Evidence map›Paper›PMID 37583560›Full record

ArticleDiabetes spectrum : a publication of the American Diabetes Association2023

Psychosocial Staffing and Implementation of the International Society for Pediatric and Adolescent Diabetes Psychological Care Guidelines in U.S. Pediatric Diabetes Clinics.

Julia Price, Amanda M Lewis, Jessica S Pierce, Paul T Enlow, Katherine Okonak, Anne E Kazak

Registry-linked trialAbstract read
In one paragraph

Article in Diabetes spectrum : a publication of the American Diabetes Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07766811 (Single Site Implementation Pilot Trial of Base, Enhanced, and Sustainment Implementation Toolkits for Diabetes Coaching for Families With an Adolescent With Type 1 Diabetes), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT07766811 narecruitingnot on this mapstarted 2026, after this paper: background citation

Single Site Implementation Pilot Trial of Base, Enhanced, and Sustainment Implementation Toolkits for Diabetes Coaching for Families With an Adolescent With Type 1 Diabetes

TypeinterventionalSponsorNemours Children's ClinicRan2026 to 2027Enrolled15ConditionsImplementation Science, Type 1 Diabetes in Adolescence, Implementation StrategiesArmsBase Implementation Toolkit (BIT), BIT-Enhanced, BIT-Sustainment
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Fear of Nighttime Hypoglycemia: Perspectives of Diabetes Providers and Caregivers.Journal of clinical psychology in medical settings · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. 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

6 authors.

Julia PriceCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.ORCID https://orcid.org/0000-0003-2231-6594
Amanda M LewisCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.
Jessica S PierceCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.ORCID https://orcid.org/0000-0001-6352-9225
Paul T EnlowCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.
Katherine OkonakCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.
Anne E KazakCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, and Orlando, FL.

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

Background: Few studies have examined the implementation of the International Society for Pediatric and Adolescent Diabetes (ISPAD) Clinical Practice Consensus Guidelines for the Psychological Care of Children and Adolescents with Type 1 Diabetes. Objective: To collect benchmark data on psychosocial staffing and implementation of the ISPAD guidelines across U.S. pediatric diabetes clinics. Methods: Medical ( Results: Clinics averaged a total of ∼4 hours per week of psychosocial provider time per 100 patients with type 1 diabetes. Only 27% of providers agreed that psychosocial staffing was adequate, and 35% described their psychosocial care as comprehensive. Implementation of the ISPAD guidelines varied across clinics, with minimal differences across clinic size. Medical providers reported that evidence-based psychological assessment and interventions were delivered consistently by <55% of clinics. Psychosocial, compared with medical, providers were more likely to report frequent implementation of psychosocial assessment and intervention guidelines. Conclusion: Psychological care in U.S. pediatric type 1 diabetes clinics does not consistently meet the ISPAD guidelines, and many clinics lack adequate psychosocial staff. These benchmark data are a foundational step to improve psychosocial care for pediatric patients with type 1 diabetes.

Identifiers

PMID37583560
PMCPMC10425227

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.