Evidence map›Paper›PMID 31665389›Full record

ArticleJournal of pediatric psychology2020

Assessing Health-Related Quality of Life in Children and Adolescents with Diabetes: Development and Psychometrics of the Type 1 Diabetes and Life (T1DAL) Measures.

Marisa E Hilliard, Charles G Minard, David G Marrero, Maartje de Wit, Debbe Thompson, Stephanie N DuBose, Alandra Verdejo, Roshanak Monzavi, R Paul Wadwa, Sarah S Jaser and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pediatric psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05734313 (Telemedicine-Delivered Unified Protocol for Cognitive Behavioral Therapy for Anxiety and Depression in Young Adults With Type 1 Diabetes), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05734313 narecruitingnot on this mapstarted 2023, after this paper: background citation

Telemedicine-Delivered Unified Protocol for Cognitive Behavioral Therapy for Anxiety and Depression in Young Adults With Type 1 Diabetes

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2023 to 2027Enrolled94ConditionsDiabetes, Type 1 DiabetesArmsUnified protocol for cognitive behavioral therapy (UP-CBT), Continuous Glucose Monitoring (CGM)
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Positive affect predicts enhanced quality of life and glycemic outcomes in adolescents with type 1 diabetes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
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  6. An RCT of a family intervention for adolescents living with type 1 diabetes: Who benefits most?Diabetic medicine : a journal of the British Diabetic Association · 2026
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  12. BMJ open · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marisa E HilliardDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital.
Charles G MinardDan L Duncan Institute for Clinical and Translational Research, Baylor College of Medicine.
David G MarreroUniversity of Arizona Health Sciences.
Maartje de WitDepartment of Medical Psychology, Amsterdam UMC, Vrije Universiteit Amsterdam.
Debbe ThompsonUSDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine.
Stephanie N DuBoseJaeb Center for Health Research.
Alandra VerdejoJaeb Center for Health Research.
Roshanak MonzaviCenter for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles and Keck School of Medicine of University of Southern California.
R Paul WadwaBarbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus.
Sarah S JaserDepartment of Pediatrics, Vanderbilt University Medical Center.
Barbara J AndersonDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital.

Funding

Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROTHMAN, RUSSELL L. · 2011 to 2020
$6.7M
Mentoring Behavioral Scientists for Career Development in Pediatric T1D ResearchK12DK097696 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, BARBARA JANE · 2012 to 2016
$1.8M
NIDDK NIH HHS K12 DK097696NIDDK NIH HHS P30 DK092986
6 · The paper itself

Abstract

objectiveTo develop and validate new measures of diabetes-specific health-related quality of life (HRQOL) for people with type 1 diabetes (T1D) that are brief, developmentally appropriate, and usable in clinical research and care. Here we report on the phases of developing and validating the self-report Type 1 Diabetes and Life (T1DAL) measures for children (age 8-11) and adolescents (age 12-17).

methodsMeasure development included qualitative interviews with youth and parents (n = 16 dyads) followed by piloting draft measures and conducting cognitive debriefing with youth (n = 9) to refine the measures. To evaluate the psychometric properties, children (n = 194) and adolescents (n = 257) at three T1D Exchange Clinic Network sites completed the age-appropriate T1DAL measure and previously validated questionnaires measuring related constructs. Using psychometric data, the investigators reduced the length of each T1DAL measure to 21 and 23 items, respectively, and conducted a final round of cognitive debriefing with six children and adolescents.

resultsThe T1DAL measures for children and adolescents demonstrated good internal consistency (α = 0.84 and 0.89, respectively) and test-retest reliability (r = 0.78 and 0.80, respectively). Significant correlations between the T1DAL scores and measures of general quality of life, generic and diabetes-specific HRQOL, diabetes burden, and diabetes strengths demonstrated construct validity. Correlations with measures of self-management (child and adolescent) and glycemic control (adolescent only) demonstrated criterion validity. Factor analyses indicated four developmentally specific subscales per measure. Participants reported satisfaction with the measures.

conclusionsThe new T1DAL measures for children and adolescents with T1D are reliable, valid, and suitable for use in care settings and clinical research.

Indexed as

PsychometricsQuality of LifeSelf ReportAdolescentChildDiabetes Mellitus, Type 1Factor Analysis, StatisticalFamilyFemaleHumansMaleReproducibility of ResultsSurveys and Questionnairesdevelopmental perspectivesdiabetesquality of life

Identifiers

PMID31665389
PMCPMC7850123

What OpenQuestion holds

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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.