Insulin pump therapy and health-related quality of life in children and adolescents with type 1 diabetes.
OBJECTIVE
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.
Valenzuela
Jessica M
JM
University of Miami School of Medicine, FL 33101, USA.
Patino
Anna Maria
AM
McCullough
Judith
J
Ring
Christine
C
Sanchez
Janine
J
Eidson
Margaret
M
Nemery
Robin
R
Delamater
Alan M
AM
D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006304:Health Status; D006801:Humans; D007332:Insulin Infusion Systems; D008297:Male; D011788:Quality of Life / Q000523:psychology*