes (T1D) experience distress (DD) which has been associated lower health-related quality life (HRQOL) and suboptimal glycemic control. The ways in respond DD may serve as a risk or protective factor for these outcomes, but few studies have examined the coping strategies use manage DD. Methods: Participants included 198 elevated who completed baseline data randomized controlled trial (Mage 15.3±1.4, 58% female, Non-Hispanic White, MT1D...
Introduction: Use of hybrid closed-loop insulin delivery systems have been associated with better glycemic control and lower hemoglobin A1c (HbA1c) values, is linked less diabetes-specific family conflict among adolescents type 1 diabetes (T1D). Little known, however, about how the use relates to conflict. Methods: Participants included 60 teens ages 13-17 who had diagnosed T1D for ≥1 year reported at least moderate distress (M age= 16.15±1.4, 68% white, non-Hispanic female), their parents...
Background: Diabetes distress (DD) is a negative emotional response commonly associated with type 1 diabetes (T1D). Similar to youth, parents may experience their own DD resulting from the burdens supporting child T1D. Parental can have impact on quality of life (QoL), and disruptive factors, such as family conflict, exacerbate parental DD. Clinical psychosocial outcomes been previously examined in teens, yet less known about association among DD, QoL, teens experiencing Methods: 60...