Susana R Patton, PhD

Center Director/Principal Research FL Operations

Nemours Children's Health, Jacksonville 807 Children's Way Jacksonville, FL 32207

Biography

Dr. Susana Patton is a Principal Research Scientist, the Center Director for the Nemours Center for Healthcare Delivery Science in Florida and a Professor of Pediatrics in the Mayo Clinic College of Medicine in the USA. She has dedicated her career to pediatric type 1 diabetes research. Dr. Patton received her bachelor's degree from Cornell University and her doctoral degree in Clinical Health Psychology from MCP Hahnemann University. She is board certified in Child and Adolescent Psychology and she is a Certified Diabetes Care and Education Specialist. Dr. Patton has served on the faculty in the Department of Pediatrics at the University of Michigan School of Medicine and the University of Kansas Medical School. Her research interests are diverse and include psychosocial screening and behavioral interventions in youth with type 1 diabetes and their parents, telehealth and eHealth delivery methods, clinical trials using wearable devices and advanced diabetes technologies, longitudinal assessment of health behaviors and health outcomes, and predictive analytics. She has authored over 100 scientific manuscripts and maintained a consistent record of NIH funding for her research since 2002. Also, Dr. Patton has mentored nearly thirty early career scientists and collaborated broadly with other investigators in the US and internationally. Dr. Patton is immensely grateful to the many colleagues on her team and at other institutions who collaborate with her on her research. She has deep respect and appreciation for the families of youth with type 1 diabetes who share with her their experiences living with type 1 diabetes and who contribute their time and effort to participate in research to advance type 1 diabetes care.

Fellowship

  • Pediatric Psychology - Cincinnati Children's Hospital Medical Center, 2004

Internship

  • Pediatric Psychology - Cincinnati Children's Hospital Medical Center, 2000

Medical/Dental School

  • Doctor of Philosophy - Medical College of Pennsylvania/Hahnemann University School of Medicine, 2000

  • Physical Activity Management for Youth With Type 1 Diabetes: Supporting Active and Inactive Children; Diabetes Spectrum; (2023).

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  • Is There an Optimal Time of Day for Exercise? A Commentary on When to Exercise for People Living With Type 1 or Type 2 Diabetes; Diabetes Spectrum; (2023).

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  • Current Trends and Strategies for Exercise in Diabetes; Diabetes Spectrum; (2023).

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  • Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes; Current Diabetes Reports; (2023).

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  • The Relationship Between Parent Fear of Hypoglycemia and Youth Glycemic Control Across the Recent-Onset Period in Families of Youth with Type 1 Diabetes; International Journal of Behavioral Medicine; (2023).

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  • Telehealth and Type 1 Diabetes Care During COVID-19: Perceptions From Youth of Color, Caregivers, and Health Care Providers; Diabetes Spectrum; (2023).

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  • Examining the Relationship between Nighttime Glucose Values in Youth with Type 1 Diabetes and Parent Fear of Nighttime Hypoglycemia; Pediatric Diabetes; (2023).

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  • Development of an "all-data-on-hand" deep learning model to predict hospitalization for diabetic ketoacidosis (DKA) in youth with type 1 diabetes (T1D). (Preprint); JMIR Diabetes; (2023).

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  • Psychosocial Needs for Newly Diagnosed Youth with Type 1 Diabetes and Their Families; Current Diabetes Reports; (2022).

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  • Childhood diabetes and sleep; Pediatric Pulmonology; (2022).

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  • ISPAD Clinical Practice Consensus Guidelines 2022: Managing diabetes in preschoolers; Pediatric Diabetes; (2022).

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  • Adjusted Cutoff Scores Increase Sensitivity of Depression Screening Measures in Adolescents With Type 1 Diabetes; Diabetes Care; (2022).

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  • Risky self-management behaviors in adolescents with type 1 diabetes: Measurement validation for the Diabetes-Specific Risk-Taking Inventory; Pediatric Diabetes; (2022).

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  • Remedy to Diabetes Distress (R2D2): Development protocol for a scalable screen-to-treat program for families of school-age children; Contemporary Clinical Trials; (2022).

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  • Physical Activity, Glycemic Variability, and Parental Hypoglycemia Fear in Preschoolers With Type 1 Diabetes; Pediatric exercise science; (2022).

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  • Parent-Child Conflict Moderates the Relationship Between Executive Functioning and Child Disruptive Behaviors in Youth with T1D; Journal of Clinical Psychology in Medical Settings; (2022).

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  • Applying Behavioral Economics Theories to Interventions for Persons with Diabetes; Current Diabetes Reports; (2022).

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  • A Nonrandomized Pilot of a Group, Video-Based Telehealth Intervention to Reduce Diabetes Distress in Parents of Youth With Type 1 Diabetes Mellitus; Canadian Journal of Diabetes; (2022).

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  • Family mealtime behaviors in children who are tube fed and preparing to transition to oral eating: A comparison to other pediatric populations; Journal of Health Psychology; (2022).

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  • Longitudinal associations between family conflict, parent engagement, and metabolic control in children with recent-onset type 1 diabetes; BMJ Open Diabetes Research and Care; (2021).

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  • Group engagement in parent-focused telehealth interventions for families of children with type 1 diabetes; Journal of Telemedicine and Telecare; (2021).

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  • Associations between Objective Sleep Behaviors and Blood Glucose Variability in Young Children with Type 1 Diabetes; Annals of Behavioral Medicine; (2021).

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  • Assessing Mealtime Macronutrient Content: Patient Perceptions Versus Expert Analyses via a Novel Phone App; Diabetes Technology and Therapeutics; (2021).

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  • An Examination of the Glucose Management Indicator in Young Children with Type 1 Diabetes; Journal of Diabetes Science and Technology; (2021).

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  • Challenges and Considerations for Reducing Diabetes Distress and Fear of Hypoglycemia in Parents of Youth With Type 1 Diabetes During the COVID-19 Pandemic; JMIR Pediatrics and Parenting; (2021).

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  • Parent Perspectives on Educational and Psychosocial Intervention for Recent-Onset Type 1 Diabetes in Their School-Age Child: A Qualitative Study; Diabetes Spectrum; (2021).

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  • Feasibility of Implementing a Pediatric Diabetes Clinic via Telehealth; Diabetes Spectrum; (2021).

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  • Identifying HbA1c trajectories and modifiable risk factors of trajectories in 5- to 9-year-olds with recent-onset type 1 diabetes from the United States; Diabetic Medicine; (2021).

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  • More Time in Glucose Range during Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes; Diabetes Technology and Therapeutics; (2021).

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  • Associations between autism symptom severity and mealtime behaviors in young children presented with an unfamiliar food; Research in Developmental Disabilities; (2020).

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  • The association between glycemic variability and macronutrients in young children with T1D; Journal of Pediatric Psychology; (2020).

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  • Mealtime insulin BOLUS score increases prior to clinic visits in youth with type 1 diabetes; BMJ Open Diabetes Research and Care; (2020).

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  • Stressful life events, parental psychosocial factors, and glycemic management in school-aged children during the 1 year follow-up of new-onset type 1 diabetes; Pediatric Diabetes; (2020).

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  • Continuous Glucose Monitoring Decreases Hypoglycemia Avoidance Behaviors, but Not Worry in Parents of Youth With New Onset Type 1 Diabetes; Journal of Diabetes Science and Technology; (2020).

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  • Are we there yet? Advanced technologies for young children with type 1 diabetes: comment in response to "Type 1 diabetes mellitus management in young children: implementation of current technologies"; Pediatric Research; (2020).

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  • Adaptive Mobile Health Intervention for Adolescents with Asthma: Iterative User-Centered Development; JMIR mHealth and uHealth; (2020).

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  • An Intervention to Reduce Hypoglycemia Fear in Parents of Young Kids with Type 1 Diabetes through Video-Based Telemedicine (REDCHiP): Trial Design, Feasibility, and Acceptability; Diabetes Technology and Therapeutics; (2020).

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  • Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP): Protocol for a Randomized Clinical Trial to Test a Video-Based Telehealth Intervention; JMIR Research Protocols; (2020).

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  • Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP): Protocol for a Randomized Clinical Trial to Test a Video-Based Telehealth Intervention (Preprint); Unknown Source; (2020).

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  • Adaptive Mobile Health Intervention for Adolescents with Asthma: Iterative User-Centered Development (Preprint); Unknown Source; (2020).

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  • Intervention to reduce hypoglycemia fear in parents of young kids using video-based telehealth (REDCHiP); Pediatric Diabetes; (2020).

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  • Depression as a predictor of hypoglycemia worry in parents of youth with recent-onset type 1 diabetes; Pediatric Diabetes; (2020).

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  • Challenges and Considerations for Reducing Diabetes Distress and Fear of Hypoglycemia in Parents of Youth With Type 1 Diabetes During the COVID-19 Pandemic (Preprint); Unknown Source; (2020).

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  • A new paediatric diabetes knowledge test - M-WIKAD development and factor analysis; European Endocrinology; (2019).

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  • Sleep and type 1 diabetes in children and adolescents: Proposed theoretical model and clinical implications; Pediatric Diabetes; (2019).

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  • Responsive Asthma Care for Teens (ReACT): Development protocol for an adaptive mobile health intervention for adolescents with asthma; BMJ Open; (2019).

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  • Parental depression and diabetes-specific distress after the onset of type 1 diabetes in children; Health Psychology; (2019).

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  • Iterative development of a web-based intervention for families of young children with type 1 diabetes: DIPPer academy; Clinical Practice in Pediatric Psychology; (2019).

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  • Insulin Pump Adherence Behaviors Do Not Correlate With Glycemic Variability Among Youth With Type 1 Diabetes (T1D); Journal of Diabetes Science and Technology; (2019).

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  • Implementing clinic-wide depression screening for pediatric diabetes: An initiative to improve healthcare processes; Pediatric Diabetes; (2019).

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  • A Time-Friendly, Feasible Measure of Nutrition Knowledge in Type 1 Diabetes: The Electronic Nutrition and Carbohydrate Counting Quiz (eNCQ); Journal of Diabetes Science and Technology; (2019).

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  • Early Initiation of Diabetes Devices Relates to Improved Glycemic Control in Children with Recent-Onset Type 1 Diabetes Mellitus; Diabetes Technology and Therapeutics; (2019).

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  • Preliminary Investigation of a Mobile Nutrition Literacy Website for Parents and Young Children; Frontiers in Nutrition; (2018).

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  • Accuracy of Wrist-Worn Activity Monitors During Common Daily Physical Activities and Types of Structured Exercise: Evaluation Study; JMIR mHealth and uHealth; (2018).

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  • Measuring Self-Efficacy in the Context of Pediatric Diabetes Management: Psychometric Properties of the Self-Efficacy for Diabetes Scale; Journal of Pediatric Psychology; (2018).

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  • Hope and mealtime insulin boluses are associated with depressive symptoms and glycemic control in youth with type 1 diabetes mellitus; Pediatric Diabetes; (2018).

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  • Authoritarian parenting style predicts poorer glycemic control in children with new-onset type 1 diabetes; Pediatric Diabetes; (2018).

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  • Accuracy of Wrist-Worn Activity Monitors During Common Daily Physical Activities and Types of Structured Exercise: Evaluation Study (Preprint); Unknown Source; (2018).

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  • Shared Responsibility for Type 1 Diabetes Care Is Associated with Glycemic Variability and Risk of Glycemic Excursions in Youth; Journal of Pediatric Psychology; (2018).

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  • Adherence to Insulin Pump Behaviors in Young Children with Type 1 Diabetes Mellitus; Journal of Diabetes Science and Technology; (2017).

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  • Diabetes conflict outstrips the positive impact of self-efficacy on youth adherence and glycemic control in type 1 diabetes; Pediatric Diabetes; (2017).

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  • Evaluating parents' self-efficacy for diabetes management in pediatric type 1 diabetes; Journal of Pediatric Psychology; (2017).

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  • The Interactive Effect of Diabetes Family Conflict and Depression on Insulin Bolusing Behaviors for Youth; Journal of Diabetes Science and Technology; (2017).

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  • Sleep duration and its impact on adherence in adolescents with type 1 diabetes mellitus; Pediatric Diabetes; (2017).

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  • Reexamining the Hypoglycemia Fear Survey for Parents of Young Children in a Sample of Children Using Insulin Pumps; Diabetes Technology and Therapeutics; (2017).

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  • Psychological Reactions Associated with Continuous Glucose Monitoring in Youth; Journal of Diabetes Science and Technology; (2016).

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  • Using Videoconferencing to Deliver Individual Therapy and Pediatric Psychology Interventions with Children and Adolescents; Journal of Child and Adolescent Psychopharmacology; (2016).

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  • The Link Between Adverse Childhood Experiences and Diabetes; Current Diabetes Reports; (2016).

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  • High hemoglobin A1c variability is associated with early risk of microalbuminuria in children with T1D; Pediatric Diabetes; (2016).

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  • Frequency of mealtime insulin bolus predicts glycated hemoglobin in youths with type 1 diabetes; Diabetes Technology and Therapeutics; (2016).

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  • Fear of Hypoglycemia in Children and Adolescents and Their Parents with Type 1 Diabetes; Current Diabetes Reports; (2016).

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  • Association of HbA1c to BOLUS Scores among Youths with Type 1 Diabetes; Diabetes Technology and Therapeutics; (2016).

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  • A longitudinal examination of hope and optimism and their role in Type 1 diabetes in youths; Journal of Pediatric Psychology; (2016).

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  • "I Don't Want Them to Feel Different": A Mixed Methods Study of Parents' Beliefs and Dietary Management Strategies for Their Young Children with Type 1 Diabetes Mellitus; Journal of the Academy of Nutrition and Dietetics; (2016).

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  • Adherence to glycemic monitoring in diabetes; Journal of Diabetes Science and Technology; (2015).

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  • Mealtime behaviors associated with consumption of unfamiliar foods by young children with autism spectrum disorder; Appetite; (2015).

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  • Evaluation of the Average Daily Risk Range as a Measure of Glycemic Variability in Youths with Type 1 Diabetes; Diabetes Technology and Therapeutics; (2015).

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  • The cost of a healthier diet for young children with type 1 diabetes mellitus; Journal of Nutrition Education and Behavior; (2015).

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  • Pilot Study Results for a Novel Behavior Plus Nutrition Intervention for Caregivers of Young Children With Type 1 Diabetes; Journal of Nutrition Education and Behavior; (2014).

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  • Frequency of mealtime insulin bolus predicts glycated hemoglobin in youths with type 1 diabetes; Diabetes Technology and Therapeutics; (2014).

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  • Measurement of mealtime behaviors in rural overweight children: An exploratory factor analysis of the behavioral pediatrics feeding assessment scale; Journal of Pediatric Psychology; (2014).

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  • Frequency of mealtime insulin boluses as a proxy measure of adherence for children and youths with type 1 diabetes mellitus; Diabetes Technology and Therapeutics; (2014).

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  • Systematic Review: Mealtime Behavior Measures Used in Pediatric Chronic Illness Populations; Journal of Pediatric Psychology; (2014).

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  • Frequency of mealtime insulin bolus as a proxy measure of adherence for children and youths with type 1 diabetes mellitus; Diabetes Technology and Therapeutics; (2013).

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  • Does Eating During Television Viewing Affect Mealtimes in Young Children With Type 1 Diabetes Mellitus?; Journal of Pediatric Nursing; (2013).

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  • Dietary Adherence and Mealtime Behaviors in Young Children with Type 1 Diabetes on Intensive Insulin Therapy; Journal of the Academy of Nutrition and Dietetics; (2013).

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  • Average daily risk range as a measure for clinical research and routine care; Journal of Diabetes Science and Technology; (2013).

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  • Examining mealtime behaviors in families of young children with type 1 diabetes on intensive insulin therapy; Eating Behaviors; (2013).

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  • Continuous glucose monitoring versus self-monitoring of blood glucose in children with type 1 diabetes-the pros and cons; US Endocrinology; (2012).

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  • A comparison of average daily risk range scores for young children with type 1 diabetes mellitus using continuous glucose monitoring and self-monitoring data; Diabetes Technology and Therapeutics; (2012).

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  • Hypoglycaemic-related fear in parents of children with poor glycaemic control of their type 1 diabetes is associated with poorer glycaemic control in their child and parental emotional distress; Evidence-Based Nursing; (2011).

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  • Use of continuous glucose monitoring in young children with type 1 diabetes: Implications for behavioral research; Pediatric Diabetes; (2011).

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  • Pediatric parenting stress and its relation to depressive symptoms and fear of hypoglycemia in parents of young children with type 1 diabetes mellitus; Journal of Clinical Psychology in Medical Settings; (2011).

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  • Adherence to Diet in Youth with Type 1 Diabetes; Journal of the American Dietetic Association; (2011).

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  • Survey of Insulin Site Rotation in Youth With Type 1 Diabetes Mellitus; Journal of Pediatric Health Care; (2010).

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  • Increasing daily water intake and fluid adherence in children receiving treatment for retentive encopresis; Journal of Pediatric Psychology; (2010).

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  • Family functioning at meals relates to adherence in young children with type 1 diabetes; Journal of Paediatrics and Child Health; (2009).

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  • Brief report: Adherence to fluid recommendations in children receiving treatment for retentive encopresis; Journal of Pediatric Psychology; (2009).

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  • Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children's glycemic control; Pediatric Diabetes; (2009).

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  • Observational assessment of family functioning in families with children who have type 1 diabetes mellitus; Journal of Developmental and Behavioral Pediatrics; (2008).

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  • Fear of hypoglycemia in parents of young children with type 1 diabetes mellitus; Journal of Clinical Psychology in Medical Settings; (2008).

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  • Differences in family mealtime interactions between young children with type 1 diabetes and controls: Implications for behavioral intervention; Journal of Pediatric Psychology; (2008).

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  • Parental fear of hypoglycemia: Young children treated with continuous subcutaneous insulin infusion; Pediatric Diabetes; (2007).

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  • Dietary Adherence and Associated Glycemic Control in Families of Young Children with Type 1 Diabetes; Journal of the American Dietetic Association; (2007).

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  • Mealtime interactions relate to dietary adherence and glycemic control in young children with type 1 diabetes; Diabetes Care; (2006).

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  • Parent report of mealtime behaviors in young children with type 1 diabetes mellitus: Implications for better assessment of dietary adherence problems in the clinic; Journal of Developmental and Behavioral Pediatrics; (2006).

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  • Mealtime behaviors in families of infants and toddlers with cystic fibrosis; Journal of Cystic Fibrosis; (2005).

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  • Survey of professionals' expectations of developmental task achievement of cystic fibrosis self-care in children; Pediatric Pulmonology; (2005).

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  • A tool to individualize nutritional care for children with cystic fibrosis: Reliability, validity, and utility of the CF Individualized NuTritional Assessment of Kids Eating (CF INTAKE); Children's Health Care; (2005).

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  • Quality of life in paediatric migraine: Characterization of age-related effects using PedsQL 4.0; Cephalalgia; (2004).

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  • Mealtime interactions in families of pre-schoolers with type 1 diabetes; Pediatric Diabetes; (2004).

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  • A comparison of food group variety between toddlers with and without cystic fibrosis; Journal of Human Nutrition and Dietetics; (2004).

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  • Quality of life in childhood migraines: clinical impact and comparison to other chronic illnesses.; Pediatrics; (2003).

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  • Nutritional recommendations for children with cystic fibrosis; Italian Journal of Pediatrics; (2003).

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  • Measuring self-care independence in children with cystic fibrosis: The Self-Care Independence Scale (SCIS); Pediatric Pulmonology; (2003).

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  • A comparison of nutrient intake between infants and toddlers with and without cystic fibrosis; Journal of the American Dietetic Association; (2003).

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  • A Randomized Pilot Study of Behavioral Treatment to Increase Calorie Intake in Toddlers with Cystic Fibrosis; Children's Health Care; (2003).

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  • Parent report of mealtime behavior and parenting stress in young children with type 1 diabetes and in healthy control subjects; Diabetes Care; (2002).

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  • Caloric intake and eating behavior in infants and toddlers with cystic fibrosis.; Pediatrics; (2002).

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