A5085647619- Diabetes Management and Research
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Diabetes Management and Education
- Diabetes and associated disorders
- Family and Disability Support Research
- Eating Disorders and Behaviors
- Obesity, Physical Activity, Diet
- Pancreatic function and diabetes
- Diabetes Treatment and Management
- Vitamin D Research Studies
- Chronic Disease Management Strategies
- Child and Adolescent Health
- Obesity and Health Practices
- Diversity and Career in Medicine
- Child Therapy and Development
- Consumer Behavior in Brand Consumption and Identification
- Mobile Health and mHealth Applications
- Child Nutrition and Feeding Issues
- Bipolar Disorder and Treatment
- Adipokines, Inflammation, and Metabolic Diseases
- Heart Rate Variability and Autonomic Control
- Medication Adherence and Compliance
- Health and Lifestyle Studies
- Counseling, Therapy, and Family Dynamics
University of Windsor
2020-2025
Chrysler (Canada)
2025
Canadian Institute of Mining, Metallurgy and Petroleum
2023
University of Cincinnati
2012-2020
Cincinnati Children's Hospital Medical Center
2012-2020
University of Cincinnati Medical Center
2017-2020
Children's Medical Center
2019
RELX Group (United States)
2017
Children's Hospital & Medical Center
2016
University of Tennessee Health Science Center
2015
OBJECTIVE: Depression is common among adolescents, but rates increase significantly in the presence of chronic health conditions. Outpatient screening for depression recommended rarely formally conducted due to barriers implementation. METHODS: To provide a model youth with conditions, standard process using self-administered electronic version Children’s Inventory (CDI) was developed. Quality improvement methodology and traditional analytic approaches were used test feasibility outcomes...
OBJECTIVE The objective of the study was to report on measurement properties revised and updated Pediatric Quality Life Inventory (PedsQL) 3.2 Diabetes Module for children, adolescents, young adults with type 1 diabetes. RESEARCH DESIGN AND METHODS 33-item PedsQL Generic Core Scales were completed in a 10-site national field test by 656 families patients ages 2–25 years RESULTS 15-item Symptoms Summary Score 18-item Management derived from factor analysis items. Scores evidenced excellent...
Diabetes mellitus is a disease that takes heavy toll on the lives of people who have received diagnosis. For those diagnosed with T1D, it major life stress (and can become medical emergency) often dominates focus individuals and their families. T2D be (often for first several years) asymptomatic or cause symptoms are relatively easy to ignore. Yet, minor metabolic aberrations develop into larger ones eventually affect most physiological systems lead characteristic end-stage complications...
The resiliency of families, based on family functioning and hardiness, may influence caregivers' anxiety while their child is in the hospital undergoing treatment for his or her chronic illness. current study assessed relationship among these factors caregivers children with various illnesses who were residing at a local Ronald McDonald House (RMH). Caregivers completed paper-based questionnaires to assess functioning, parent state interviews identify positive negative strategies behaviors...
Polycystic ovary syndrome (PCOS) in adult women is associated with increased risk of metabolic (MS) and atherosclerosis. We evaluated the spectrum dysfunction relationship hyperandrogenemia (HA) adolescent girls PCOS.Ovulatory function, acne, hirsutism (HS), body mass index (BMI), composition, fasting lipids, glucose, insulin, free testosterone (FT), high-sensitivity C-reactive protein (hs-CRP), HbA1c were 103 girls. The homeostatic assessment model equations (HOMA-IR HOMA-%B) used for...
Peer- and family-based group therapies have been used as separate interventions to improve adjustment self-management among youth with Type 1 diabetes mellitus. This study replicates a treatment protocol that combined these two types of management groups, while also using wait-list control design methodology within an outpatient mental health clinic setting. General psychosocial diabetes-related variables were assessed at baseline, immediately posttreatment, 4 months posttreatment. Youths'...
Objective Managing blood glucose levels is challenging for elite athletes with type 1 diabetes (T1D) as competition can cause unpredictable fluctuations. While fear of hypoglycemia during physical activity well documented, research on hyperglycemia-related anxiety (HRA) limited. HRA refers to the heightened that symptoms will impair functioning. This study investigates current strategies employed mitigate and development alternative approaches. Research design methods Elite TID, aged >14...
Diabetes care in Canada is compromised by the lack of resources to adequately address mental health challenges associated with both type 1 and 2 diabetes. To this gap Breakthrough T1D (formerly JDRF) developed a bilingual training program, directory listing successful graduates, educate empower existing providers better provide services those living This paper reports on development initial outcomes virtual program. Training involved six self-learning modules 3-hour interactive session...
Health care transition from pediatric to adult medical for individuals with diabetes is a challenging endeavor during developmental period of emerging adulthood. In this study, the psychometric properties diabetes-specific readiness assessment tool, READDY 1.1, were evaluated through confirmatory factor analysis two datasets. Findings supported removal several items and reordering remaining items, resulting in an updated 36-item 2.0 enhanced utility clinical research endeavors related transition.
Background: 25-Hydroxyvitamin D [25(OH)D] and parathyroid hormone (PTH) have been shown to correlate with several markers of metabolic syndrome in adult populations. We evaluated the relationship between circulating intact (iPTH) 25(OH)D indices obese adolescents. Methods: Body mass index (BMI), body composition, 25(OH)D, iPTH, fasting lipids, glucose, high-sensitivity C-reactive protein (hsCRP), glycosylated hemoglobin (HbA1c), insulin, homeostatic model assessment for insulin resistance...
The primary objective was to investigate the mediating effects of diabetes management in relationship between symptoms and generic health-related quality life (HRQOL) adolescents young adults (AYAs) with type 1 diabetes. secondary explored patient health communication perceived treatment adherence barriers as mediators a serial multiple mediator model.
Kaugars AS, Kichler JC, Alemzadeh R. Assessing readiness to change the balance of responsibility for managing type 1 diabetes mellitus: adolescent, mother, and father perspectives. Objective: This study examined reliability validity items assessing adolescent parent mellitus (T1DM). Methods: Sixty-nine adolescents with T1DM their caregivers completed questionnaires responsibility, division management tasks, self-efficacy, parenting stress. Stages classifications were determined individual...
Children's reactions to medical trauma have been recorded through play. In this study, participants were 15 children with illnesses, 14 siblings of a illness, and 6 in the community who did not any ill family members. Children participated play groups their toys was videotaped coded for themes that would provide window on perspectives. The illnesses similar. Medical mechanism imaginal coping working stress related experiences. contrast, comparison group engage much when they did, demonstrate...
The relationships among communication, modeling, body image dissatisfaction, and maladaptive eating attitudes behaviors in preadolescent girls were investigated a cross-sectional study of 69 fourth through sixth grade their mothers. Participants completed questionnaires assessing familial peer influences, behaviors. Positive communication was significantly more frequent than negative communication; however, only associated with dissatisfaction Hierarchical multiple regression analyses...
Objective To examine reliability and validity data for the Family Interaction Macro-coding System (FIMS) with adolescents spina bifida (SB), type 1 diabetes mellitus (T1DM), healthy their families. Methods Sixty-eight families of children SB, 58 T1DM, 68 in a comparison group completed family interaction tasks self-report questionnaires. Trained coders rated interactions using FIMS. Results Acceptable interrater scale reliabilities were obtained FIMS items subscales. Observed parental...
Objective. Research on how adolescents with type 2 diabetes mellitus (T2DM) understand and use social support is limited. Therefore, we explored T2DM experience perceive support. Methods. Adolescents were interviewed, data qualitatively analyzed using Consensual Qualitative methodology. Results. Four themes emerged: for nondiabetes diabetes-specific behaviors, feelings of belonging, disclosure. All participants expressed emotional self-care-specific For some, disclosure a sense belonging...