{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:07:09Z","timestamp":1789690029348,"version":"4.0.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100017618","name":"Division of Diabetes, Endocrinology, and Metabolic Diseases","doi-asserted-by":"publisher","award":["1K23DK135800"],"award-info":[{"award-number":["1K23DK135800"]}],"id":[{"id":"10.13039\/100017618","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    The American Diabetes Association (ADA) Diabetes Medical Management Plan (DMMP) was developed to serve as a gold standard. In preparation for planned revisions to address technology updates for school professionals, we surveyed diabetes health care providers (HCPs) and school nurses to understand barriers and facilitators to DMMP use. Respondents (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009586) were predominantly school nurses (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009509, 87%) and represented all US regions. Using a Likert-type response scale (1\u2009=\u2009\n                    <jats:italic toggle=\"yes\">strongly disagree<\/jats:italic>\n                    to 5\u2009=\u2009\n                    <jats:italic toggle=\"yes\">strongly agree<\/jats:italic>\n                    ), school nurses and HCP generally indicated that the DMMP was comprehensive (school nurses 4.41\u2009\u00b1\u20090.81 vs HCP 4.61\u2009\u00b1\u20090.49,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.16). HCP were less likely to feel the DMMP was customizable (school nurses 4.15\u2009\u00b1\u20090.94 vs HCP 3.67\u2009\u00b1\u20091.20,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.009). We identified 10 usability issues from comments related to formatting, customization, parent-provider co-completion, and technology. School nurse and HCP perspectives from this survey were integrated into DMMP revisions to improve functionality and inform school nurses of current management strategies.\n                  <\/jats:p>","DOI":"10.1177\/10598405251367019","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T08:02:47Z","timestamp":1755158567000},"page":"502-511","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and Opportunities for Diabetes Medical Management Plan (DMMP) Implementation in Schools: A National Survey of School Nurses and Diabetes Providers"],"prefix":"10.1177","volume":"42","author":[{"given":"Jacqueline","family":"McManemin","sequence":"first","affiliation":[{"name":"Virginia Diabetes Council, Chesterfield, Virginia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1400-0425","authenticated-orcid":false,"given":"Margaret","family":"Pellizzari","sequence":"additional","affiliation":[{"name":"Cohen Children's Medical Center, Northwell Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Harriman","sequence":"additional","affiliation":[{"name":"INOVA Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Woodward","sequence":"additional","affiliation":[{"name":"American Diabetes Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5141-0427","authenticated-orcid":false,"given":"Christine A","family":"March","sequence":"additional","affiliation":[{"name":"UPMC Children's Hospital of Pittsburgh Diabetes Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-2121"},{"issue":"1","key":"e_1_3_2_3_1","article-title":"Diabetes care in the school and day care setting","volume":"29","author":"American Diabetes Association","year":"2006","unstructured":"American Diabetes Association. (2006). Diabetes care in the school and day care setting. Diabetes Care, 29(Suppl 1), S49\u2013S55. https:\/\/doi.org\/10.2337\/diacare.29.s1.06.s49","journal-title":"Diabetes Care"},{"issue":"1","key":"e_1_3_2_4_1","article-title":"14. Children and adolescents: Standards of care in diabetes-2025","volume":"48","author":"American Diabetes Association Professional Practice Committee","year":"2025","unstructured":"American Diabetes Association Professional Practice Committee. (2025). 14. Children and adolescents: Standards of care in diabetes-2025. Diabetes Care, 48(Supp 1), S283\u2013S305. https:\/\/doi.org\/10.2337\/dc25-S014","journal-title":"Diabetes Care"},{"key":"e_1_3_2_5_1","unstructured":"American Diabetes Association: Safe at School. Retrieved July 9 from https:\/\/diabetes.org\/advocacy\/safe-at-school-state-laws\/safe-at-school-statement-of-principles"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0000000000000425"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1905-3729"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000543034"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci24-0082"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-0852"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2023.0320"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2022.01.009"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds22-0056"},{"key":"e_1_3_2_14_1","unstructured":"Helping the Student with Diabetes Succeed: A Guide for School Personnel. (2022). American Diabetes Association Safe at School. https:\/\/diabetes.org\/sites\/default\/files\/2023-10\/School-guide-final-11-16-22.pdf"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12507"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405211043126"},{"issue":"1","key":"e_1_3_2_17_1","first-page":"2162900","article-title":"School nurse confidence with diabetes devices in relation to diabetes knowledge and prior training: A study of convergent validity","volume":"2023","author":"March C. A.","year":"2023","unstructured":"March C. A., Hill A., Kazmerski T. M., Siminerio L., Switzer G., Miller E., Libman I. (2023). School nurse confidence with diabetes devices in relation to diabetes knowledge and prior training: A study of convergent validity. Pediatric Diabetes, 2023(1), 2162900, https:\/\/doi.org\/10.1155\/2023\/2162900","journal-title":"Pediatric Diabetes"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13015"},{"issue":"1","key":"e_1_3_2_19_1","first-page":"4313875","article-title":"School-based diabetes care: A national survey of U.S. Pediatric diabetes providers","volume":"2023","author":"March C. A.","year":"2023","unstructured":"March C. A., Siminerio L., Kazmerski T. M., Albanese-O'Neill A., Miller E., Libman I. (2023). School-based diabetes care: A national survey of U.S. Pediatric diabetes providers. 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