Evidence map›Paper›PMID 37673098›Full record

ArticleDiabetes care2023

Anxiety and Risk Perception in Parents of Children Identified by Population Screening as High Risk for Type 1 Diabetes.

Holly K O'Donnell, Cristy Geno Rasmussen, Fran Dong, Kimber M Simmons, Andrea K Steck, Brigitte I Frohnert, Kimberly Bautista, Marian J Rewers, Judith Baxter, ASK Study Group

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Impact of screening programmes for type 1 diabetes in youth: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Pooled it
  3. Guideline
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  12. Observational
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  17. Towards primary prevention of multiple sclerosis.Nature reviews. Neurology · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Holly K O'DonnellDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-7774-7220
Cristy Geno RasmussenDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-0202-4140
Fran DongDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Kimber M SimmonsDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0003-0560-5773
Andrea K SteckDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-5931-9484
Brigitte I FrohnertDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-6636-4048
Kimberly BautistaDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Marian J RewersDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Judith BaxterDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
ASK Study Group
University of Colorado Denver · US

Funding

Diabetes-Docs: Physician-Scientist Career Development Program (DiabDocs)K12DK133995 · NIDDK · STANFORD UNIVERSITY · PI LINDA A DIMEGLIO, David Matthew Maahs · 2022 to 2026
$16.0M
Janssen Research and Development, LLCJuvenile Diabetes Research Foundation United States of America 1-SRA-2016-208-S-BLeona M. and Harry B. Helmsley Charitable Trust R-2109-04817NIDDK NIH HHS K12 DK133995
6 · The paper itself

Abstract

objectiveTo assess anxiety and risk perception among parents whose children screened positive for islet autoantibodies, indicating elevated risk for type 1 diabetes (T1D). RESEARCH DESIGN AND

methodsThe Autoimmunity Screening for Kids (ASK) study identified 319 children age 1 to 17 years at risk for T1D via screening for islet autoantibodies; 280 children with confirmed islet autoantibodies and their caregivers enrolled in a follow-up education and monitoring program to prevent diabetic ketoacidosis at diagnosis. Parents completed questionnaires at each monitoring visit, including a 6-item version of the State Anxiety Inventory (SAI), to assess anxiety about their child developing T1D, and a single question to assess risk perception.

resultsAt the first ASK follow-up monitoring visit, mean parental anxiety was elevated above the clinical cutoff of 40 (SAI 46.1 ± 11.2). At the second follow-up monitoring visit (i.e., visit 2), mean anxiety remained elevated but started to trend down. Approximately half (48.9%) of parents reported their child was at increased risk for T1D at the initial follow-up monitoring visit (visit 1). Parents of children with more than one islet autoantibody and a first-degree relative with T1D were more likely to report their child was at increased risk.

conclusionsMost parents of autoantibody-positive children have high anxiety about their child developing T1D. Information about the risk of developing T1D is difficult to convey, as evidenced by the wide range of risk perception reported in this sample.

Indexed as

Diabetes Mellitus, Type 1Islets of LangerhansAdolescentAnxietyAutoantibodiesChildChild, PreschoolHumansInfantParentsPerceptionAutoantibodies

Identifiers

PMID37673098
PMCPMC13158050
OpenAlexW4386471718

What OpenQuestion holds

Textmetadata
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.