title: Insulin pump therapy and health-related quality of life in children and adolescents with type 1 diabetes.
abstract: 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.
authors.affiliation: University of Miami School of Medicine, FL 33101, USA.
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Valenzuela
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Patino
authors.forename: Judith
authors.initials: J
authors.lastname: McCullough
authors.forename: Christine
authors.initials: C
authors.lastname: Ring
authors.forename: Janine
authors.initials: J
authors.lastname: Sanchez
authors.forename: Margaret
authors.initials: M
authors.lastname: Eidson
authors.forename: Robin
authors.initials: R
authors.lastname: Nemery
authors.forename: Alan M
authors.initials: AM
authors.lastname: Delamater
mesh_terms: 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*