Evidence map›Paper›PMID 42271453›Full record

ArticleDiabetology & metabolic syndrome2026

Spiritual care for Latinx youth with type 1 diabetes (T1D) and their caregivers: qualitative analysis of focus groups.

Megan Visser, Jaquelin Flores Garcia, Rebecca Barber, Mark W Reid, Stephanie S Crossen, Jenise C Wong, Jill Weissberg-Benchell, Diana Arellano, Alejandra Torres Sanchez, Frances Gonzalez and 3 more

Abstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Megan VisserThe Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Jaquelin Flores GarciaThe Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Rebecca BarberInstitute for Nursing and Interprofessional Research, Keck School of Medicine, Children's Hospital Los Angeles, University of Southern California, Los Angeles, Los Angeles, California, CA, USA.
Mark W ReidThe Vision Center, Division of Ophthalmology, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Stephanie S CrossenDepartment of Pediatrics, Division of Pediatric Endocrinology, University of California Davis School of Medicine, Davis, CA, USA.
Jenise C WongDepartment of Pediatrics, Division of Endocrinology, University of California, San Francisco, 550 16th Street, #4638, San Francisco, CA, 94158, USA. Jenise.wong@ucsf.edu.
Jill Weissberg-BenchellAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Diana ArellanoUniversity of California, San Francisco, San Francisco, CA, USA.
Alejandra Torres SanchezThe Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Frances GonzalezThe Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Salvador A LopezUniversity of California Davis, Davis, CA, USA.
Marysol Gonzales GranadosUniversity of California, San Francisco, San Francisco, CA, USA.
Jennifer K RaymondThe Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Optimizing diabetes technology use for Latinx youth through DREAM (Device use Reimagined through Education And Mentorship) virtual peer groupsR01DK135000 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAYMOND, JENNIFER K, WONG, JENISE C · 2022 to 2025
$1.9M
National Institute for Diabetes, Digestive, and Kidney Diseases 1R01DK135000NIDDK NIH HHS P30 DK092924NIDDK NIH HHS R01 DK135000
6 · The paper itself

Abstract

backgroundLatinx youth with T1D experience systemic disparities in glycemic management and access to psychosocial support. Spiritual resources and needs may also impact diabetes distress and T1D management for youth and their caregivers. Professional chaplains are uniquely qualified to support patients and families with serious medical conditions; however, their services are not well understood and are underutilized in diabetes care. Our objectives included: (1) Identify spiritual experiences and needs of youth with T1D and their caregivers; and (2) Highlight opportunities for chaplains to provide spiritual care support to improve diabetes care.

methodsQualitative analysis of spiritual care resources and needs reported in focus group sessions with Latinx youth (ages 13-17) with T1D and their caregivers. The framework method guided coding of transcripts and refinement of themes, which were interpreted based on professional spiritual care activities. Through constant comparison, a theory was developed to illustrate potential benefits of professional chaplain support in T1D.

resultsWith 13 youth and 13 caregivers, we identified themes that bear relevance for spiritual care support in diabetes, which included: loss of hope; negative self-image and shame; difficulty accepting reality of condition or wearing a diabetes device; grief; disconnection from community support; diabetes technology enhancing one's life; and coping resources for spiritual well-being. These themes translate to practical benefits of a professional chaplain's clinical activities. Spiritual care pathways for T1D care illustrate the intended effects, methods, and interventions of professional chaplains for improving resilience, quality of life, and support for self-management practices.

conclusionLatinx youth and caregivers described deep emotional experiences related to living with T1D and self-management practices, which can be viewed and addressed through the lens of spiritual care. Our research is the first-of-its-kind to identify specific unmet needs in T1D care that could benefit from chaplaincy as part of the multidisciplinary team. Spiritual struggle related to managing T1D (e.g., isolation from others with T1D, negative self-image, grief) warrants specialized support. Further investigation should examine preferences of youth with T1D and their caregivers, specifically for spiritual care services as part of their T1D care, and integration of professional chaplain support in T1D care.

Indexed as

ChaplainCopingDiabetes TechnologyLatinxSpiritual CareType 1 DiabetesVirtual Peer SupportYouth

Identifiers

PMID42271453
PMCPMC13480043

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.