A5081150856- Diabetes Management and Research
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Diabetes Management and Education
- Pancreatic function and diabetes
- Diabetes and associated disorders
- Child and Adolescent Psychosocial and Emotional Development
- Child and Adolescent Health
- Family and Disability Support Research
- Diabetes Treatment and Management
- Family Support in Illness
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Obesity, Physical Activity, Diet
- Mobile Health and mHealth Applications
- Behavioral and Psychological Studies
- Diversity and Career in Medicine
- Obesity and Health Practices
- Electronic Health Records Systems
- Attention Deficit Hyperactivity Disorder
- Ethics in Clinical Research
- Healthcare Systems and Technology
- Health and Lifestyle Studies
- Music Therapy and Health
Nemours Children's Health System
2015-2025
Nemours Children’s Clinic
2007-2020
Sinai Health System
2018
Hospital de Sant Pau
2018
University Health Network
2018
University of Toronto
2018
University of California, Santa Barbara
2018
Center for Children
2016
University of Florida
1997-2015
Wilmington University
2014
Pregnant women with type 1 diabetes are a high-risk population who recommended to strive for optimal glucose control, but neonatal outcomes attributed maternal hyperglycaemia remain suboptimal. Our aim was examine the effectiveness of continuous monitoring (CGM) on control and obstetric health outcomes.In this multicentre, open-label, randomised controlled trial, we recruited aged 18-40 years minimum 12 months were receiving intensive insulin therapy. Participants pregnant (≤13 weeks 6 days'...
Behavioral family systems therapy (BFST) for adolescents with diabetes has improved relationships and communication, but effects on adherence metabolic control were weak. We evaluated a revised intervention, BFST (BFST-D).One hundred four families randomized to standard care (SC) or 12 sessions of either an educational support group (ES) BFST-D over 6 months. Family relationships, adherence, glycosylated hemoglobin (HbA1c), health utilization measured at baseline after treatment.BFST-D...
OBJECTIVE Treatment of IDDM in youth emphasized balancing children's self-care autonomy with their psychological maturity. However, few data exist to guide clinicians or parents, and little is known about correlates deviations from this ideal. RESEARCH DESIGN AND METHODS In cross-sectional study, 100 was assessed using two well-validated measures. Three measures maturity (cognitive function, social-cognitive development, academic achievement) were also collected for each child. Composite...
Objective: To describe the short-term results of a controlled trial Behavioral Family Systems Therapy (BFST) for families adolescents with diabetes.
OBJECTIVE—Studies showing that family communication and conflict resolution are critical to effective management of type 1 diabetes in adolescents have stimulated interest evaluating psychological treatments targeting these processes. Previous trials shown Behavioral Family Systems Therapy (BFST) improved parent-adolescent relationships but not treatment adherence or glycemic control. This study evaluates a revised intervention, BFST for Diabetes (BFST-D), modified achieve greater impact on...
OBJECTIVE—This study reports 6- and 12-month follow-up for the families of adolescents with diabetes who participated in a trial Behavioral–Family Systems Therapy (BFST). RESEARCH DESIGN AND METHODS—A total 119 type 1 were randomized to 3 months treatment either BFST, an education support (ES) group, or current therapy (CT). Family relationships, adjustment diabetes, adherence, diabetic control assessed at baseline, after treatment, 6 12 later. This report focuses on latter two evaluations....
A cross-sectional study of health and adjustment among 18 to 22-year-old patients with insulin-dependent diabetes mellitus (IDDM) is reported. Objectives were examine coping IDDM in this age group; identify predictors status, treatment adherence, care use; provide a retrospective evaluation the persistence IDDM-specific from earlier through later adolescence. Multiple validated measures, interviews independent informants, biochemical assays used assess psychological, behavioral, metabolic...
Objective Collaboration between youths with type 1 diabetes (T1D) and their adult caregivers may be central to effective management of T1D. This article includes analysis cross-sectional associations T1D outcomes (adherence, glycemic control, quality life, family conflict, depression, self-efficacy) scores on the Collaborative Parent Involvement (CPI) Scale obtained from 309 about primary secondary caregivers. Methods MANCOVA, controlling for age, evaluated youths' CPI each caregiver....
To explore the experiences of adolescents with type 1 diabetes mellitus (T1DM) and their parents taking part in an overnight closed loop study at home, using qualitative quantitative research methods.
Adult obesity is linked to asthma cases and estimated lead 250 000 new yearly. Similar incidence attributable risk (AR) estimates have not been developed for children. We sought describe the relationship between overweight incident in childhood quantify AR statistics United States on pediatric asthma.The PEDSnet clinical data research network was used conduct a retrospective cohort study (January 2009-December 2015) compare among and/or obese versus healthy weight 2- 17-year-old Asthma...
Diabet. Med. 28, 1118–1122 (2011) Abstract Aims To describe satisfaction with continuous glucose monitoring in Type 1 diabetes; to correlate scores usage; and identify common themes perceived benefits barriers of reported by adults, youths the parents Juvenile Diabetes Research Foundation trials. Methods The Continuous Glucose Monitoring Satisfaction Scale questionnaire was completed after 6 months monitoring. Participants also answered open‐ended queries positive negative attributes Results...
OBJECTIVE To compare glycemic control, quality of life, and pregnancy outcomes women using insulin pumps multiple daily injection therapy (MDI) during the Continuous Glucose Monitoring in Women With Type 1 Diabetes Pregnancy Trial (CONCEPTT). RESEARCH DESIGN AND METHODS This was a prespecified analysis CONCEPTT involving 248 pregnant from 31 centers. Randomization stratified for pump versus MDI HbA1c. The primary outcome change HbA1c randomization to 34 weeks’ gestation. Key secondary were...
To explore the psychosocial experiences of closed-loop technology and to compare ratings closed- open-loop for adults with Type 1 diabetes taking part in a randomized crossover study.Adults (aged > 18 years) on insulin pump therapy were recruited receive first phase either real-time continuous glucose monitoring overnight or alone (open-loop) followed by second alternative treatment random order, at home 4 weeks, unsupervised. Participants invited share their views semi-structured...
Extended previous studies of adolescents with insulin-dependent diabetes mellitus (IDDM) that have implicated family conflict as a correlate poor adaptation to the disease and inadequate diabetic control. Families 115 IDDM completed Parent—Adolescent Relationship Questionnaire (PARQ) Teen Adjustment Diabetes Scale (TADS) recent glycohemoglobin levels were retrieved from medical records for 82 patients. PARQ scores families similar those healthy normative group. Multiple regression analysis...
Objectives This article reports associations among paternal involvement in pediatric chronic disease management and child outcomes. Methods The Dads' Active Disease Support scale (DADS) measures of treatment adherence, quality life, health status, care utilization were obtained for youths with six diseases, complete data sets from 190 couples. Results Paternal was not associated these outcomes younger children. Among adolescents, mother-reported father-reported DADS scores indicating more...
OBJECTIVE—This study assesses the effects of insulin pump therapy on diabetes control and family life in children 1–6 years old with type 1 diabetes. RESEARCH DESIGN AND METHODS—Twenty-six for ≥6 months were randomly assigned to current (two or three shots per day using NPH rapid-acting analog) continuous subcutaneous infusion (CSII) 6 months. After months, subjects offered CSII. Changes HbA1c, mean blood glucose (MBG), hypoglycemia frequency, diabetes-related quality (QOL), parental...
OBJECTIVE—This study assesses whether use of the GlucoWatch G2 Biographer (GW2B) in addition to standard glucose monitoring lowers HbA1c and reduces hypoglycemia compared with alone. RESEARCH DESIGN AND METHODS—In all, 200 subjects aged 7 <18 years type 1 diabetes were randomly assigned at five centers (usual care) or plus GW2B for 6 months. Study outcomes included values obtained months occurrence severe hypoglycemia. RESULTS—The mean baseline was 8.0% both groups; months, 7.9% usual...
OBJECTIVE Continuous glucose monitoring (CGM) has been found to improve control in type 1 diabetic patients. We estimated the cost-effectiveness of CGM versus standard diabetes. RESEARCH DESIGN AND METHODS This societal analysis (CEA) was conducted trial populations which produced a significant glycemic benefit (A1C ≥7.0% cohort adults aged ≥25 years and A1C <7.0% all ages). Trial data were integrated into simulation model diabetes complications. The main outcome cost per...
Behavioral contracting was used to encourage physical exercise among college students in a multiple-baseline design. Subjects deposited items of personal value with the experimenters, which they could earn back on fulfillment two types contract contingencies. selected weekly aerobic point criteria, fulfill by exercising presence other subjects. In addition, subjects contracted observe and record perform an independent reliability observation once each week, both these activities monitored...
Objective To evaluate associations among parent–child behaviors and generic diabetes-specific health-related quality of life (HRQOL) in a multi-site sample youth with type 1 diabetes. Method One hundred twenty-one their primary caregivers completed measures behaviors, child HRQOL, participated an observed family interaction task. Results Diabetes-specific variables were associated significantly both HRQOL above beyond the contributions demographic parent-child variables, accounting for...