Evidence map›Paper›PMID 31808586›Full record

ArticlePediatric diabetes2020

"I'm essentially his pancreas": Parent perceptions of diabetes burden and opportunities to reduce burden in the care of children <8 years old with type 1 diabetes.

Persis V Commissariat, Kara R Harrington, Amanda L Whitehouse, Kellee M Miller, Marisa E Hilliard, Michelle Van Name, Daniel J DeSalvo, William V Tamborlane, Barbara J Anderson, Linda A DiMeglio and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Persis V CommissariatJoslin Diabetes Center and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-6964-1223
Kara R HarringtonJoslin Diabetes Center and Harvard Medical School, Boston, Massachusetts.
Amanda L WhitehouseJoslin Diabetes Center and Harvard Medical School, Boston, Massachusetts.
Kellee M MillerJaeb Center for Health Research, Tampa, Florida.ORCID 0000-0002-1267-4841
Marisa E HilliardTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-8813-629X
Michelle Van NameYale School of Medicine, New Haven, Connecticut.ORCID 0000-0001-7672-4230
Daniel J DeSalvoTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
William V TamborlaneYale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-9928-559X
Barbara J AndersonTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Linda A DiMeglioIndiana University School of Medicine, Indianapolis, Indiana.ORCID 0000-0002-8033-6078
Lori M LaffelJoslin Diabetes Center and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-9675-3001

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

backgroundAcross all age groups, management of type 1 diabetes (T1D) places substantial responsibility and emotional burden upon families. This study explored parent perceptions of the burdens of caring for very young children with T1D.

methodsSemi-structured qualitative interviews were conducted with parents (85% mothers) of 79 children with T1D, aged 1 to <8 years old, from four diverse pediatric diabetes clinical centers. Interviews were transcribed, coded, and analyzed using hybrid thematic analysis to derive central themes.

resultsYouth (77% White) had T1D for ≥6 months: age (M ± SD) 5.2 ± 1.5 years, diabetes duration 2.4 ± 1.3 years, and A1c 63 ± 10 mmol/mol (7.9 ± 0.9%); 66% used an insulin pump and 61% used CGM. Three major themes emerged related to diabetes burdens: (a) the emotional burden of diabetes on themselves and their children, (b) the burden of finding, training, and trusting effective secondary caregivers to manage the child's diabetes, and (c) suggestions for how more comprehensive, personalized diabetes education from healthcare providers for parents and secondary caregivers could help reduce parent burden and worry.

conclusionsIn families with very young children with T1D, parental perceptions of the burden of managing diabetes are common and could be mitigated by tailored education programs that increase parent knowledge, bolster parents' confidence in themselves, and increase trust in their secondary caregivers to manage diabetes. Reduced parental burden and increased caregiver knowledge may positively impact child's glycemic control, as well as improve parent and child quality of life.

Indexed as

Cost of IllnessChildChild, PreschoolDiabetes Mellitus, Type 1FemaleHumansHypoglycemic AgentsInsulinInterviews as TopicMaleParentingParentsPsychological DistressQualitative ResearchHypoglycemic AgentsInsulinadolescentblood glucosecaregiverschildglycated hemoglobin Aparentsquality of lifetype 1 diabetes mellitus

Identifiers

PMID31808586
PMCPMC7830825

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.