Parent-child Dyads Research Articles

Anglophone Picturebook Shared Reading in Chinese Families: A Typology Exploring Parent-Child Interaction Patterns

This study examined parent-child interactions during foreign-language shared reading of Anglophone picturebooks at home by Chinese parents. It is among the first to probe foreign-language shared reading in the home setting. Data was obtained from in-depth ethnographic observation of seven parent-child dyads and from interviews, with a survey comprising 565 parent respondents providing background for this wider evidence. A grounded theory approach was applied to generate a new, five-part typology of Chinese parents' English picturebook reading practices. This new typology reveals the diversity of parent-child interaction processes by categorizing them according to five foci: the literal focus, the literacy skill focus, the literary focus, the exploratory focus and the digital focus. The findings of this study may have a reciprocal effect on the study of first- and second-language shared reading practices and can be applied to analysis of or intervention in shared reading, at home or in school settings.

Are Women the “Keepers of the Culture”? A Study on the Gender-Specific Transmission and Development of Mainstream and Ethnic Identities using Latent Growth Curve Models

AbstractMigration scholars repeatedly claim that mothers in migrant families are responsible for cultural preservation and that this responsibility is passed on to their daughters. In turn, male family members are claimed to be more oriented towards the majority society. This often assumed “keepers of the culture” hypothesis is assessed here using bivariate conditional latent growth curve models to track identity developments in a multigroup comparison. The analysis uses information from second-generation youth and their parents from the CILS4EU data. After a review of the mechanisms that may lead to such a gendered effect, the empirical comparison of parent-child dyads reveals that, contrary to expectations, sons and daughters undergo the same identity development during adolescence. Moreover, both parents pass on their identities to both genders in the same way. I discuss the consequences of these results on an empirical and theoretical level at the end of this paper.

Children's engineering identities‐in‐practice: An exploration of child–adult interactions in an out‐of‐school context

AbstractBackgroundResearch points to family talk and interactions involving STEM concepts as one of the most influential informal learning experiences that shape an individual's STEM identity development and encourage their pursuit of a STEM career. However, a recent literature review uncovers limited research regarding the development of engineering identity in young children.PurposeThe purpose of this study was to add to this scant literature by exploring how children position themselves as engineers and how children are positioned as engineers through interactions with parents and other adults within a program focused on family engagement within an engineering design process.MethodsThis study includes two parent–child dyads. We collected and analyzed approximately 19.5 h of video data of the two child–parent dyads interacting with one another throughout an engineering design process as part of an out‐of‐school program.ResultsResults highlight three ways in which the two children enacted various engineering identities through their positioning, negotiation, and acceptance and/or rejection of positionalities as they engaged in an engineering design process with a parent. These identity enactments included (a) possessing knowledge and authority to make decisions regarding the development of their self‐identified engineering problem and prototype; (b) questioning and challenging adult ideas, solutions, and construction of prototypes; and (c) documenting and communicating their thinking regarding the engineering design through sketches and notes.ConclusionsThe significance of this study lies in its potential to change the landscape of those who pursue an engineering career and to contribute to the limited research and ongoing conversations about how to foster environments that support families in creative and collaborative learning specific to the engineering discipline.

Trends in Distance Between Non-resident Parents and Minor Children Following Separation: Analysis of the Belgian Case, 1992–2018

Geographic distance between a child and their non-resident parent is a key aspect of the reorganization of the family following parental separation. The increasingly equal involvement of both parents in the upbringing of their children is expected to translate into increasing geographic proximity between children and non-resident parents. So far, there has been no evidence about the time trends in geographical distances between minor children and non-resident parents outside of the Swedish context. In this study, we investigate these trends across Belgian separation cohorts from 1992 to 2018 and the extent to which they differ according to parental socioeconomic status and child’s age at separation. Overall, we observed a very small decrease in distance between children and their non-resident fathers and a somewhat larger decrease for non-resident mothers. The distance increased for very young children (0–2 years) and children with low-educated fathers. These findings point to inequalities in certain parent–child dyads.

Brief Report: Telehealth Music-Enhanced Reciprocal Imitation Training in Autism: A Single-Subject Feasibility Study of a Virtual Parent Coaching Intervention.

Telehealth delivery increases accessibility of parent-mediated interventions that teach parents skills and support autistic children's social communication. Reciprocal Imitation Training (RIT), an evidence-based Naturalistic Developmental Behavioral Intervention (NDBI) focused on imitation skills, a common difficulty in autism, holds promise for telehealth-based parent training. Imitation is also a core component of musical play during childhood and the affordances of musical play/song naturally shape parent-child interactions. We evaluate the feasibility of a music-based, telehealth adaptation of RIT-music-enhanced RIT (tele-meRIT)-as a novel format for coaching parents in NDBI strategies. This single-subject, multiple baseline design study included 4 autistic children (32-53months old) and their mothers. Parent-child dyads were recorded during 10-min free play probes at baseline, weekly tele-meRIT sessions, and one-week and one-month follow-up. Probes were coded for parents' RIT implementation fidelity, parent vocal musicality, and children's rate of spontaneous imitation. No parent demonstrated implementation fidelity during baseline. All parents increased their use of RIT strategies, met fidelity by the end of treatment, and maintained fidelity at follow-up. Parent vocal musicality also increased from baseline. Intervention did not consistently increase children's imitation skills. A post-intervention evaluation survey indicated high parent satisfaction with tele-meRIT and perceived benefits to their children's social and play skills more broadly. Implementing tele-meRIT is feasible. Although tele-meRIT additionally involved coaching in incorporating rhythmicity and song into play interactions, parents achieved fidelity in the RIT principles, suggesting one avenue by which music can be integrated within evidence-based parent-mediated NDBIs.

Assessment of Anxiety, Depression, and Sleep Quality in Mothers of Children with Atopic Dermatitis: A Qualitative Questionnaire Study.

To compare the anxiety, depression and sleep quality of mothers of healthy control children and mothers of children with atopic dermatitis (AD) of varying severity, both before and after treatment. A total of 120 parent-child dyads participated in the study. These dyads were divided into four subgroups of 30 patients each: mild AD, moderate AD, severe AD, and control groups. The children's symptoms, their mothers' psychological status, and their mothers' sleep quality were evaluated using the Scoring of Atopic Dermatitis (SCORAD), the Hospital Anxiety and Depression Scale (HADS), and the Pittsburgh Sleep Quality Index (PSQI), respectively, before and after a one-month comprehensive treatment. SCORAD, representing differences in severity of children's AD, decreased significantly after one month's treatment (p < 0.001). Anxiety in mothers significantly decreased in all AD severity groups after treatment (p < 0.05). However, for depression, only the mothers in the mild and moderate AD groups showed a decrease after treatment (p < 0.05). The PSQI total score also decreased in the mild AD group after treatment (p < 0.05). The most severe effect was seen in the psychology and sleep quality of mothers of children with severe AD. After one month of treatment, the psychological health and sleep quality of the mothers in the mild AD group significantly improved, while those of mothers in the moderate and severe AD groups showed partial improvement.

Effect of Anti-Allergic Therapy on Sleep Quality of Children with Allergic Conjunctivitis and Their Parents

ABSTRACT Purpose To assess the effect of anti-allergic therapy on sleep quality of children with allergic conjunctivitis (AC) and their parents. Methods This prospective single-arm intervention study included 54 AC child-parent dyads. Chinese versions of the Children’s Sleep Habits Questionnaire (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were used to assess the sleep quality of children and their parents, respectively. Results CSHQ and PSQI total scores were significantly decreased after treatment, with fewer children and parents reporting poor sleep quality. Part impaired sleep behaviors of children and parents can recover to the normal levels. Sleep quality improved greater in children with a severe type of AC, those with worse baseline signs, and without other allergic diseases. For both children and parents, greater improvements in sleep quality were associated with longer treatment duration and with worse baseline sleep quality. Conclusion Successful management of AC improves sleep quality for both children and their parents.

Abbreviating the Early Start Denver Model for community-based family-centered care.

Parent-mediated approaches for young children with or with a higher likelihood of autism have gained traction, with mounting evidence of efficacy, but a research-to-gap practice exists, and community effectiveness remains to be firmly established. Using a community-participatory framework, a total of 10 parent-child dyads received a five-day workshop and six follow-up sessions of ESDM parent coaching. Intervention was implemented across two phases with in-person and telehealth delivery. From pre to post intervention across both phases, parents improved in their fidelity of intervention implementation and children maid gains on proximal measures of social communication. Community delivery of an evidence-based parent-mediated interventions for toddlers on the autism spectrum is feasible and promising. Giving resource efficiencies associated with parent-mediated approaches, particularly when delivered through government-funded programs, findings bolster current efforts to promote earlier and more widespread community access to necessary interventions. Facilitators and barriers to supporting parent learning and behavior change via interactive strategies are discussed.

Parent coaching via telerehabilitation for young children with autism spectrum disorder (ASD): study protocol for a randomised controlled trial

BackgroundEarly parent-implemented intervention enhances parent-child interaction and improves language skills in children with autism spectrum disorders (ASD). Parent coaching is often delivered as standard care for children with ASD, where parents are taught to apply strategies in their child’s play activities and daily routines to achieve the prior stated goals. However, the ability to conduct parent coaching in physical in-clinic sessions is limited by resource constraints such as clinic space and therapist manpower. Furthermore, parents may experience difficulties with the generalisation of intervention strategies taught in the clinic to their natural home environments. In this study, telerehabilitation is evaluated as an alternative platform to deliver parent coaching for parent-implemented interventions to children with ASD in their homes.MethodsThis parallel-group, randomised, controlled, non-inferiority trial aims to evaluate the effectiveness of parent coaching delivered through video conferencing (telerehabilitation) versus in-clinic (standard care) delivery. Children aged 15 to 48 months (n = 200) who meet the cut-off score for ASD on the Autism Diagnostic Observation Schedule-2 are eligible. Parent-child dyads are randomly assigned to receive parent coaching either through weekly telerehabilitation or standard care. The primary outcome is the child’s development as measured by the subscale and composite scores of a standardised developmental assessment. Primary analysis will determine if the lower boundary of the 95% confidence interval for the mean difference in pre-post change between groups exceeds −5 (the non-inferiority margin). Secondary outcomes are the child’s adaptive behaviour, parent-child interaction, parental stress, and family quality of life. Outcomes will be measured pre-intervention, midterm, and post-intervention. Secondary analysis will determine if there is any between-group difference for the pre-post change in scores at the 5% significance level using two-sample t-test or Mann-Whitney U test.DiscussionAs a randomised controlled trial of a moderately large scale, this study will contribute to the limited existing literature on the effectiveness of parent coaching via telerehabilitation for early parent-implemented intervention for children with ASD. The results of this study will provide insights on whether telerehabilitation is comparable to conventional in-clinic parent coaching in enhancing parent-child interaction and improving language skills.Trial registrationClinicalTrials.gov NCT05792449. Registered (retrospectively) on 31 March 2023.

A new tool to capture dimensions of family dinners in relation to adolescent health and risk-related outcomes: The ‘Family Dinner Index’

There is a strong association between family meals and child and adolescent health. To systematically understand the associations between family meals with a variety of health and risk outcomes, we developed and conducted a validation study of child- and parent-versions of the Family Dinner Index (FDI; FDI-C/FDI-P). We validated the measures with a national sample of 2,090 parent–child dyads. Using factor analysis, we reduced the initial FDIs each to eight items representing communication, enjoyment, and digital distractions; the FDI-C also included meal logistics and the FDI-P, family bonding. Using multivariable log-binomial regression models, we examined the relationships between FDI scores and substance use, violence, weight perception, weight control intention, and health indicators. Children who scored ≥21 on the FDI-C had a significantly lower average prevalence of a ‘negative outcome’ composite, as well as a lower prevalence of each of the individual behaviors. Children of parents who scored ≥24 on the FDI-P had a significantly lower average prevalence of the ‘negative outcome’ composite, as well as a lower prevalence of substance use indicators, negative weight perception and intentions to lose weight, less than daily fruit and vegetable consumption, and not meeting guidelines for physical activity. The FDI measures provide support for face and content validity, as well as concurrent criterion validity and construct validity. Further validation with these measures using a longitudinal design will allow for the establishment of predictive validity. Currently, the FDI measures may help researchers and practitioners identify points of emphasis for tailoring family-based prevention programs accordingly.

Exploring health behaviors and the role of pet dogs in households with autistic children: the DANE study.

Autism spectrum disorder (ASD) often presents a unique set of risk factors that impact healthy eating and physical activity. Animal-assisted interventions (AAI) are a promising approach for autistic children. There is growing evidence for the positive impact of AAIs on self-regulation, which is necessary for initiating and maintaining behavioral changes. Pet dogs offer several potential advantages as a vehicle for an AAI focused on health behaviors. However, little is known about the experiences of autistic children and their families with respect to dog ownership and the mechanisms through which such an AAI might operate. We conducted interviews with ten parent-child dyads to explore the role of pet dogs in the lives and lifestyle habits of families with an autistic child. Interview guides were designed to explore the relationship between the autistic child and the pet dog and the role of the dog in family life; attitudes and practices related to physical activity and nutrition; and thoughts about intervention strategies. We used a directed qualitative content analysis approach for analysis. Themes indicate a strong bond between the child and the dog, the child's enjoyment in caring for their dog, and successful integration of dogs within family routines. In contrast, minor themes emerged around the challenges that owning a pet dog posed for families with an autistic child. In terms of nutrition and physical activity, a major theme among children was that healthy eating and exercise were important for both them and their dogs. However, minor themes suggest challenges with healthy eating and exercise and room for improvement for these behaviors. Parents held favorable views toward an intervention that would incorporate the family dog to teach children about nutrition and physical activity, although they expressed some concerns about feasibility. This exploratory work suggests that AAIs to improve nutrition and physical activity could build on the strong bond that children have with their pet dogs, but should consider the specific needs of each family, including the needs of the pet dog.

Minor changes, big differences? Effects of manipulating play materials on parental math talk.

Given the established role of parental talk in the growth of math knowledge in preschoolers, there has been an increasing focus on identifying ways to promote parental math talk at this stage of child development. The current study investigated how parental math talk is affected by features of play materials and contexts. The features were manipulated along two dimensions: homogeneity (whether the toys were unique or included identical sets) and boundedness (whether the number of toys was restricted). Parent-child dyads (n = 75, child's age: 4-6) from China were randomly assigned to one of three experimental conditions: unique objects-unbounded range, homogeneous sets-unbounded range, and homogeneous sets-bounded range. In all conditions, dyads played games in two contexts that varied in the extent to which they were typically associated with math-party preparation and grocery shopping. As expected, more parental math talk was observed in the grocery shopping than in the party preparation context. Importantly, the manipulation of features within context also affected the amount and nature of parental math talk: homogeneity increased absolute magnitude talk, and boundedness increased relative magnitude talk. The results provide support for the cognitive alignment framework, underscoring the importance of aligning the features of materials with targeted concepts and demonstrating the possibility of impacting parental math talk through small manipulations of play materials. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children.

Hispanic/Latinx communities remain an underserved population in terms of health and physical activity opportunities. The rise of sport specialization can jeopardize these opportunities. Understanding the appeal and welcomeness that minoritized populations feel toward sport and sport specialization culture can play an important role in health promotion and breaking down barriers that widen the gap on physical activity levels in Hispanic/Latinx communities. To date, these studies have not qualitatively investigated Hispanic/Latinx youth sport dyads (parent and child) and how sport specialization perceptions have affected their sport participation experiences. We used a qualitative interpretative phenomenological analysis to explore experiences of Hispanic/Latinx high school athletes. We engaged in semistructured interviews with 12 parent-child dyads. The following 3 interrelated themes emerged: (a) expectations of youth sport participation, (b) meeting expectations of youth sport participation, (c) and (mis)alignment of cultures. Dyads describe a negative youth sport experience when both cultures do not align because of the rise in sport specialization and pay-to-play culture. Findings indicate that dyads understand what is necessary to participate in organized sport and do this by methods that are rooted in their Hispanic/Latinx culture.

Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area.

The prevalence of childhood caries in urban Chicago, compared with national and state data, indicates that neighborhood context influences oral health. Our objective was to delineate the influence of a child's neighborhood on oral health outcomes that are predictive of caries (toothbrushing frequency and plaque levels). Our study population represents urban, Medicaid-enrolled families in the metropolitan Chicago area. Data were obtained from a cohort of participants (child-parent dyads) who participated in the Coordinated Oral Health Promotion (CO-OP) trial at 12 months of study participation (N = 362). Oral health outcomes included toothbrushing frequency and plaque levels. Participants' neighborhood resource levels were measured by the Area Deprivation Index (ADI). Linear and logistic regression models were used to measure the influence of ADI on plaque scores and toothbrushing frequency, respectively. Data from 362 child-parent dyads were analyzed. The mean child age was 33.6 months (SD 6.8). The majority of children were reported to brush at least twice daily (n = 228, 63%), but the mean plaque score was 1.9 (SD 0.7), classified as "poor." In covariate-adjusted analyses, ADI was not associated with brushing frequency (0.94, 95% CI 0.84-1.06). ADI was associated with plaque scores (0.05, 95% CI 0.01-0.09, p value = 0.007). Findings support the hypothesis that neighborhood-level factors influence children's plaque levels. Because excessive plaque places a child at high risk for cavities, we recommend the inclusion of neighborhood context in interventions and policies to reduce children's oral health disparities. Existing programs and clinics that serve disadvantaged communities are well-positioned to support caregivers of young children in maintaining recommended oral health behaviors.

Interdependency of relationships in stepfamilies – Variation across residence arrangements

This study investigates how the quality of family relationships and children’s residence arrangements are associated with stepparent-child relationship quality. Prior literature has studied these factors separately, with the role of family relationships often studied only among stepfamilies with co-resident children. Little is known about how the relevance of family relationships varies depending on where children reside. The opportunity structure (e.g., contact frequency) within which various family relationships influence each other can differ across residence arrangements. This study, therefore, investigates the roles of multiple family relationships across children’s various residence arrangements - including the more contemporary arrangement of shared residence. Multiple regression analyses with moderation techniques were conducted using the New Families in the Netherlands (NFN) survey, large-scale data collected in 2020 among divorced and separated parents with a minor or (young) adult focal child ( N = 1829). We found for each family dyad (between the biological parent and the focal child, between the biological parent and the stepparent, and between the stepparent and the other biological parent of the focal child) that a high relationship quality was associated with higher stepparent-child relationship quality. Their importance, however, varied across residence arrangements. Poor relationship quality of the biological parent-child dyad and the stepparent-other biological parent dyad was associated with a poor stepparent-child relationship, especially when the focal child was nonresident. Whereas, there was a positive association between the stepcouple relationship and stepparent-child relationship quality primarily for children living full-time with the stepfamily. Altogether, the relationship quality of various family dyads spills over to the stepparent-child dyad - though the extent of this spillover differs depending on the opportunity structure determined by children’s residence.

A randomized parent-mediated physical activity intervention for autistic children.

The purpose of this study was to examine the immediate and post effects of a parent-mediated physical activity intervention on the fundamental motor skills of autistic children. We randomly assigned parent-child dyads (n = 31) of autistic children aged 4-11 years into three groups (workshop, an online, or control group). Each dyad participated in a 12-week intervention and was given adapted physical activity equipment and over 200 activities via a mobile application. Children were tested at the start and end of the intervention. The effect size (Cohen's ) of the control group for pre-post locomotor and ball skill scores were 0.12 and 0.06, respectively, indicating small effect size. The effect size of the online group for pre-post locomotor and ball skill scores were 49 and 0.26, respectively, indicating medium and small effect sizes. The effect size of the in-person group for pre-post locomotor and ball skill scores were 1.18 and 0.82, respectively, indicating large effect sizes. The outcomes of this physical activity intervention suggest that parents may facilitate the acquisition of fundamental motor skills of their autistic children. Although these results are positive, there is a need to further identify effective interventions for fundamental motor skill development in autistic children. Clinical Trials ID: NCT05159102.

Children with autism spectrum disorder perform comparably to their peers in a parent-child cooperation task.

This study investigates whether and how parent's cooperation affects child's cooperation, and whether that differs between children with/without autism spectrum disorder (ASD). The experiment involved a cooperative key-pressing task completed first by parent-parent dyads and then by parent-child dyads, meanwhile brain activity in the right frontal-parietal cortex of dyad partners was measured synchronously. The results showed the following: ASD children exhibited performance comparableto those oftheir peers, as was the level of brain synchronization with their parents, which was mainly due to parents with ASD children tending to adjust their own response patterns to matchthose of their children. These findings suggest that parents can somewhat actively mitigate the lower interpersonal synchronization ability of ASD children, in behavioral or/and neural level.

Psychiatric in-patients who are parents: what interventions are tailored to their needs and how do they experience care? A systematic review and data synthesis.

Little is known about the experiences of parents who are in receipt of in-patient psychiatric care or about what interventions are employed to support them in their parenting role. The objective of the current study is to review two complementary areas of research: (a) research examining interventions developed to support the parent-child relationship within these settings; and (b) research focused on the experience of parents in in-patient settings. For studies reporting on parents' experience, qualitative accounts of past or present psychiatric in-patients (child aged 1-18 years) were included. For intervention studies, the intervention had to focus on supporting the parenting role and/or the parent-child dyad of parents (child aged 1-18 years) in current receipt of in-patient care. Four bibliographic databases (PubMed, SCOPOS, Web of Science and PsychINFO) were searched for relevant published and unpublished literature from 1 January 1980 to 26 July 2022. Intervention studies were appraised using the Mixed Methods Appraisal Tool. Qualitative papers were assessed using the Critical Appraisal Skills Programme tool. Data were extracted using tools designed for the study. Qualitative data were synthesised using thematic analysis. The protocol was registered with the International Prospective Register of Systematic Reviews (reference CRD42022309065). Twenty-four papers (eight intervention studies and 16 studies examining parent experience) were included in the review. In-patient parents commonly reported hospital admission as having a negative impact on their parenting. Very few robust reports of interventions designed to support parents in receipt of psychiatric in-patient care were found. Despite the identified need for support by parents who are receiving in-patient care, there is currently no intervention of this nature running in the UK health service.

Family experiences of ambiguous loss during COVID‐19

AbstractObjectiveThe present study provides descriptive results on parents' mental health, ambiguous loss, stress, and parent–child relationship as well as child stress and children's emotion regulation abilities. Additionally, we present initial psychometric results and preliminary regression findings from a quantitative ambiguous loss measure.BackgroundThe COVID‐19 pandemic has led to more than one million deaths in the United States and subsequent mental health difficulties for parents and children.MethodData were collected from 134 participants (MParentAge = 39.1 years; 54.5% women; MChildAge = 9.4 years) in early May 2021. Analyses examined group differences of longitudinal findings over a year‐long period, parents' gender, and financial needs.ResultsModerate levels of COVID‐19–specific stress as well as general stress in both parents and children were found. Women reported higher levels of closeness among the parent–child dyad, and parents whose financial needs were not met reported significantly higher levels of anxiety and depression. A liner regression indicated that 44.3% of the variance in ambiguous loss can be explained by COVID‐19 specific stress and depression.ConclusionIndividuals and families are still experiencing difficulties after the COVID‐19 pandemic, as seen through the descriptives presented. Additionally, ambiguous loss can be predicted by these experiences.ImplicationsLong‐term information about individual and family experiences after a year of the COVID‐19 pandemic highlights important experiences of generalized stress in both parents and children.

1453-P: Remedy to Diabetes Distress (R2D2)—Identify the Relationship between HbA1c, Socioeconomic Status (SES), and Diabetes Distress (DD)

Objective: DD among school-age children with Type 1 Diabetes (T1D) and their parents is associated with suboptimal glycemic control. We sought to determine if SES modulates the association between parent distress and child HbA1c. Methods: Parents completed the Problem Areas in Diabetes-Child (P-PAID-C) and reported family demographics. We measured child HbA1c using a validated fingerstick homekit. We calculated a Hollingshead Score to quantify family SES. We developed a multivariable regression model with child HbA1c as the outcome and Hollingshead Tertiles (lowest = tertile 1) and P-PAID-C scores as predictors. Results: The sample included N = 158 parent-child dyads,[M ± SD] child age 10.20±1.49 years, HbA1c 7.96±1.63%, 50% boys, 9.3% Black, 6.2% Hispanic; 88.8% of respondents were mothers. P-PAID-C score was 59.0±18.0. Simple correlations suggested higher child HbA1c associated with higher P-PAID-C scores and lower SES. Regression results showed P-PAID-C scores as the strongest predictor of child HbA1c even when including SES and an interaction variable. (Figure.1) Conclusion: Child HbA1c increases as a function of parent DD, but family SES does not modify this association. Parent DD may represent a treatable, underscoring a need for research testing interventions to reduce parent DD levels. Disclosure R.Pomerantz: None. D.D.Williams: None. H.Yeh: None. M.A.Clements: Consultant; Glooko, Inc., Research Support; Dexcom, Inc., Abbott Diabetes. S.R.Patton: None.