Evidence map›Paper›PMID 33034097›Full record

ArticlePediatric diabetes2021

Defining features of diabetes resilience in emerging adults with type 1 diabetes.

Kyleigh K Skedgell, Viena T Cao, Katherine A Gallagher, Barbara J Anderson, Marisa E Hilliard

Open access · greenAbstract read
In one paragraph

Article in Pediatric diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
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

20 citing papers in PubMed, 29 citations in OpenAlex.

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  11. Developing a Quality Improvement Framework to Enhance the Health System User Experience for Individuals Living With Type 1 Diabetes: The Reshape T1D Study.Health expectations : an international journal of public participation in health care and health policy · 2025
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  19. Here for You: A Review of Social Support Research in Young Adults With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2021
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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

5 authors at 1 institution in 1 country.

Kyleigh K SkedgellDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.ORCID 0000-0001-8217-3551
Viena T CaoDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.ORCID 0000-0002-1592-5247
Katherine A GallagherDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Barbara J AndersonDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.ORCID 0000-0003-1587-7967
Marisa E HilliardDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.ORCID 0000-0002-8813-629X
Baylor College of Medicine · US

Funding

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 NIDDK 1K12 DK097696 (PI: Anderson)
6 · The paper itself

Abstract

backgroundEmerging adulthood presents unique challenges for type 1 diabetes (T1D) management. Barriers to achieving optimal diabetes outcomes have been studied but less is known about how emerging adults overcome these challenges. Characterizing emerging adults' protective factors may help guide T1D care during this developmental period. We anticipated identifying social, cognitive, and behavioral protective factors and were open to additional themes.

methodsWe analyzed transcripts from semi-structured qualitative interviews with 62 emerging adults (age 18-24 years) with T1D using hybrid thematic analysis. Interviews queried about participants' perspectives on diabetes management challenges, how they overcome challenges, and diabetes resilience.

resultsWe categorized responses into three types of protective factors: (a) Social: Interpersonal strategies such as obtaining tangible support (especially from parents) and emotional support from friends, medical professionals, and community leaders. (b) Cognitive: Believing one can live a "normal" life with T1D, benefit-finding, and viewing diabetes management as an important part of life. (c) Behavioral: Proactively planning for diabetes challenges, maintaining a consistent routine while allowing for flexibility, balancing diabetes and non-diabetes activities, and using diabetes-specific and general technologies to support self-management.

conclusionsThe adaptive approaches emerging adults with T1D use to handle the challenges of diabetes include seeking interpersonal support, managing their thoughts about T1D, and taking specific actions to prevent or resolve challenges. Helping emerging adults identify and strengthen their protective factors has potential to affect clinical outcomes. Strengths-based assessment and clinical attention to protective factors may prepare adolescents to successfully manage the challenges of transition to adult care.

Indexed as

Adaptation, PsychologicalResilience, PsychologicalSelf-ManagementTransition to Adult CareAdolescentAge FactorsDiabetes Mellitus, Type 1FemaleHumansMaleSelf ConceptSocial SupportYoung Adultdiabetes mellitus, type 1emerging adultshealth behavior

Identifiers

PMID33034097
PMCPMC12168199
OpenAlexW3091961222

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.