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Journal of Pediatric Psychology Advance Access published online on December 1, 2005

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj088
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org
Received April 27, 2005
Revised October 12, 2005
Accepted October 25, 2005

Article

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

Jessica M. Valenzuela MS 1, Anna Maria Patino PhD 1, Judith McCullough PhD 1, Christine Ring MSN, ARNP 2, Janine Sanchez MD 1, Margaret Eidson MD 1, Robin Nemery MD 2, and Alan M. Delamater PhD 1 *

1 University of Miami School of Medicine
2 Joe Dimaggio Children’s Hospital

* To whom correspondence should be addressed.
Alan M. Delamater, E-mail: adelamater{at}med.miami.edu


   Abstract

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.

Keywords: health-related quality of life; insulin pump therapy; type 1 diabetes.
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