{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T04:40:18Z","timestamp":1792471218558,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>School environments are crucial in managing type 1 diabetes mellitus (T1DM) in young children. In India, mothers, especially those from low\u2010socioeconomic backgrounds, bear the responsibility of ensuring care during school hours. This study, conducted in India, aims to explore the lived experiences of mothers with children with T1DM regarding school\u2010related management difficulties that they face, their expectations from schools, the emotional impacts of the current school\u2010based support they receive and to suggest recommendations for school\u2010based diabetes management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with 10 mothers of children aged 3\u201310\u2009years with T1DM. Data were analysed thematically to identify shared patterns of meaning in their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven themes emerged: hurdles before school admission, lack of school preparedness, disruption of routines, challenges in glycaemic management, premature reliance on child self\u2010management, non\u2010inclusive environments and emotional difficulties. Limited school preparedness intensified maternal burden and disrupted daily routines, eroding trust in schools. Mothers compensated with increased vigilance, which reduced anxiety about the child but increased maternal burden. This led to early promotion of self\u2010reliance on the child's part that raised concerns about safety and proper medical management. Using Bronfenbrenner's ecological framework, the study shows how deficits in family, school and policy contexts compound stress and shape outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>School\u2010based support for children with T1DM is crucial for child health and maternal well\u2010being. Addressing challenges requires shifting from parent\u2010dependent arrangements to coordinated school health frameworks. Strengthening teacher training, emergency protocols, inclusive practices and health\u2010education collaboration are vital to ensuring the rights and wellbeing of children with T1DM in India.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70367","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:00:44Z","timestamp":1792450844000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lived Experiences of Mothers With Children Diagnosed With Type 1 Diabetes: Recommendations for School Support Systems"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6670-6211","authenticated-orcid":false,"given":"Rujul","family":"Potnis","sequence":"first","affiliation":[{"name":"Hirabai Cowasji Jehangir Medical Research Institute  Pune India"},{"name":"Department of Psychology Fergusson College  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0922-154X","authenticated-orcid":false,"given":"Megha","family":"Deuskar","sequence":"additional","affiliation":[{"name":"Department of Psychology Fergusson College  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anushka","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Psychology New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7513-8264","authenticated-orcid":false,"given":"Srikanth","family":"Pallerla","sequence":"additional","affiliation":[{"name":"Department of Psychology, Director of Centre for Creative Cognition, School of Sciences &amp; Humanities (Psychology) SR University  Warangal Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarpaul","family":"Keerthi","sequence":"additional","affiliation":[{"name":"Hirabai Cowasji Jehangir Medical Research Institute  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shital","family":"Bhor","sequence":"additional","affiliation":[{"name":"Hirabai Cowasji Jehangir Medical Research Institute  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3399-3235","authenticated-orcid":false,"given":"Anuradha","family":"Khadilkar","sequence":"additional","affiliation":[{"name":"Hirabai Cowasji Jehangir Medical Research Institute  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.47203\/IJCH.2024.v36i04.015"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2019.10.24582"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10\u2010S070"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2007.02250.x"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010025\u201022457\u20101"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18010152"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1228975"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12743"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_14_11_1","volume-title":"Successful Qualitative Research: A Practical Guide for Beginners","author":"Braun V.","year":"2013"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.4159\/9780674028845"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/children12080984"},{"issue":"2","key":"e_1_2_14_14_1","first-page":"26","article-title":"Meeting the Needs of Learners With Type 1 Diabetes in UK Primary Schools: A Systematic Literature Review of Comparative Practices","volume":"41","author":"Falvey J.","year":"2023","journal-title":"Research, Advocacy, and Practice for Complex and Chronic Conditions"},{"key":"e_1_2_14_15_1","unstructured":"Government of India.2016. \u201cTHE RIGHTS OF PERSONS WITH DISABILITIES ACT 2016.\u201d In India Code. 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