4 areas of parent DD were identified using a newly developed measure, the PDDS. DD was associated with family demographic, teen diabetes status, and parent contextual factors, and can help identify parents who may be more vulnerable to DD.

Four sources of partner DD were identified. Results suggest that DD in T1D partners is common, especially distress associated with hypoglycemia. Predictors of T1D partner DD come from multiple sources: demographic, disease-related, and contextual arenas, all pointing to opportunities for acknowledging and addressing DD directly in this population.

While society at large recognizes the many benefits of sport, it is important to also recognize and prevent factors that can lead to an abusive environment. This paper seeks to combine the current research on abuse in the sport environment with the work of the U.S. Center for SafeSport. The inclusion of risk factors unique to sport and evidence-informed practices provides framing for the scope and response to sexual abuse in sport organizations in the United States. The paper then explores the creation and mission of the U.S. Center for SafeSport, including the role of education in prevention and of policy, procedures, audit, and compliance as important aspects of a comprehensive safeguarding strategy. This paper provides preliminary data on the reach of the Center, established in 2017. This data captures the scope of education and training and the increase in reports to the Center from within the U.S. Olympic and Paralympic Movement.

Objective: Diabetes prevention interventions have a proven positive effect on health outcomes. The goal of this project is to understand the factors that motivate and deter people with prediabetes from utilizing evidence-based education programs, such as the Diabetes Prevention Program (DPP).Research Design and Methods: Formative research was conducted among program facilitators, health providers who care for diabetes patients, and patients living with prediabetes to generate an in-depth understanding of perceptions of the program. The methodology included a mixed methods approach. A total of 97 interviews and 5 focus groups were conducted with health providers, program facilitators, and patients. An online survey was administered to 50 patients with prediabetes.Results: All three populations agreed the DPP aided in implementing lifestyle changes and preventing the onset of type 2 diabetes, and the classes provided a positive experience for support, in-depth discussion, and opportunities for learning how to make lifestyle changes. However, while the overall benefits of the program were expressed, there were barriers noted by all populations that affect program utilization and physician referrals. General lack of knowledge, cost of the program, and the significant time commitment necessary to complete the program were barriers discussed. Conclusions:The Diabetes Prevention Program is successful in helping individuals with prediabetes make positive lifestyle changes. The lack of knowledge about the program, however, is a deterrent for utilization. Creation of a social marketing campaign based on the findings from this research will aim to increase healthcare provider referrals to the DPP.

Type 1 diabetes affects all aspects of life for both the person with the disease and their loved ones. For partners, negotiating the caregiving role can be challenging.Objective: Partners of people with type 1 diabetes are positioned to provide crucial support for their significant other, but they may struggle with the caregiving role. The purpose of this study was to determine the challenges and needs of these partners. Research Design and Methods:In this qualitative study, in-depth interviews were conducted with 19 partners of people with type 1 diabetes. A semi-structured interview guide was used during the interviews. Thematic analysis was conducted using qualitative data management and analysis software. Results:The analysis of the interviews revealed that partners face numerous challenges in the caregiving of their partner. Partners reported struggling with: (1) emotional strain from fear and distress over diabetes symptoms and complications that results in caregiver burden; (2) determining how to avoid relationship conflict; and (3) knowing how to provide life sustaining care during diabetes medical emergencies.Conclusions: Partners of people with diabetes would benefit from diabetes education targeting emergency care and the psychosocial impacts of diabetes. This additional education could potentially ease the emotional strains of caregiving.