- Adolescent and Pediatric Healthcare
- Diabetes Management and Research
- Child and Adolescent Psychosocial and Emotional Development
- Family and Disability Support Research
- Childhood Cancer Survivors' Quality of Life
- Attention Deficit Hyperactivity Disorder
- Family Support in Illness
- Autism Spectrum Disorder Research
- Maternal Mental Health During Pregnancy and Postpartum
- Pancreatic function and diabetes
- Health and Lifestyle Studies
- Diabetes and associated disorders
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Mindfulness and Compassion Interventions
- Vaccine Coverage and Hesitancy
- SARS-CoV-2 and COVID-19 Research
- Birth, Development, and Health
- Infant Development and Preterm Care
- Pharmaceutical studies and practices
- Behavioral and Psychological Studies
- Bipolar Disorder and Treatment
- Chronic Disease Management Strategies
- COVID-19 and Mental Health
- Mobile Health and mHealth Applications
- Diabetes Management and Education
Children's National
2021-2024
University College London
2022
George Washington University
2022
National Hospital for Neurology and Neurosurgery
2022
University of Houston
2021
National Hospital
2021
University of Maryland, College Park
2014-2019
Massachusetts General Hospital
2014
Harvard University
2014
Young children of mothers with adult attention-deficit/hyperactivity disorder (ADHD) are at risk for ADHD by virtue genetics and environmental factors. Moreover, parent is associated maladaptive parenting poor child behavioral treatment response. Thus, a combined approach consisting training (BPT) maternal stimulant medication (MSM) may be needed to effectively treat within families. However, providing BPT+MSM initially all families unnecessarily burdensome because not likely need treatment....
Children classified as behaviorally inhibited (BI) are at risk for social anxiety. Risk anxiety is moderated by both parental behavior and social-emotional competence. Grounded in developmental-transactional theory, the Turtle Program involves parent child treatment components delivered within peer context. Our pilot work demonstrated beneficial effects of ('Turtle') over a waitlist control group. Herein, we report results rigorous randomized controlled trial (RCT) comparing to best...
Despite the emotional challenges of parental adjustment to a child's type 1 diabetes diagnosis and unique complexities early childhood, there are few programs designed meet needs parents young children at new onset. This study evaluated First STEPS (Study Type in Early childhood Parenting Support), stepped-care behavioral intervention support parents' psychosocial functioning promote children's glycemic outcomes.Using two-site randomized clinical trial design, (n = 157) aged 1-6 years...
Previous research has shown that families with a parent who bipolar disorder (BD) may experience family functioning difficulties. However, the association between and psychopathology among offspring of parents BD, characteristics moderate this association, remains poorly understood. This study examined cross-sectional associations (cohesion, expressiveness, conflict) in 117 (ages 5-18) 75 BD. We also whether age sex differences moderated these associations. measured by examining current...
Objective Offspring of parents with bipolar disorder (BD) are at increased risk for developing a range psychiatric disorders. Although genetic factors clearly confer to offspring, environmental also play role in increasing vulnerability. Such may occur the initial stages development form obstetric complications (OCs). The current investigation examined relationship between OCs and psychopathology offspring BD influence parental this relationship. Methods This cross-sectional study included...
The current study explored pre-pandemic sociodemographics, medical characteristics, social/family support, and mood symptoms, COVID-19 experiences as predictors of mood, positive/negative diabetes-specific experiences, COVID-19-specific distress among parents children with type 1 diabetes during the pandemic. We hypothesized that from marginalized backgrounds, youth higher A1c no CGM use, lower support more mood/anxiety those negative would have depressive fewer positive initial months...
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...
Abstract Objective A central part of family adjustment to a new diagnosis type 1 diabetes (T1D) is integrating T1D management into the child’s school/daycare. This may be particularly challenging for young children who rely on adults their management. study aimed describe parent experiences with school/daycare during first 1.5 years following diagnosis. Methods As randomized controlled trial behavioral intervention, 157 parents new-onset (<2 months) reported experience at baseline and...
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...
Background: Given parents' elevated stress following children's diagnoses of type I diabetes (T1D), more information about protective factors is needed. The current study examined social support from various sources (e.g., partner, family, general) in relation to among mothers and fathers young children shortly T1D diagnosis. Methods: Participants included 157 ages 1-6 recently diagnosed with their parents (152 59 fathers) who were enrolled a behavioral randomized controlled trial (RCT)....
Young adults with diabetes assume increasing responsibility for communicating their health care providers, and engaging in high-quality communication is an integral component of overall self-management. This article provides overview the main features communication, factors that may influence quality, interventions to promote skills, practical strategies clinicians working young diabetes. The review concludes a comprehensive summary future directions research.
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...
To examine psychosocial, sociodemographic, medical, and coronavirus disease 2019 (COVID-19) experiences as correlates of COVID-19 vaccination intentions among parents children with type 1 diabetes (T1D).
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...
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...
Objective: To examine recurrence and timing of maternal depression as predictors depressive conduct symptoms in children with without ADHD. Method: Children aged 4 to 6 years (125 ADHD, 122 comparison) were followed over 8 years. Maternal was assessed annually. Youth at ages 12 14. Results: Recurrence predicted youth 14; child ADHD moderated relations between (but not conduct) symptoms. Early adolescent exposure age 14 for all children. Exposure during early childhood, adolescence each...
Background: Adolescents and young adults (AYAs) are at higher risk for diabetes self-care challenges elevated A1c. Understanding AYA/health care provider (HCP) communication may provide insight to better support T1D management. The current study examined content quality of AYA/HCP during routine care. Methods: Thirty-two AYAs (M age=20.5 ± 9.1 yrs; 53.1% male; 43.8% non-Hispanic Black; M A1c=8.± 1.4%) 9 HCPs (100% female) participating in an RCT promoting AYA health had a visit...