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Parental monitoring for type 1 diabetes in genetically at-risk young children: The TEDDY study. | LitMetric

AI Article Synopsis

  • - The study investigated how parents of children at high genetic risk for type 1 diabetes monitor their child's health, particularly in relation to receiving results on islet autoantibody (IA) testing.
  • - It involved tracking 8,676 children over 7 years, noting that parental engagement in monitoring behaviors, such as glucose testing, increased significantly after parents were informed if their child tested positive for IA.
  • - Both parents of children with a first-degree relative (FDR) in the study showed some monitoring behaviors, with an overall increase in monitoring after IA+ notification, while participation in the TEDDY study also facilitated parental involvement in diabetes-monitoring tasks.

Article Abstract

Objective: We examined parental diabetes monitoring behaviors in a cohort of children at increased genetic risk for type 1 diabetes. We hypothesized that being informed of a positive islet autoantibody (IA) would increase monitoring behaviors.

Research Design And Methods: The Environmental Determinants of Diabetes in the Young (TEDDY) study follows 8676 children with high-risk human leucocyte antigen-DQ genotypes from birth to age 15, including general population (GP) children and those with a first-degree relative (FDR) with diabetes. Data on parental monitoring behaviors were solicited yearly. Serum samples were tested for IA and parents were informed of child results. We examined parental monitoring behaviors during the first 7 years of TEDDY.

Results: In IA- children, the most common monitoring behavior was participating in TEDDY study tasks; up to 49.8% and 44.2% of mothers and fathers, respectively, reported this. Among FDRs, 7%-10% reported watching for diabetes symptoms and 7%-9% reported monitoring the child's glucose, for mothers and fathers, respectively. After IA+ notification, all monitoring behaviors significantly increased in GP parents; only glucose monitoring increased in FDR parents and these behaviors continued for up to 4 years. FDR status, accurate diabetes risk perception, and anxiety were associated with glucose monitoring in IA+ and IA- cohorts.

Conclusions: Many parents view TEDDY participation as a way to monitor for type 1 diabetes, a benefit of enrollment in a longitudinal study with no prevention offered. IA+ notification increases short- and long-term monitoring behaviors. For IA- and IA+ children, FDR parents engage in glucose monitoring, even when not instructed to do so.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8771863PMC
http://dx.doi.org/10.1111/pedi.13173DOI Listing

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