Effectiveness Trial of an E-Health Intervention To Support Diabetes Care in Minority Youth

支持少数民族青少年糖尿病护理的电子健康干预措施的有效性试验

• 批准号: 10533394
• 负责人: DEBORAH A. ELLIS
• 金额: $ 14.61万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10533394
• 关键词: 14 year old; Address; Adolescence; Adolescent; Adoption; Affect; African American; Appointment; Appointments and Schedules; Area; Behavior Therapy; Behavioral; Caregivers; Caring; Child; Child Rearing; Childhood; Childhood diabetes; Chronic Disease; Clinic; Clinical Trials; Complications of Diabetes Mellitus; Computer software; Computers; Conflict (Psychology); Critical Care; Data; Deterioration; Development; Diabetes Mellitus; Dose; Effectiveness; Endocrinology; Family; Glycosylated hemoglobin A; Goals; Health; Healthcare; Healthcare Systems; Home; Hybrids; Insulin-Dependent Diabetes Mellitus; Intervention; Intervention Trial; Low income; Medical; Metabolic Control; Minority; Monitor; Motivation; Multicenter Trials; Outcome; Parents; Policies; Procedures; Publishing; Randomized; Randomized Clinical Trials; Research; Sampling; Schedule; Single Parent; Supervision; Testing; Treatment Efficacy; Treatment outcome; United States; Use Effectiveness; Vulnerable Populations; Work; Youth; aged; attentional control; base; behavioral health; behavioral health intervention; brief intervention; child depression; clinically significant; cost; design; diabetes education; diabetes management; diabetes self-management; dissemination research; eHealth; effectiveness implementation study; effectiveness trial; efficacy study; efficacy trial; evidence base; executive function; follow-up; high risk; implementation facilitators; implementation intervention; implementation research; implementation science; improved; improved outcome; independent self care; innovation; intervention effect; medical appointment; minority children; motivational enhancement therapy; motivational intervention; operation; parental monitoring; primary caregiver; randomized effectiveness trial; recruit; satisfaction; tool; two-arm study

Despite clear evidence of diabetes-related health disparities among African American youth with T1D, almost no clinical trials have focused on testing behavioral interventions to improve diabetes management for this population. The lack of research to develop effective interventions to improve health outcomes among minority youth with T1D is even more concerning in light of the coronavirus 2019 (COVID-19) pandemic. African American adults and children are likely to be at disproportionate risk to acquire COVID-19 and may be more likely to suffer from psychosocial and economic burdens of the pandemic. The parent clinical trial upon which the supplement will build has successfully recruited a large and representative sample of urban, African American youth with T1D (N=155). The occurrence of the COVID-19 pandemic in the midst of our clinical trial interjects variance that, if unmeasured, could affect study outcomes in ways that are unknown. Therefore, we propose to directly measure the effects of three COVID-19 related social/behavioral stressors (psychological distress, reduced health care utilization and loss of financial resources) on our two primary trial outcomes: diabetes management and glycemic control. We will obtain data on the impact of the pandemic via three new data collections obtained for all trial participants over a period of six months. The supplement will also allow us to evaluate the impact of the novel coronavirus pandemic on the overall health of minority youth with T1D. Our study is ideally posed to conduct this critical work, which is vital to understanding which social/behavioral factors associated with the pandemic are affecting health outcomes in this high-risk population. In turn, such data can inform the development of interventions to mitigate the effects of COVID-19 in the future.

尽管有明确的证据表明患有糖尿病的非裔美国青年之间存在与糖尿病相关的健康差异，

项目成果

Racial Residential Segregation and the Health of Black Youth With Type 1 Diabetes.

• DOI: 10.1542/peds.2022-058856
• 发表时间: 2023-05-01
• 期刊: PEDIATRICS
• 影响因子: 8
• 作者: Ellis, Deborah A. A.;Cutchin, Malcolm P. P.;Carcone, April Idalski;Evans, Meredyth;Weissberg-Benchell, Jill;Buggs-Saxton, Colleen;Boucher-Berry, Claudia;Miller, Jennifer L. L.;Drossos, Tina;Dekelbab, M. Bassem;Worley, Jessica
• 通讯作者: Worley, Jessica

Effects of family and neighborhood risks on glycemic control among young black adolescents with type 1 diabetes: Findings from a multi-center study.

• DOI: 10.1111/pedi.13176
• 发表时间: 2021-05
• 期刊: Pediatric diabetes
• 影响因子: 3.4
• 作者: Ellis DA;Cutchin MP;Templin T;Carcone AI;Evans M;Weissberg-Benchell J;Buggs-Saxton C;Boucher-Berry C;Miller JL;Al Wazeer M;Gharib J;Mehmood Y;Worley J
• 通讯作者: Worley J

Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial.

1 型糖尿病黑人青年电子健康干预中抑郁症对血糖控制的调节作用：多中心随机对照试验的结果。

• DOI: 10.2196/55165
• 发表时间: 2024
• 期刊: JMIR diabetes
• 作者: Ellis,Deborah;Carcone,AprilIdalski;Templin,Thomas;Evans,Meredyth;Weissberg-Benchell,Jill;Buggs-Saxton,Colleen;Boucher-Berry,Claudia;Miller,JenniferL;Drossos,Tina;Dekelbab,MBassem
• 通讯作者: Dekelbab,MBassem