Optimizing diabetes technology use for Latinx youth through DREAM (Device use Reimagined through Education And Mentorship) virtual peer groups
通过 DREAM(通过教育和指导重新构想设备使用)虚拟同伴小组,优化拉丁裔青少年的糖尿病技术使用
基本信息
- 批准号:10708963
- 负责人:
- 金额:$ 49.95万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-22 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:AchievementAddressAdolescentAdolescent and Young AdultAdoptionAttitudeBlack raceCaliforniaCaringChildhoodChildhood diabetesClinicClinicalClinical TrialsCollaborationsCommunitiesComplications of Diabetes MellitusContinuous Glucose MonitorDataDevelopmentDevice DesignsDevicesDiabetes MellitusDoctor of PhilosophyEducationEndocrinologistEthnic PopulationEvaluationFamilyFeedbackFocus GroupsGeographyGlycosylated hemoglobin AGoalsGrantHappinessHealthHealth PersonnelInsulinInsulin Infusion SystemsInsulin-Dependent Diabetes MellitusInterventionInterviewKnowledgeLatinxLatinx populationLos AngelesMaintenanceMeasuresMedicalMentorshipModelingOutcomeParticipantPatient Outcomes AssessmentsPatient-Focused OutcomesPatientsPediatric HospitalsPeer GroupPersonsPhasePopulationPopulation HeterogeneityProcess MeasureProviderPsychologistPublic HealthPumpQuality of lifeRaceRandomizedRandomized, Controlled TrialsReadinessReportingResearchResearch PersonnelSan FranciscoStructureSystemTechnologyUniversitiesVisitWorkYouthacceptability and feasibilityadverse outcomeage groupagedblood glucose regulationclinical centercomparison controldesigndiabetes distressdiabetes riskdiabetes self-managementethnic diversityexperiencefeasibility testingfuture implementationglycemic controlgroup interventionhealth care service utilizationhigh riskhospital utilizationimprovedmarginalizationmedical appointmentmembermonitoring devicemultidisciplinarynoveloptimismpatient engagementpeerpeer supportpilot testpreventprimary outcomeprogramsrandomized, clinical trialsrecruitsatisfactionsocialstakeholder perspectivesstandard caretelehealththerapy designuptakevirtual
项目摘要
PROJECT SUMMARY/ABSTRACT
Strict glycemic control is critical for optimal type 1 diabetes (T1D) outcomes but remains challenging for youth
from historically marginalized ethnic groups, in whom hemoglobin A1c (A1c) levels are consistently the highest
in the nation. In California, Latinx youth are the largest marginalized ethnic group with T1D, but they
experience less optimal glycemic control than their White counterparts. Continuous glucose monitoring, insulin
pumps, and automated insulin delivery systems can assist with achievement of target A1c levels, but Latinx
youth have lower rates of diabetes device use compared to White youth. Virtual peer groups (VPGs) can
improve patient engagement and diabetes self-care in Latinx youth, and preliminary data suggest that VPGs
may increase the use of diabetes technology in this population. Jenise Wong, MD PhD, and Jennifer
Raymond, MD MCR, propose this project grant with the objective to increase the adoption and sustained use
of diabetes devices in Latinx adolescents with T1D by engaging them and their families in the development
and evaluation of a VPG intervention designed to improve technology use. This project will engage multiple
stakeholders (patients, families, health care workers) from three clinic populations in California (Children’s
Hospital of Los Angeles, University of California Davis, and University of California San Francisco) and result in
the DREAM (Device use Reimagined through Education And Mentorship) program. In collaboration with a
multidisciplinary team of pediatric endocrinologists, psychologists, and public health experts, the researchers
propose a project with the following aims: (1) partner with stakeholders to adapt a virtual peer group model to
promote the initiation and continued use of diabetes technology among Latinx adolescents with T1D, (2)
evaluate the feasibility and acceptability of DREAM in a single arm, pragmatic trial, and (3) assess the effect of
DREAM on clinical and patient-centered outcomes. These aims will be addressed in a formative phase and a
clinical trial phase. In Phase 1, the research team will address Aim 1 by engaging stakeholders in focus groups
and semi-structured interviews to obtain qualitative data that will directly inform the design of the DREAM
VPGs and the clinical trial. A subset of stakeholders will form Advisory Councils who will provide longitudinal
input during the clinical trial. In Phase 2, the research team will conduct a single arm, pragmatic trial of the
DREAM intervention in 120 Latinx youth aged 13 to <18 years with T1D, recruited from three pediatric diabetes
clinic populations in California. To address Aim 2, the researchers will collect qualitative feedback from focus
groups and quantitative data on VPG feasibility, appropriateness, and acceptability as primary outcomes.
Preliminary data on clinical outcomes of A1c and hospital utilization, and patient-centered outcomes will be
assessed to address Aim 3. The results of this study will result in a novel, culturally appropriate, VPG model to
increase use of diabetes technology for Latinx youth with T1D that may be further adapted and disseminated
for other age groups, geographic settings, or racial/ethnic populations.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Jennifer K Raymond其他文献
Recommendations for transition from pediatric to adult diabetes care: patients’ perspectives
从儿科糖尿病护理过渡到成人糖尿病护理的建议:患者的观点
- DOI:
10.2217/dmt.13.26 - 发表时间:
2013 - 期刊:
- 影响因子:0
- 作者:
Danny C. Duke;Jennifer K Raymond;Lisa Shimomaeda;Michael A. Harris - 通讯作者:
Michael A. Harris
Jennifer K Raymond的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Jennifer K Raymond', 18)}}的其他基金
Optimizing diabetes technology use for Latinx youth through DREAM (Device use Reimagined through Education And Mentorship) virtual peer groups
通过 DREAM(通过教育和指导重新构想设备使用)虚拟同伴小组,优化拉丁裔青少年的糖尿病技术使用
- 批准号:
10583855 - 财政年份:2022
- 资助金额:
$ 49.95万 - 项目类别:
相似海外基金
Enhancing Structural Competency in School-Based Health Centers to Address LGBTQ+ Adolescent Health Equity
增强校本健康中心的结构能力,以解决 LGBTQ 青少年健康公平问题
- 批准号:
10608426 - 财政年份:2023
- 资助金额:
$ 49.95万 - 项目类别:
Application and feasability of a brief digital screening tool to address parental and adolescent tobacco and electronic cigarette use in pediatric medical care - a pilot study
简短的数字筛查工具的应用和可行性,以解决儿科医疗中父母和青少年烟草和电子烟的使用问题 - 一项试点研究
- 批准号:
486580 - 财政年份:2022
- 资助金额:
$ 49.95万 - 项目类别:
Studentship Programs
Co-design of an intervention to address alcohol use among adolescent boys and young men in Tanzania
共同设计一项干预措施,解决坦桑尼亚青春期男孩和年轻男性的饮酒问题
- 批准号:
MR/V032380/1 - 财政年份:2022
- 资助金额:
$ 49.95万 - 项目类别:
Research Grant
Complex intervention to optimise adolescent BMI pre-conception to address the double burden of malnutrition: A RCT in rural and urban South Africa
优化青少年孕前体重指数以解决营养不良的双重负担的复杂干预措施:南非农村和城市的随机对照试验
- 批准号:
MR/V005790/1 - 财政年份:2021
- 资助金额:
$ 49.95万 - 项目类别:
Research Grant
Application of a brief digital screening tool to address parental and adolescent tobacco and electronic cigarette use in pediatric medical care
应用简短的数字筛查工具来解决儿科医疗中父母和青少年烟草和电子烟的使用问题
- 批准号:
455984 - 财政年份:2021
- 资助金额:
$ 49.95万 - 项目类别:
Operating Grants
Complex intervention to optimise adolescent BMI pre-conception to address the double burden of malnutrition: A RCT in rural and urban South Africa
优化青少年孕前体重指数以解决营养不良的双重负担的复杂干预措施:南非农村和城市的随机对照试验
- 批准号:
MR/V005790/2 - 财政年份:2021
- 资助金额:
$ 49.95万 - 项目类别:
Research Grant
Development of the Cannabis Actions and Practices (CAP): A Parent-Focused Intervention to Address Adolescent Marijuana Use
大麻行动和实践 (CAP) 的发展:以家长为中心的干预措施,解决青少年大麻使用问题
- 批准号:
10057761 - 财政年份:2020
- 资助金额:
$ 49.95万 - 项目类别:
Development of the Cannabis Actions and Practices (CAP): A Parent-Focused Intervention to Address Adolescent Marijuana Use
大麻行动和实践 (CAP) 的发展:以家长为中心的干预措施,解决青少年大麻使用问题
- 批准号:
10213683 - 财政年份:2020
- 资助金额:
$ 49.95万 - 项目类别:
Targeted interventions to address the multi-level effects of gender-based violence on PrEP uptake and adherence among adolescent girls and young women in Kenya
有针对性的干预措施,以解决性别暴力对肯尼亚少女和年轻妇女接受和坚持 PrEP 的多层面影响
- 批准号:
9403567 - 财政年份:2017
- 资助金额:
$ 49.95万 - 项目类别:
Designing targeted interventions to address HIV vulnerabilities and improve clinical outcomes among conflict affected adolescent girls and young women under 25 in Northern Uganda
设计有针对性的干预措施,以解决乌干达北部受冲突影响的少女和 25 岁以下年轻妇女的艾滋病毒脆弱性并改善临床结果
- 批准号:
356145 - 财政年份:2016
- 资助金额:
$ 49.95万 - 项目类别:
Operating Grants