{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:32:19Z","timestamp":1793917939661,"version":"4.8.0"},"reference-count":15,"publisher":"Walter de Gruyter GmbH","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2024-0320_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Assessment of diabetes-specific knowledge among children with type 1 diabetes (T1D) and their caregivers using a validated diabetes knowledge test (DKT) and to determine the factors associated with DKT score.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0320_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study was conducted in a tertiary care hospital, New Delhi (India). Children 5\u201318 years with T1D and caregivers were evaluated using a validated DKT tool to assess knowledge in basic and advance domains. The factors associated with DKT scores were studied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0320_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 110 T1D children with mean (SD) age 12.2 (3.3) years and duration 5.3 (2.7) years were assessed. The mean (SD) composite DKT score (%) was 58.0 (11.1) while in basic and advance domains were 66.4 (9.5) and 50.4(1.5), respectively. Maternal education (\u2265graduate), socio-economic strata (\u2265upper middle), annual per capita income (&gt;Rs 50,000\/700 USD), urban setting and HbA<jats:sub>1c<\/jats:sub>&lt;8.5\u202f% were significantly associated with higher odds of DKT score&gt;50\u202f%. HbA<jats:sub>1c<\/jats:sub>&lt;8.5\u202f% and urban setting were significant predictors of the DKT score on multivariate logistic regression analysis (p&lt;0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0320_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>DKT can identify individual challenges in specific (basic or advance) domains related to diabetes self-management skills. Higher maternal education significantly impacted achieving a high DKT score and improved glycemic control.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2024-0320","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T09:40:33Z","timestamp":1728553233000},"page":"981-985","source":"Crossref","is-referenced-by-count":1,"title":["Assessment of diabetes-specific knowledge and its determinants among children with type 1 diabetes mellitus and their primary caregivers: Experience from a tertiary care center in North India"],"prefix":"10.1515","volume":"37","author":[{"given":"Rimjhim","family":"Maheshwari","sequence":"first","affiliation":[{"name":"Lady Hardinge Medical College , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeti","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics , 28856 Lady Hardinge Medical College , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8719-8835","authenticated-orcid":false,"given":"Anju","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics , 28856 Lady Hardinge Medical College , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev Kumar","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Delhi Cancer Registry, BR Ambedkar IRCH , All India Institute of Medical Sciences , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"2024111114160033529_j_jpem-2024-0320_ref_001","doi-asserted-by":"crossref","unstructured":"Kumar, KM, Azad, K, Zabeen, B, Kalra, S. Type 1 diabetes in children: fighting for a place under the sun. Indian J Endocrinol Metab 2012;16:S1\u20133. https:\/\/doi.org\/10.4103\/2230-8210.94241.","DOI":"10.4103\/2230-8210.94241"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_002","doi-asserted-by":"crossref","unstructured":"Das, AK. Type 1 diabetes in India: overall insights. Indian J Endocrinol Metab 2015;19:S31\u20133. https:\/\/doi.org\/10.4103\/2230-8210.155372.","DOI":"10.4103\/2230-8210.155372"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_003","doi-asserted-by":"crossref","unstructured":"Fitzgerald, JT, Funnell, MM, Hess, GE, Barr, PA, Anderson, RM, Hiss, RG, et al.. The reliability and validity of a brief diabetes knowledge test. 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Indian J Pediatr 2020;87:520\u20135. https:\/\/doi.org\/10.1007\/s12098-020-03227-w.","DOI":"10.1007\/s12098-020-03227-w"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_011","doi-asserted-by":"crossref","unstructured":"Rovner, AJ, Nansel, TR, Mehta, SN, Higgins, LA, Haynie, DL, Laffel, LM. Development and validation of the type 1 diabetes nutrition knowledge survey. Diabetes Care 2012;35:1643\u20137. https:\/\/doi.org\/10.2337\/dc11-2371.","DOI":"10.2337\/dc11-2371"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_012","doi-asserted-by":"crossref","unstructured":"Tahirovic, H, Toromanovic, A. Glycemic control in diabetic children: role of mother\u2019s knowledge and socioeconomic status. Eur J Pediatr 2010;169:961\u20134. https:\/\/doi.org\/10.1007\/s00431-010-1156-0.","DOI":"10.1007\/s00431-010-1156-0"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_013","doi-asserted-by":"crossref","unstructured":"Koontz, MB, Cuttler, L, Palmert, MR, O\u2019Riordan, M, Borawski, EA, McConnell, J, et al.. Development and validation of a questionnaire to assess carbohydrate and insulin-dosing knowledge in youth with type 1 diabetes. Diabetes Care 2010;33:457\u201362. https:\/\/doi.org\/10.2337\/dc09-0390.","DOI":"10.2337\/dc09-0390"},{"key":"2024111114160033529_j_jpem-2024-0320_ref_014","doi-asserted-by":"crossref","unstructured":"Lal, RA, Maahs, DM. Clinical use of continuous glucose monitoring in pediatrics. 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Pediatr Diabetes 2022;23:1229\u201342. https:\/\/doi.org\/10.1111\/pedi.13418.","DOI":"10.1111\/pedi.13418"}],"container-title":["Journal of Pediatric Endocrinology and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2024-0320\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2024-0320\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T14:16:53Z","timestamp":1731334613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2024-0320\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,11]]},"references-count":15,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,9,20]]},"published-print":{"date-parts":[[2024,11,26]]}},"alternative-id":["10.1515\/jpem-2024-0320"],"URL":"https:\/\/doi.org\/10.1515\/jpem-2024-0320","relation":{},"ISSN":["0334-018X","2191-0251"],"issn-type":[{"value":"0334-018X","type":"print"},{"value":"2191-0251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,11]]}}}