Psychometric Findings for a Spanish Translation of the Diabetes Self-Management Profile (DSMP-Parent-Sp)

OBJECTIVE: Few validated measures exist to evaluate self-management of diabetes in families with limited English proficiency. The present study evaluated the psychometric properties and the factorial equivalence of a Spanish translation of the parent report version of the Diabetes Self-Management Profile (DSMP-Parent-Sp). RESEARCH DESIGN AND METHODS: Hispanic families of youth (mean 13.7 years old) with type 1 diabetes were recruited from three clinics in South Florida and represented a wide range of nationalities and acculturation levels. A total of 127 parents reported on their child\u27s self-management behaviors using either the original DSMP-Parent (59.8%) or the DSMP-Parent-Sp (40.2%). In addition, youth reported their self-management using the original DSMP in English, and physicians rated their perceptions of the youth\u27s self-management. Glycemic control was indexed by A1C in the past 3 months and collected from medical chart review. RESULTS: Item analysis confirmed that the DSMP-Parent-Sp items related to the overall composite score in expected ways, and internal consistency estimates were adequate. Paired correlations demonstrated strong parent-child concordance and a significant relationship with physician perceptions of self-management. Evidence of concurrent and convergent validity, as well as strict factorial invariance, was demonstrated. CONCLUSIONS: These preliminary findings indicate that the DSMP-Parent-Sp is a reliable and valid parent report measure of the diabetes self-management behaviors of Hispanic youths. In addition, there is preliminary evidence that the translated measure may be considered equivalent to the original English measure when used to measure self-management in Hispanic youth with diabetes

Youth and Caregiver Physical Activity and Sedentary Time: HCHS/SOL Youth

We examined associations between youth and caregiver moderate/vigorous physical activity (MVPA) and sedentary (SED) time, using accelerometery, in the Hispanic Community Health Study/Study of Latino Youth (HCHS/SOL) Youth

Psychosocial Therapies for Psychiatric Disorders and Diabetes

https://nsuworks.nova.edu/cps_facbooks/1103/thumbnail.jp

Empirically Supported Treatment of Overweight Adolescents

In this chapter, we address empirically supported treatment approaches for overweight adolescents. We consider various approaches to treatment for overweight adolescents, including dietary and physical activity interventions, outpatient multicomponent interventions, camp and residential programs, primary care interventions, and medical approaches including pharmacological interventions and bariatric surgery. We conclude with a discussion of implications for clinical practice and future research in this area. While the literature on the treatment efficacy of childhood overweight is promising (Baur % O%#x0027;Connor, 2004; Epstein, Valoski, Wing, & McCurley, 1994; Jelalian & Mehlenbeck, 2003), relatively less attention has been placed on the efficacy of treatment for adolescent overweight. Interventions for adolescent overweight vary across treatment approaches (e.g., dietary intervention, physical activity intervention, multicomponent behavioral therapy, medication management, and surgery), treatment settings (e.g., specialty outpatient clinic, hospital inpatient, primary care, school, residential camp, church, and community center), and treatment formats (e.g., individual, group, classroom, peer, dyadic, and family). However, even with the development of several different treatment approaches, there are few well-controlled studies examining the efficacy of adolescent overweight interventions

Satisfaction with the Health Care Provider and Regimen Adherence in Minority Youth with Type 1 Diabetes.

To assess whether satisfaction with the health-care provider is related to regimen adherence among primarily minority youth with type 1 diabetes. Youth with type 1 diabetes (n = 169; M age = 13.88; 52 % female; 70 % Hispanic) and their parents completed questionnaires that assessed their own satisfaction with the health-care provider and youths’ adherence to diabetes self-care behaviors. Higher youth and parent patient-provider relationship satisfaction was associated with higher regimen adherence. Gender affected the relationship between satisfaction and regimen adherence, such that for girls, greater satisfaction was associated with better adherence; this was not the case for boys. Patient satisfaction with the health care provider is important for regimen adherence among primarily minority youth with type 1 diabetes, particularly for girls. Future research might focus on improving youths’ relationships with their health care providers as a potential pathway to improve regimen adherence

Insulin Pump Therapy and Health Related Quality Of Life in Children and Adolescents with Type 1 Diabetes

OBJECTIVES: To compare the health-related quality of life (HRQOL) of youths on injection regimens to those prescribed insulin pump therapy and examine factors related to HRQOL in youths with type 1 diabetes. Methods An ethnically diverse group of youths (n = 160, ages 5-17 years) with type 1 diabetes and their caretakers completed family, parent, and child adjustment measures, as well as measures of generic- and disease-specific HRQOL. Metabolic control and regimen information were assessed through medical records. Results HRQOL was unrelated to regimen prescription. Child, family, and parent adjustment variables were significantly related to HRQOL, whereas other demographic and clinical variables were relatively less important. Conclusions Present findings indicate that insulin pump therapy does not have negative implications for HRQOL. They also suggest that interventions aiming to improve HRQOL in this population should target child, parent, and family adjustment and not focus solely on disease-related outcomes

Comparison of Diabetes Management Trajectories in Hispanic versus White Non-Hispanic Youth with Type 1 Diabetes across Early Adolescence

Objective: Ethnic minority youth with type 1 diabetes (T1D) often have poorer glycemic control and lower rates of adherence compared to White Non-Hispanic (WNH) youth. Variables such as family conflict, autonomy support, and youth regimen responsibility have been shown to change over adolescence and impact diabetes management. However, these factors have been investigated in predominantly White samples. Few studies have examined potential differences in these variables and their trajectories for Hispanic youth over early adolescence. Methods: Youth with T1D (178 WNH and 33 Hispanic youth participants), as well as their maternal caregivers (174 WNH and 32 Hispanic maternal caregivers), completed measures of diabetes-specific autonomy support, diabetes-related family conflict, regimen responsibility, and blood glucose monitoring frequency at 4 timepoints over a 3-year period. Results: At baseline, Hispanic youth had significantly poorer glycemic control, more family conflict, and fewer blood glucose checks on average compared to WNH youth. Similar to WNH youth, Hispanic youth have increasing independence for regimen tasks and decreasing parent autonomy support during this developmental period. However, while Hispanic youth had worsening diabetes management during early adolescence (as did WNH youth), Hispanic parents reported a more gradual change in youth\u27s diabetes management over early adolescence. Conclusions: This study presents an important contribution to the existing literature on youth with T1D. Findings suggest potential strengths and targets for Hispanic youth navigating diabetes management during the adolescent period. It is important to continue to investigate the trajectories of ethnic minority youth with diabetes

Enhancing surgical internship preparedness through a Transition to Internship Bootcamp

Purpose This study aims to assess the effectiveness of a 4th-year medical student (MS4) Transition to Internship Bootcamp curriculum in improving students’ attitudes towards and perception of preparedness for surgical residency. Methods A 4-week Transition to Internship Bootcamp curriculum was implemented for MS4 students who matched into a surgical residency program. The curriculum consisted of lectures on patient care, common surgical diseases, administrative and surgical principles, and hands-on practice of common bedside procedures and basic operating skills. Students completed a pre- and post-Bootcamp survey that measured their perceptions of preparedness of various intern-level skills. The surveys included a 5-point Likert scale and open response questions on general attitudes. The survey data was analyzed with univariate analysis at p  < 0.05 and thematic analyses of open responses. Results Of the 30 students who participated in the bootcamp, 50% were male and 50% White, with an average age of 27 years. Twenty-eight students completed both pre- and post-Bootcamp surveys and there was a significant increase in perceived preparedness across all bootcamp skills ( p  < 0.001). Prior to the bootcamp, students were concerned of their preparedness for the practical skills required for surgical internship. Following the bootcamp, students indicated an enhanced confidence in both knowledge and skillset. Conclusions The Transition to Internship Bootcamp enhances students’ preparedness for surgical internship and their confidence in various surgical skills. Positive response to hands-on skills lab experiences particularly highlights the importance of such training. Implementing specialty-focused training during the MS4 year strengthens readiness and self-assurance for surgical residency