Evidence map›Paper›PMID 34232537›Full record

ArticlePediatric diabetes2021

Hispanic Caregivers' experience of pediatric type 1 diabetes: A qualitative study.

Elise Schlissel Tremblay, Jessica Ruiz, Blair Dykeman, Michele Maldonado, Katharine Garvey

Abstract 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
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  8. Article
  9. Type 1 diabetes care delivery in Yaoundé, Cameroon: Social and political representations.African journal of primary health care & family medicine · 2024
    Article
  10. Experiences With Outpatient Nutrition Services Among Caregivers of Youth With Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2024
    Article
  11. Article
  12. Review
  13. Article
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.

Elise Schlissel TremblayDivision of Endocrinology, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-0950-6393
Jessica RuizDepartment of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Blair DykemanInstitutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts, USA.
Michele MaldonadoChildren's Hospital Primary Care Center, Social Work, Boston Children's Hospital, Boston, Massachusetts, USA.
Katharine GarveyDivision of Endocrinology, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.

Funding

Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
CAREER DEVELOPMENT IN DIABETES RESEARCH FOR PEDIATRIC ENDOCRINOLOGISTSK12DK094721 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LAFFEL, LORI M, WHITE, MORRIS F. · 2011 to 2021
$6.3M
AHRQ HHS T32 HS000063NIDDK NIH HHS K12 DK094721
6 · The paper itself

Abstract

objectiveIt is widely recognized that Type 1 Diabetes (T1D) outcomes are worse among Hispanic children; however, little is published about the perspectives of these patients and their caregivers. Our intent was to characterize the lived experience of Hispanic caregivers of children with T1D, focusing on the role of language and culture and their perspectives on current medical care and alternative care models. We studied Hispanic caregivers of patients (age 2-17 years) with T1D of greater than 6 months' duration. RESEARCH DESIGN AND

methodsWe completed semi-structured interviews and focus-groups of a purposive sample of 20 members of our population of interest. We developed a codebook and completed multidisciplinary consensus coding, then conducted iterative thematic analysis using qualitative software and discussion to generate themes.

resultsWe gathered data from 20 Hispanic caregivers of T1D patients (11.37 ± 3.00 years old, 4.80 ± 2.84 years since diagnosis). 85% of caregivers were female, 80% preferred Spanish, and 15% were college-educated. Our analysis yielded 4 themes across the participants: (1) Culturally-based nutrition challenges, (2) Social isolation and lack of support for T1D care, (3) Hesitancy to fully embrace diabetes technology, and (4) Deferential views of care experience and providers. Overarching all of these themes was support for Hispanic group-based models of care tailored to address these concerns.

conclusionsThe unique concerns among Hispanic caregivers of children with T1D suggest the importance of culturally tailored interventions to improve care. With successful implementation, such interventions could diminish widening disparities in healthcare outcomes.

Indexed as

AdolescentAdultAgedCaregiversChildCultureDiabetes Mellitus, Type 1DietDiet, HealthyFamilyFemaleFocus GroupsHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansfamily caregivershealth care deliveryHispanicsqualitative researchtype 1 diabetes

Identifiers

PMID34232537
PMCPMC8530860

What OpenQuestion holds

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LicenceTDM
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Registered trials

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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.