{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:39:48Z","timestamp":1787510388494,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007028","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Managing type 1 diabetes in young children can cause significant stress for parents. Continuous glucose monitoring (CGM) may reduce parental burden. The Strategies to Enhance CGM Use in Early Childhood (SENCE) trial randomized parents of children (ages 2 to &lt;8\u2009years) with type 1 diabetes to CGM with family behavioural intervention (CGM\u2009+\u2009FBI), CGM alone (Standard\u2010CGM) or blood glucose monitoring for 26\u2009weeks before receiving CGM\u2009+\u2009FBI (BGM\u2010Crossover). This report assesses changes in psychosocial outcomes for all groups over 52\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      CGM\u2009+\u2009FBI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945), Standard\u2010CGM (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942) and BGM\u2010Crossover (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944) participants completed psychosocial assessments at baseline, 26\u2009weeks and 52\u2009weeks. Repeated measures linear regression models evaluated change within and between treatment groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The BGM\u2010Crossover group reported improved diabetes burden (\u0394 \u22126.9, 95% CI [\u221211.3, \u22122.6],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), fear of hypoglycaemia (\u0394 \u22126.4, CI [\u221210.1, \u22122.6],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and technology satisfaction (\u0394 7.3, CI [2.4, 12.2],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) from 26 to 52\u2009weeks, similar to published findings in the CGM\u2009+\u2009FBI group over the first 26\u2009weeks. The Standard\u2010CGM group reported increased technology satisfaction (\u0394 7.3, CI [0.6, 14.0],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027) from baseline to 52\u2009weeks. The CGM\u2009+\u2009FBI group reported less diabetes burden and fear of hypoglycaemia from baseline to 52\u2009weeks, but changes were not statistically significant. Scores from 26 to 52\u2009weeks did not deteriorate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parents demonstrated psychosocial benefits following FBI that appeared to maintain without additional intervention. CGM\u2010focused education with behavioural support likely helps parents of young children with type 1 diabetes reduce burden and worry in the short\u2010 and long\u2010term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.15120","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T05:36:50Z","timestamp":1682055410000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Twelve\u2010month psychosocial outcomes of continuous glucose monitoring with behavioural support in parents of young children with type 1 diabetes"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6964-1223","authenticated-orcid":false,"given":"Persis V.","family":"Commissariat","sequence":"first","affiliation":[{"name":"Joslin Diabetes Center, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-6078","authenticated-orcid":false,"given":"Linda A.","family":"DiMeglio","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine, Riley Hospital for Children at IU Health  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4440-5168","authenticated-orcid":false,"given":"Lauren G.","family":"Kanapka","sequence":"additional","affiliation":[{"name":"Jaeb Center for Health Research  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2202-492X","authenticated-orcid":false,"given":"Lori M.","family":"Laffel","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Harvard Medical School  Boston Massachusetts 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