{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T01:40:12Z","timestamp":1763430012826,"version":"3.45.0"},"reference-count":35,"publisher":"The Endocrine Society","issue":"12","funder":[{"name":"Intramural Program of the NIH, the National Institute of Diabetes and Digestive and Kidney Diseases","award":["Z99DK999999"],"award-info":[{"award-number":["Z99DK999999"]}]},{"name":"Extramural Program of the NIH, the National Institute of Diabetes and Digestive and Kidney Diseases"},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Transitioning from pediatric to adult-centered diabetes care may be challenging, especially for young individuals at risk for and with youth-onset type 2 diabetes (Y-T2D) who have a high disease burden and rapidly progressive disease. However, the scope of transition readiness, range of psychosocial factors, and perceived barriers among Y-T2D are understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In Y-T2D attending an adult diabetes transition clinic, our objectives were to (1) characterize attitudes toward transition readiness, (2) examine relationships among depressive and anxiety-related symptoms and transition readiness, and (3) identify perceived barriers and facilitators of diabetes self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Transition readiness was assessed with the Endocrine Society \u201cSelf-assessment of Worries, Concerns, and Burdens Related to Diabetes and Preparation for Transitioning,\u201d and mood symptoms with the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaire. Logistic regression analyses evaluated the response to transition readiness by mood symptoms. Qualitative analysis identified themes of diabetes self-care in a subset of Y-T2D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survey response rate was 89%; n = 65; age: 19.6 \u00b1 2.0\u2005years (mean \u00b1 SD); 85% Y-T2D; 15% prediabetes; 57% female; 78% Black; body mass index: 38.0 \u00b1 8.2; and hemoglobin A1c: 7.6 \u00b1 2.7%. Perceived challenges were reported in 95% of participants, and 54% reported worrying about their future. Mild or greater depressive and anxiety-related symptoms were associated with higher odds of reporting social, emotional, and cognitive challenges. Stress, socioeconomic difficulties, and challenges with organizational cognitive functioning were reported barriers to diabetes self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mood symptoms and difficulties with organizational cognitive functioning were commonly reported in Y-T2D during the transitioning period. Interventions are needed to successfully address these psychosocial factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1210\/clinem\/dgaf239","type":"journal-article","created":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T07:42:21Z","timestamp":1744530141000},"page":"3412-3419","source":"Crossref","is-referenced-by-count":1,"title":["Navigating Transition to Adult Care in Youth-Onset Type 2 Diabetes: Facilitators, Attitudes, Barriers, and Behaviors"],"prefix":"10.1210","volume":"110","author":[{"given":"Sophia Beth","family":"Glaros","sequence":"first","affiliation":[{"name":"Section on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH) , Bethesda, MD 20814 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney Annemarie","family":"Dixon","sequence":"additional","affiliation":[{"name":"Section on Pediatric Diabetes, Obesity, and 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Levy","family":"Cantor","sequence":"additional","affiliation":[{"name":"Section on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH) , Bethesda, MD 20814 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geethika","family":"Thota","sequence":"additional","affiliation":[{"name":"Section on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH) , Bethesda, MD 20814 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilian","family":"Mabundo","sequence":"additional","affiliation":[{"name":"Section on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH) , Bethesda, MD 20814 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