title: Reasons for Staying as a Participant in the Environmental Determinants of Diabetes in the Young (TEDDY) Longitudinal Study.
abstract: OBJECTIVE
  To assess parents' opinions about their participation in the longitudinal, multicenter study - The Environmental Determinants of Diabetes in the Young (TEDDY) consortium.
  
  
  METHODS
  A survey was given to parents who had been in the study for ≥ 1 year. Parents rated the importance of different reasons for staying in TEDDY and how well different study components were working. Parents were also asked if they had suggestions for making TEDDY better and if they ever had thought of leaving TEDDY and if so, why.
  
  
  RESULTS
  Out of the 3336 eligible families, 2000 completed the survey (59.1%); most (77.6%) were mothers. Survey completion was more common in European than US TEDDY sites and was associated with greater maternal education, more accurate perceptions about their child's risk of type 1 diabetes, longer participation in TEDDY and excellent attendance at TEDDY visits. "Having someone watching the child for development of T1DM" was most important reason given for staying in the study; other important reasons included "Helping science discover causes of diabetes" and "Getting child's antibody results". Most parents were very satisfied with the different components of TEDDY and had not thought of leaving the study. A minority (24%) of parents acknowledged some thoughts of leaving TEDDY and cited the blood draws, being too busy/not having enough time, the demanding protocol, and food diaries as their reasons for considering leaving.
  
  
  CONCLUSIONS
  The study highlights factors important for successful implementation of demanding, longitudinal protocols. Friendly, devoted, skilled and knowledgeable staff with continuity makes the family comfortable. Keeping parents involved and informed on study progress is essential as is making procedures as smooth and painless as possible. Although the study is international the survey results were convergent across countries suggesting that the results have relevance to other similar studies to retain study participants.
authors.affiliation: Department of Clinical Sciences, Lund University, Skane University Hospital, CRC 72-60-11, SE-20502 Malmö, Sweden.
authors.forename: Barbro
authors.initials: B
authors.lastname: Lernmark
authors.forename: Kristian
authors.initials: K
authors.lastname: Lynch
authors.forename: Lori
authors.initials: L
authors.lastname: Ballard
authors.forename: Judith
authors.initials: J
authors.lastname: Baxter
authors.forename: Roswith
authors.initials: R
authors.lastname: Roth
authors.forename: Tuula
authors.initials: T
authors.lastname: Simell
authors.forename: Suzanne Bennett
authors.initials: SB
authors.lastname: Johnson
keywords: Clinical observational study; Diabetes mellitus; Natural history; Participation; Type 1 Diabetes
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