{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:49:24Z","timestamp":1791434964581,"version":"4.3.3"},"reference-count":63,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Young\u2010onset non\u2010type 1 diabetes (YOD, age\u2010at\u2010diagnosis\u2009\u2264\u200940) is associated with poor physical and mental health, presenteeism and productivity loss. We examined patient\u2010perceived barriers to work productivity and key enablers to reduce presenteeism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In this mixed\u2010methods study, we utilized validated questionnaires to measure presenteeism (World Health Organization Health and Performance Questionnaire); self\u2010care activities (Summary of Diabetes Self\u2010Care Activities; Compliance Questionnaire for Medication); health\u2010related quality of life (HRQoL, EQ\u20105D\u20103L) and psychological distress (Depression Anxiety Stress Scale; Chinese Diabetes Distress Scale) among participants with YOD in the Precision Medicine to Redefine Insulin Secretion and Monogenic Diabetes\u2010Randomised Controlled Trial (PRISM\u2010RCT). We conducted four semi\u2010structured focus group discussions (FGDs) for inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Employees with YOD (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009465, mean age: 43.4\u2009\u00b1\u20096.4\u2009years, disease duration: 10.9\u2009\u00b1\u20096.0\u2009years, 59.8% male) had better cardiometabolic, psychological and HRQoL profiles than non\u2010employees (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009103). Among the employees, 67.4% had at least one sickness presenteeism episode in the preceding year, with a mean presenteeism score of 7.1\u2009\u00b1\u20091.6 (out of 10). Increased presenteeism was independently associated with diabetes\u2010related emotional burden (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.08,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.029) and suboptimal HRQoL (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.30,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.041). [Correction added on 11 September 2026, after first online publication: In the preceding sentence, the beta and p values have been corrected.] Participants of FGDs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916) reported distress contributors related to inter\u2010personal (psychological\/physical status, family collectivism), work (schedules\/types, absence justification, colleagues' attitudes) and societal factors (relationships with providers, out\u2010of\u2010pocket payment, stigmatisation). Enablers included public awareness, early diagnosis (genetic testing for offspring, regular health\u2010check), peer support, treatment choices autonomy and insurance coverage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In YOD, presenteeism is associated with interpersonal, work and societal factors accompanied by psychological distress, suboptimal diabetes care, self\u2010management challenges, calling for holistic assessment and person\u2010centred management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71158","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:06:23Z","timestamp":1787796383000},"page":"10540-10554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multi\u2010Dimensional Barriers for Work Productivity and Possible Solutions to Overcome Presenteeism in Young\u2010Onset Diabetes: A Mixed\u2010Methods Study"],"prefix":"10.1111","volume":"28","author":[{"given":"Kelly T. 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