ArticlePatient education and counseling2013
How poorer quality of life in adolescence predicts subsequent type 1 diabetes management and control.
Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03481218 (Quality of Life and Personality Traits in Patients With Type 1 Diabetes), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Quality of Life and Personality Traits in Patients With Type 1 Diabetes
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Family Functioning and Medical Adherence Across Children and Adolescents With Chronic Health Conditions: A Meta-Analysis.Journal of pediatric psychology · 2019Pooled it
- Diabetes distress among caregivers of adolescents with type 1 diabetes.Journal of pediatric psychology · 2025Trial
- Trial
- Clinical and quality of life outcomes in children and adolescents with type 1 diabetes using different insulin therapy types: a cross-sectional observational study.Diabetology & metabolic syndrome · 2026Article
- Executive function and quality of life in children and adolescents with type 1 diabetes: The mediating role of the Child Behavior Checklist Dysregulation Profile.European journal of pediatrics · 2025Article
- Design of the type 1 diabetes and life (T1DAL) pilot and feasibility study: A brief telehealth intervention targeting health-related quality of life across clinical settings.Contemporary clinical trials communications · 2025Article
- Determinants of health-related quality of life in children and adolescents living with type 1 diabetes mellitus during the COVID-19 pandemic.Nursing open · 2023Article
- Health-related quality of life in 4-to-6-year-old children with type 1 diabetes mellitus estimated by children and their mothers.European journal of pediatrics · 2022Article
- T1DMicro: A Clinical Risk Calculator for Type 1 Diabetes Related Microvascular Complications.International journal of environmental research and public health · 2021Article
- Clinical, Laboratory, Instrumental, Anamnestic Characteristics in Children With Type I Diabetes Mellitus and Early Stage of Diabetic Nephropathy.Global pediatric health · 2021Article
- Parental Stress as a Child With Diabetes Transitions From Adolescence to Emerging Adulthood.Journal of patient experience · 2020Article
- Assessing Health-Related Quality of Life in Children and Adolescents with Diabetes: Development and Psychometrics of the Type 1 Diabetes and Life (T1DAL) Measures.Journal of pediatric psychology · 2020Article
- Trajectory Analysis of Glycemic Control in Adolescents with Type 1 Diabetes Mellitus at Dammam Medical Complex, Saudi Arabia.Advances in medicine · 2020Article
- Validation of the Arabic and Tunisian Arabic version of the KINDL questionnaires for children with diabetes type 1.The Libyan journal of medicine · 2019Article
- Medical and Psychological Considerations for Carbohydrate-Restricted Diets in Youth With Type 1 Diabetes.Current diabetes reports · 2019Review
- Trajectories of Health-Related Quality of Life and HbA1c Values of Children and Adolescents With Diabetes Mellitus Type 1 Over 6 Months: A Longitudinal Observational Study.Frontiers in pediatrics · 2019Article
- Type 1 diabetes.Lancet (London, England) · 2018Review
- Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitus.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
- Factors Associated With Diabetes-Specific Health-Related Quality of Life in Youth With Type 1 Diabetes: The Global TEENs Study.Diabetes care · 2017Article
- Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth-Australia.Diabetes care · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveDetriments in quality of life (QOL) may contribute to the common, costly decline in adolescents' type 1 diabetes management and control, yet we know little about how this might happen.
methodsParticipants were 150 adolescents (age 13-18) with type 1 diabetes and their parents. We constructed a latent QOL variable from a multi-informant, multi-domain assessment when participants entered the study. The QOL variable was examined in relation to prospective assessments of diabetes management (blood glucose monitoring frequency; BGM) and control (hemoglobin A1c). We used an indirect path model to test the links among these variables, using bias-corrected bootstrapping.
resultsPoorer QOL at baseline was indirectly linked with higher A1c at 12 months via less frequent BGM obtained at 6 months (b = -0.01, 95% CI = -0.025, -0.004, p < 0.05). Older age (b = -0.32), longer diabetes duration (b = -0.07), and insulin delivery via injections versus the insulin pump (b = 0.67) were covariates of less frequent BGM, and unmarried caregiver status was associated with higher A1c (b = -0.76), all ps < 0.05.
conclusionsIn this study, poorer QOL acted as a barrier to effective diabetes management, subsequently altering diabetes control. PRACTICE IMPLICATIONS: Efforts to monitor and enhance QOL may hold promise for improving adolescents' diabetes outcomes in the future.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.