**Contributing Factors to Poor Adherence and Glycemic Control in Pediatric Type 1 Diabetes: Facilitating a Move Toward Telehealth**

Joseph P. H. McNamara1, Adam M. Reid2, Alana R. Freedland3, Sarah E. Righi1 and Gary R. Geffken1 *1University of Florida, Department of Psychiatry* 

*2University of Florida, Department of Clinical and Health Psychology 3University of Florida, Department of Counselor Education USA* 

## **1. Introduction**

140 Type 1 Diabetes – Complications, Pathogenesis, and Alternative Treatments

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The study of family's with children with T1D and their regimens has led to a burgeoning literature by psychologist's with an interest in the relationship between adherence and glycemic control. Research in pediatric or child health psychology may be described as focusing on studying behavioral health, or psychological factors including learning, development, psychopathology, and culture as they interact with biological and physiological factors involved with illness, and in many cases, chronic illnesses. T1D is a chronic illness where an increasingly complex medical regimen for the child's illness interacts with the child's family, their school, their peers, and their culture. T1D is a chronic illness where the research of child health psychologists and other health care professionals can be seen as providing a prototype or model of other chronic illness of childhood that have a lower prevalence, and hence have a literature that is comparatively less developed than that of T1D.
