{"id":"https://openalex.org/W7203767498","doi":"https://doi.org/10.1093/jpepsy/jsag060","title":"Confirmatory factor analysis of the parent and child problem areas in diabetes measures in a clinical sample of youth with type 1 diabetes","display_name":"Confirmatory factor analysis of the parent and child problem areas in diabetes measures in a clinical sample of youth with type 1 diabetes","publication_year":2026,"publication_date":"2026-08-04","ids":{"openalex":"https://openalex.org/W7203767498","doi":"https://doi.org/10.1093/jpepsy/jsag060","pmid":"https://pubmed.ncbi.nlm.nih.gov/42611822"},"language":"en","primary_location":{"id":"doi:10.1093/jpepsy/jsag060","doi":"https://doi.org/10.1093/jpepsy/jsag060","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jpepsy/jsag060","pdf_url":null,"source":{"id":"https://openalex.org/S44167674","display_name":"Journal of Pediatric Psychology","issn_l":"0146-8693","issn":["0146-8693","1465-735X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","erih-plus","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Psychology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5043270224","display_name":"Alexandra D. Monzon","orcid":"https://orcid.org/0000-0003-1492-5074","observed_orcids":["https://orcid.org/0000-0003-1492-5074"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alexandra D Monzon","raw_affiliation_strings":["Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Florida , Orlando, FL,"],"raw_orcid":"https://orcid.org/0000-0003-1492-5074","affiliations":[{"raw_affiliation_string":"Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Florida , Orlando, FL,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054116674","display_name":"Susana R. Patton","orcid":"https://orcid.org/0000-0002-8902-6965","observed_orcids":["https://orcid.org/0000-0002-8902-6965"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susana R Patton","raw_affiliation_strings":["Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Florida , Orlando, FL,"],"raw_orcid":"https://orcid.org/0000-0002-8902-6965","affiliations":[{"raw_affiliation_string":"Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Florida , Orlando, FL,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034596515","display_name":"Brent Lockee","orcid":"https://orcid.org/0009-0008-3746-0541","observed_orcids":["https://orcid.org/0009-0008-3746-0541"]},"institutions":[{"id":"https://openalex.org/I1328594524","display_name":"Children's Mercy Hospital","ror":"https://ror.org/04zfmcq84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1328594524"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brent Lockee","raw_affiliation_strings":["Division of Pediatric Endocrinology and Diabetes, Children\u2019s Mercy , Kansas City, MO,"],"raw_orcid":"https://orcid.org/0009-0008-3746-0541","affiliations":[{"raw_affiliation_string":"Division of Pediatric Endocrinology and Diabetes, Children\u2019s Mercy , Kansas City, MO,","institution_ids":["https://openalex.org/I1328594524"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058789790","display_name":"Jill A. Weissberg-Benchell","orcid":"https://orcid.org/0000-0002-4396-6337","observed_orcids":["https://orcid.org/0000-0002-4396-6337"]},"institutions":[{"id":"https://openalex.org/I1294278766","display_name":"Lurie Children's Hospital","ror":"https://ror.org/03a6zw892","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1294278766"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jill Weissberg-Benchell","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago , Chicago, IL,"],"raw_orcid":"https://orcid.org/0000-0002-4396-6337","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago , Chicago, IL,","institution_ids":["https://openalex.org/I1294278766"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028158829","display_name":"Mark Allen Clements","orcid":"https://orcid.org/0000-0002-2368-0331","observed_orcids":["https://orcid.org/0000-0002-2368-0331"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mark Clements","raw_affiliation_strings":["Glukoo Inc , Palo Alto, CA,"],"raw_orcid":"https://orcid.org/0000-0002-2368-0331","affiliations":[{"raw_affiliation_string":"Glukoo Inc , Palo Alto, CA,","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4332,"currency":"USD","value_usd":4332},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.01600000075995922,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11171","display_name":"Diabetes and associated disorders","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.8730000257492065},{"id":"https://openalex.org/keywords/problem-areas-in-diabetes","display_name":"Problem Areas in Diabetes","score":0.8240000009536743},{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.9559999704360962},{"id":"https://openalex.org/keywords/factor-structure","display_name":"factor structure","score":0.8040000200271606},{"id":"https://openalex.org/keywords/structural-validity","display_name":"structural validity","score":0.7170000076293945},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.36800000071525574},{"id":"https://openalex.org/keywords/parents","display_name":"parents","score":0.9139999747276306},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.9269999861717224},{"id":"https://openalex.org/keywords/hispanic-children","display_name":"Hispanic children","score":0.8009999990463257},{"id":"https://openalex.org/keywords/clinical-screening","display_name":"clinical screening","score":0.4449999928474426},{"id":"https://openalex.org/keywords/psychometric-validation","display_name":"psychometric validation","score":0.4880000054836273}],"concepts":[{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.7300999760627747},{"id":"https://openalex.org/C40722632","wikidata":"https://www.wikidata.org/wiki/Q5160137","display_name":"Confirmatory factor analysis","level":3,"score":0.7235000133514404},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5766000151634216},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4837999939918518},{"id":"https://openalex.org/C2777538456","wikidata":"https://www.wikidata.org/wiki/Q311213","display_name":"Glycated hemoglobin","level":4,"score":0.47609999775886536},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.44929999113082886},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4447000026702881},{"id":"https://openalex.org/C49453240","wikidata":"https://www.wikidata.org/wiki/Q1592163","display_name":"Construct validity","level":3,"score":0.4311999976634979},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.42800000309944153},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3889999985694885},{"id":"https://openalex.org/C121244757","wikidata":"https://www.wikidata.org/wiki/Q1783487","display_name":"Convergent validity","level":4,"score":0.3840000033378601},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.37560001015663147},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.3515999913215637},{"id":"https://openalex.org/C18747219","wikidata":"https://www.wikidata.org/wiki/Q620994","display_name":"Standard error","level":2,"score":0.3433000147342682},{"id":"https://openalex.org/C2776793905","wikidata":"https://www.wikidata.org/wiki/Q7623268","display_name":"Strengths and Difficulties Questionnaire","level":3,"score":0.3400000035762787},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.32109999656677246},{"id":"https://openalex.org/C129848803","wikidata":"https://www.wikidata.org/wiki/Q2564360","display_name":"Sample size determination","level":2,"score":0.29420000314712524},{"id":"https://openalex.org/C20256973","wikidata":"https://www.wikidata.org/wiki/Q1050272","display_name":"Standard score","level":2,"score":0.28110000491142273},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C120107772","wikidata":"https://www.wikidata.org/wiki/Q168554","display_name":"Discriminant validity","level":4,"score":0.27219998836517334},{"id":"https://openalex.org/C70364389","wikidata":"https://www.wikidata.org/wiki/Q18757","display_name":"Validity","level":3,"score":0.2718999981880188},{"id":"https://openalex.org/C152877465","wikidata":"https://www.wikidata.org/wiki/Q208042","display_name":"Regression analysis","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.25999999046325684},{"id":"https://openalex.org/C182050348","wikidata":"https://www.wikidata.org/wiki/Q5186576","display_name":"Criterion validity","level":4,"score":0.2554999887943268},{"id":"https://openalex.org/C116211729","wikidata":"https://www.wikidata.org/wiki/Q5372350","display_name":"Test validity","level":3,"score":0.2547999918460846},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.25220000743865967},{"id":"https://openalex.org/C1589151","wikidata":"https://www.wikidata.org/wiki/Q6804207","display_name":"Measurement invariance","level":4,"score":0.25049999356269836}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/jpepsy/jsag060","doi":"https://doi.org/10.1093/jpepsy/jsag060","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jpepsy/jsag060","pdf_url":null,"source":{"id":"https://openalex.org/S44167674","display_name":"Journal of Pediatric Psychology","issn_l":"0146-8693","issn":["0146-8693","1465-735X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","erih-plus","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Psychology","raw_type":"journal-article"},{"id":"pmid:42611822","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42611822","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of pediatric psychology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G706110549","display_name":"Remedy to Diabetes Distress (R2D2): A Scalable Screen to Treat Program for School-Age Families","funder_award_id":"R01DK127493","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"},{"id":"https://openalex.org/G9000903907","display_name":"Adapting Single Sessions Interventions for Type 1 Diabetes (ASSISTED): Integrated Pediatric Care to Reduce Depression and HbA1c","funder_award_id":"K23DK139431","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337357","display_name":"National Institute of Diabetes and Digestive and Kidney Diseases","ror":"https://ror.org/00adh9b73"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W1913957972","https://openalex.org/W1967500539","https://openalex.org/W1992193527","https://openalex.org/W2008179214","https://openalex.org/W2025781576","https://openalex.org/W2036323100","https://openalex.org/W2089818399","https://openalex.org/W2134365893","https://openalex.org/W2736029153","https://openalex.org/W2778768760","https://openalex.org/W2906982325","https://openalex.org/W2909166675","https://openalex.org/W2927098421","https://openalex.org/W3080175355","https://openalex.org/W3095583164","https://openalex.org/W4282917392","https://openalex.org/W4285593041","https://openalex.org/W4310680588","https://openalex.org/W4312038202","https://openalex.org/W4386647544","https://openalex.org/W4392028446","https://openalex.org/W4395011492","https://openalex.org/W4399118801","https://openalex.org/W4401435262","https://openalex.org/W4402359128","https://openalex.org/W4402701916","https://openalex.org/W4405187511","https://openalex.org/W4405219074","https://openalex.org/W4410930696","https://openalex.org/W4415531873","https://openalex.org/W7130523910"],"related_works":["https://openalex.org/W4402359128","https://openalex.org/W2927098421","https://openalex.org/W7163641420","https://openalex.org/W2778768760","https://openalex.org/W2808911567","https://openalex.org/W2809051269","https://openalex.org/W4378215657","https://openalex.org/W4414062608","https://openalex.org/W4404174294","https://openalex.org/W4214597955"],"abstract_inverted_index":{"OBJECTIVE:":[0],"The":[1],"Problem":[2],"Areas":[3],"in":[4,19,29,222],"Diabetes":[5],"Child":[6,179],"version":[7,11],"(PAID-C)":[8],"and":[9,17,42,59,66,72,89,96,104,120,136,147,201,218,234,248,256],"Parent":[10],"(P-PAID-C)":[12],"have":[13],"demonstrated":[14],"initial":[15],"validity":[16,214],"reliability":[18],"research":[20],"samples;":[21],"however,":[22],"little":[23],"is":[24],"known":[25],"about":[26],"their":[27,60,67,257],"performance":[28],"routine":[30],"clinical":[31,224,237],"settings.":[32],"This":[33],"study":[34],"evaluated":[35,105],"the":[36,40,70,134,140,143,145,155,159,163,166,212,216,236],"factor":[37,83],"structure":[38],"of":[39,76,118,206,215,239],"PAID-C":[41,71,135,180,217],"P-PAID-C":[43,73,191,219],"using":[44,85,108],"clinic-based":[45],"screening":[46],"data":[47],"from":[48],"school-aged":[49],"children":[50,132,253],"(aged":[51],"8-12":[52],"years)":[53],"with":[54,64,154,185,198,254],"type":[55],"1":[56],"diabetes":[57,228],"(T1D)":[58],"parents.":[61],"METHODS:":[62],"Children":[63],"T1D":[65,255],"parents":[68,138,205],"completed":[69,133,139],"as":[74,230],"part":[75],"standard":[77],"clinic":[78],"screening.":[79],"We":[80,92],"conducted":[81],"confirmatory":[82],"analyses":[84],"weighted":[86],"least-squares":[87],"mean":[88,115,123],"variance-adjusted":[90],"estimation.":[91],"tested":[93],"one-,":[94],"two-,":[95],"four-factor":[97,167],"models":[98,149],"based":[99],"on":[100],"previous":[101],"validation":[102],"work":[103],"model":[106,157,168],"fit":[107,110,171],"comparative":[109],"index,":[111,113],"Tucker-Lewis":[112],"root":[114,122],"square":[116],"error":[117,177],"approximation,":[119],"standardized":[121],"squared":[124],"residual.":[125],"RESULTS:":[126],"Across":[127],"approximately":[128],"24":[129],"months,":[130],"371":[131],"893":[137],"P-PAID-C.":[141],"For":[142,162],"PAID-C,":[144],"one-":[146],"two-factor":[148,156],"both":[150],"showed":[151,193],"acceptable":[152,170],"fit,":[153],"demonstrating":[158],"best":[160],"fit.":[161],"P-PAID-C,":[164],"only":[165],"reached":[169],"after":[172],"we":[173],"correlated":[174],"two":[175],"similar":[176],"terms.":[178],"scores":[181,192],"did":[182],"not":[183],"correlate":[184],"glycated":[186],"hemoglobin":[187],"(HbA1c),":[188],"while":[189],"parent":[190],"a":[194,231],"small":[195],"positive":[196],"association":[197],"child":[199],"HbA1c":[200],"were":[202],"higher":[203],"among":[204],"Hispanic":[207],"children.":[208],"CONCLUSIONS:":[209],"Findings":[210],"support":[211],"structural":[213],"when":[220],"used":[221],"real-world":[223],"care.":[225],"Results":[226],"confirm":[227],"distress":[229,246],"multidimensional":[232],"construct":[233],"reinforce":[235],"utility":[238],"these":[240],"brief":[241],"measures":[242],"for":[243,252],"identifying":[244],"specific":[245],"domains":[247],"informing":[249],"tailored":[250],"interventions":[251],"caregivers.":[258]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-08-20T00:00:00"}