? The K23 candidate is a pediatric psychologist and junior faculty member in the Department of Pediatrics at the University of Michigan. She recently completed an NRSA fellowship in the study of mealtime behaviors in young children with type 1 diabetes (T1DM), and now requires a final program of highly specialized didactics and advanced mentorship in order to become a leading federally-funded clinical investigator in pediatric diabetes. ? The candidate's long term career goal is to pioneer the development of effective new behavioral interventions to improve parent-child functioning, quality of life, and health outcomes in young children with T1DM. Her immediate career development goals are to: 1) complete her training in clinical research, 2) deepen her expertise on T1DM in young children and the measurement of related health outcomes, and 3) become a leading federally-funded clinical investigator in pediatric diabetes. ? The candidate thus proposes a five-year program of intensive mentorship and training by nationally renowned clinical investigators; structured didactics covering the development of manualized clinical interventions in behavioral medicine, the design of randomized clinical trials, grant writing skills, and research ethics; and a two-Study research plan. Study 1 will use a prospective behavioral observation study of 32 children and their families to test a set of hypotheses surrounding parent-child mealtime behaviors, parent psychological factors, and children's blood glucose control. During Study 2, the results of Study 1 will drive the specification of a new behavioral intervention to improve mealtime functioning. After an iterative program of developmental trials and expert review, the candidate will estimate the blood glucose impact of the resulting standardized intervention through a pilot study of 10 children and their families. ? To summarize, the proposed program of activities are the final steps needed for the candidate to develop into a fully independent patient-oriented investigator in pediatric diabetes. The candidate's success potentially has major public health impact, because T1DM is a common disease among young children, and the design of effective interventions could improve functioning and health outcomes for approximately 22,000 US children and families. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23DK076921-01A1
Application #
7314470
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Hyde, James F
Project Start
2007-09-01
Project End
2012-08-31
Budget Start
2007-09-01
Budget End
2008-08-31
Support Year
1
Fiscal Year
2007
Total Cost
$107,372
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Pediatrics
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Patton, Susana R; Noser, Amy E; Clements, Mark A et al. (2017) Reexamining the Hypoglycemia Fear Survey for Parents of Young Children in a Sample of Children Using Insulin Pumps. Diabetes Technol Ther 19:103-108
Patton, Susana R; Driscoll, Kimberly A; Clements, Mark A (2017) Adherence to Insulin Pump Behaviors in Young Children With Type 1 Diabetes Mellitus. J Diabetes Sci Technol 11:87-91
Clements, Mark A; DeLurgio, Stephen A; Williams, David D et al. (2016) Association of HbA1c to BOLUS Scores Among Youths with Type 1 Diabetes. Diabetes Technol Ther 18:351-9
Patton, Susana R; DeLurgio, Stephen A; Fridlington, Amanda et al. (2014) Frequency of mealtime insulin bolus predicts glycated hemoglobin in youths with type 1 diabetes. Diabetes Technol Ther 16:519-23
Patton, Susana R; Odar, Cathleen; Midyett, L Kurt et al. (2014) Pilot study results for a novel behavior plus nutrition intervention for caregivers of young children with type 1 diabetes. J Nutr Educ Behav 46:429-33
Patton, Susana R; Dolan, Lawrence M; Smith, Laura B et al. (2013) Examining mealtime behaviors in families of young children with type 1 diabetes on intensive insulin therapy. Eat Behav 14:464-7
Patton, Susana R; Clements, Mark A; Fridlington, Amanda et al. (2013) Frequency of mealtime insulin bolus as a proxy measure of adherence for children and youths with type 1 diabetes mellitus. Diabetes Technol Ther 15:124-8
Patton, Susana R; Dolan, Lawrence M; Chen, Ming et al. (2013) Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy. J Acad Nutr Diet 113:258-62
Patton, Susana R; Clements, Mark A (2013) Average daily risk range as a measure for clinical research and routine care. J Diabetes Sci Technol 7:1370-5
Patton, Susana R; Dolan, Lawrence M; Powers, Scott W (2013) Does eating during television viewing affect mealtimes in young children with type 1 diabetes mellitus? J Pediatr Nurs 28:364-8

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