A5079558797- Diabetes Management and Research
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Diabetes and associated disorders
- Adolescent and Pediatric Healthcare
- Pancreatic function and diabetes
- Family Support in Illness
- Bipolar Disorder and Treatment
- Child and Adolescent Psychosocial and Emotional Development
- Clinical practice guidelines implementation
- Health Literacy and Information Accessibility
- Obesity, Physical Activity, Diet
- Child Nutrition and Feeding Issues
- Mobile Health and mHealth Applications
- HIV-related health complications and treatments
- Health and Lifestyle Studies
- Schizophrenia research and treatment
- Medication Adherence and Compliance
- Childhood Cancer Survivors' Quality of Life
- Family Caregiving in Mental Illness
- Clinical Laboratory Practices and Quality Control
- Family and Disability Support Research
- Diabetes Treatment and Management
Joslin Diabetes Center
2020-2025
Harvard University
2020-2025
Yeshiva University
2015-2020
The Bronx Defenders
2018
We conducted comprehensive assessments of emotional distress to examine relations with diabetes medication adherence over time.Ethnically and socioeconomically diverse adults treated for type 2 completed validated self-reports (SRs) depression, were administered semistructured depression interviews, provided blood samples A1C. Medication among 104 participants was electronically monitored (EM) the subsequent 3 months; SRs also obtained. Hierarchical linear regression evaluated independent...
Young adults (YA) with type 1 diabetes mellitus (T1D) are at high risk of worsening glycated haemoglobin (HbA1c) fewer follow-up visits. We examined the association demographic and characteristics care utilization, including in-person telehealth visits, pre- (1 April 2019 to 15 March 2020) during COVID-19 pandemic (30 2020 2021) for YA (ages: 18-30) T1D, comparing those seen in paediatric versus adult clinics a single centre. Data were obtained from electronic health record pre-pandemic...
Abstract Aim This cross‐sectional study examined the associations of comorbid conditions on health‐related quality life (HRQOL) in 601 youth with type 1 diabetes. We evaluated between number (0, 1, ≥2) and particular HRQOL by self‐report parent proxy‐report. Research design methods Youth diabetes, aged 5–18 years, their parents completed PedsQL 4.0 Generic Core Scales proxy‐report, respectively; they also reported youths' medical mental health conditions. Separate linear regression models...
Background: Affect (i.e., emotions) can be associated with diabetes self-care and ambient glucose in teens type 1 (T1D). We used momentary sampling to examine associations of daily affectwithblood (BG) monitoring,BG levels,and BG variability T1D. Method: Over 2 weeks, 32 reported positive negative affect (Positive Negative Scale) levels on handheld computers 4x/day, coordinated planned checks. values were classified as: in-range (70-180 mg/dL); low (<70 severe (<54 high (>180...
This study assessed parental reactions to the report of elevated depressive symptoms in a sample 29 youth with type 1 diabetes (ages 8-17 years; 48% female) who scored ≥15 on Center for Epidemiologic Studies Depression Scale Children (CES-DC). We also and how presence such was linked positive screening score their children subsequent acceptance mental health referral. Mental professionals contacted parents discuss scores offer Two coders reviewed documentation phone contacts made by...
We added items relevant to continuous glucose monitoring (CGM) the Diabetes Family Conflict Scale (DFC), Responsibility Questionnaire (DFR), and Blood Glucose Monitoring Communication (GMC) evaluated psychometric properties of updated surveys.
Few studies in T2D have examined the accuracy of clinician-rated depression severity interviews, gold-standard assessment. We assessed factor structure and item-performance Montgomery-Åsberg Depression Rating Scale (MADRS) a sample adults with T2D. Patients from primary specialty care clinics an urban academic medical center (N= 213, M (SD) A1c 8.2 (1.6), age 56 (9.5); 55% male) were screened for trial cognitive behavioral therapy adherence depression. Assessments included MADRS structured...
Aim: Affect and social context are associated with diabetes self-care in teens T1D. We used EMA to examine associations of affect BG levels Methods: Over 2 weeks, 32 reported positive (POS) negative (NEG) (Positive Negative Schedule) on handheld computers 4 times/day, coordinated daily checks; at 3/4 times, also attitudes toward (i.e., strong desire blend in, impress others). Z-scores were calculated for NEG POS subscales reflect deviations from each teen’s overall affect. values classified:...
Aim: Teens with T1D often report negative emotions related to diabetes self-care. Affect tends vary throughout the day and may provide an explanatory pathway poor self-care suboptimal glycemic control in teens. We used momentary sampling examine associations between affect BGM adherence teens T1D. Methods: Over 2 weeks, 32 (ages 14-18 years) handheld computers self-report positive (POS) (NEG) (Positive Negative Schedule) 4 times daily. selected receive messages based on their usual times....
Youth with T1D often experience emotional distress, which can negatively impact QoL. We sought to understand associations of depressive symptoms and diabetes distress QoL in youth T1D. Participants (N=420; 50% male; ages 8-17 years; duration 6.4±3.7 (M±SD) A1c 8.3±1.0%; 69% pump treated; 70% having parent college degree) completed the Pediatric Quality Life Inventory Generic Core Scales (PedsQL)and measures (Center for Epidemiologic Studies Depression Scale [CESD]) (Problem Areas...
Background: YAs, aged 18-30 years, with T1D have high risk of worsening glycemic control and loss to follow-up. In March 2020, the COVID-19 pandemic required a sudden change in healthcare delivery from in-person telehealth visits. We aimed evaluate use by YAs during this time assess characteristics associated usage. Method: Frequency visits 3/16/2020 9/30/2020 was compared same calendar period before (3/16/2019 9/30/2020) sample seen pediatric adult diabetes clinicians. The Electronic Health...