Pediatric Type 2 Diabetes Qualitative George et al 1 Sara M. St. George, PhD Elizabeth R. Pulgarón, PhD Dina Ferranti, BSN, RN Yaray Agosto, MPH Maria I. Toro, BA Kevin C. Ramseur Alan M. Delamater, PhD From the Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida (Dr St. George); Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida (Dr Pulgarón, Ms Agosto, Ms Toro, Mr Ramseur, Dr Delamater); and School of Nursing and Health Studies, University of Miami, Coral Gables, Florida (Ms Ferranti). Correspondence to Sara M. St. George, PhD, Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 1009, Miami, FL 33136, USA (s.stgeorge@med .miami.edu). Conflict of Interest: The authors have no conflicts of interest to disclose. Funding: This research was supported by a grant from the National Institute of Diabetes and Digestive and Kidney Diseases to Alan M. Delamater, PhD (R34 DK 066247). DOI: 10.1177/0145721717691146 © 2017 The Author(s) Purpose The purpose of this descriptive qualitative study was to explore cognitive, behavioral, and psychosocial chal- lenges associated with having and/or parenting an ado- lescent with pediatric type 2 diabetes (T2D) from the perspectives of ethnic minority parents and adolescents. Methods Ethnic minority (79.2% non-Hispanic black, 29.6% Hispanic) adolescents (n = 14, 78.6% female, 14.7 ± 1.9 years) and their parents (n = 13, 100% female) partici- pated in either individual family interviews or multifam- ily focus group sessions. Sessions were audio recorded, transcribed, and coded by a team of 4 raters. QSR NVivo 10 was used to perform a content analysis and to extract coded adolescent and parent responses. Results Six themes corresponding to 3 broad categories (cogni- tive, behavioral, and psychosocial challenges) emerged. Regarding cognitive challenges, families described dif- ficulties learning about a new disease and managing youth knowledge deficits and/or superficial knowledge. In terms of behavioral challenges, parents and adoles- cents discussed ongoing difficulties with making and maintaining positive youth health behavior changes as well as with ensuring regimen adherence. Finally, managing 691146TDE XX X 10.1177/0145721717691146Pediatric Type 2 Diabetes QualitativeGeorge et al research-article 2017 A Qualitative Study of Cognitive, Behavioral, and Psychosocial Challenges Associated With Pediatric Type 2 Diabetes in Ethnic Minority Parents and Adolescents