Awareness drives willingness: Results of the ISPAD JENIOUS-PREME T1D project on parents' perspectives on disease-modifying therapy in T1D.

IF 3.4
Stefano Passanisi, Claudia Piona, Agata Chobot, Laura Cudizio, Apoorva Gomber, Bastian Hauck, Nathalie Bauer, Ana Alvarez Pagola, Manuela Battaglia, Linda A DiMeglio
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Abstract

Aims: To evaluate global caregivers' knowledge, perceptions and willingness to consider disease-modifying therapies for the prevention of clinical onset of type 1 diabetes.

Methods: An online survey was translated into 13 languages and disseminated worldwide from June 2024 to February 2025 to parents and caregivers of youth living with type 1 diabetes.

Results: Among 1281 respondents from 50 countries, awareness of available disease-modifying therapies was low, while the perceived importance of delaying clinical disease onset was high. Reflecting this limited knowledge, only 31% expressed unconditional willingness to accept disease-modifying treatments. Willingness to accept treatment was associated with higher educational attainment, residence in high-income countries and prior knowledge of these therapies. Safety concerns, route of administration and limited information were major barriers.

Conclusion: Informational and socioeconomic barriers to caregivers' awareness and acceptance of disease-modifying therapies may hinder the equitable implementation of preventive immunotherapy, highlighting the need for accessible, multilingual education initiatives.

意识驱动意愿:ISPAD JENIOUS-PREME T1D项目关于家长对T1D疾病改善治疗的看法的结果
目的:评估全球护理人员考虑疾病改善疗法预防1型糖尿病临床发病的知识、观念和意愿。方法:一项在线调查被翻译成13种语言,并于2024年6月至2025年2月在全球范围内分发给1型糖尿病青少年的父母和照顾者。结果:在来自50个国家的1281名受访者中,对现有疾病改善疗法的认识较低,而认为延迟临床疾病发病的重要性很高。由于知识有限,只有31%的人表示愿意无条件接受改善疾病的治疗。接受治疗的意愿与较高的教育程度、居住在高收入国家和先前对这些治疗的了解有关。安全问题、给药途径和信息有限是主要障碍。结论:信息和社会经济障碍阻碍了护理人员对疾病改善疗法的认识和接受,这可能会阻碍预防性免疫疗法的公平实施,这突出了可获得的多语言教育倡议的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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