title: Relations among school/daycare functioning, fear of hypoglycaemia and quality of life in parents of young children with type 1 diabetes.
abstract: OBJECTIVE
  To investigate the type 1 diabetes-related school/daycare experiences of parents of young children and to examine the relationship among child school/daycare functioning, parent fear of hypoglycaemia and parent type 1 diabetes-related quality of life.
  
  
  BACKGROUND
  Parents of young children who attend school/daycare must rely on others for daily type 1 diabetes management. Worry about school/daycare type 1 diabetes management may cause parental distress and contribute to diminished parent quality of life. Parental concerns about type 1 diabetes management in young children in the school/daycare setting have not been well described in the literature.
  
  
  METHODS
  Descriptive correlational and cross-sectional parent report of questionnaires design.
  
  
  METHODS
  As part of a randomised controlled trial for parents of young children with type 1 diabetes, 134 parents completed self-report measures at baseline. Data included demographic, school/daycare, and medical information, parent reports of child school/daycare functioning, parent fear of hypoglycaemia and parent type 1 diabetes-related quality of life.
  
  
  RESULTS
  Parents of younger children, children on a more intensive medical regimen and children who had experienced type 1 diabetes-related unconsciousness or seizures had more school/daycare concerns. Parents who perceived their children had higher school/daycare functioning had less fear about hypoglycaemia and reported better type 1 diabetes-related quality of life. School/daycare functioning and fear of hypoglycaemia were significantly associated with parent type 1 diabetes-related quality of life.
  
  
  CONCLUSIONS
  Parents' concerns about school/daycare functioning and fear of hypoglycaemia play an important role in parents' type 1 diabetes-related quality of life.
  
  
  CONCLUSIONS
  Members of the healthcare team should be aware of concerns related to children attending school/daycare and provide additional support as warranted.
authors.affiliation: Center for Translational Science, Children's National Health System, Washington, DC, USA.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Herbert
authors.forename: Lauren
authors.initials: L
authors.lastname: Clary
authors.forename: Victoria
authors.initials: V
authors.lastname: Owen
authors.forename: Maureen
authors.initials: M
authors.lastname: Monaghan
authors.forename: Vanessa
authors.initials: V
authors.lastname: Alvarez
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
mesh_terms: D000328:Adult; D002648:Child; D002656:Child Day Care Centers; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000523:psychology / Q000628:therapy; D005239:Fear; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D007223:Infant; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011788:Quality of Life; D055815:Young Adult
keywords: diabetes management; hypoglycaemia; quality of life; type 1 diabetes; young children