NCT07154251NARecruiting
Utilizing Community Health Workers as Diabetes Technology Coaches for Children With Type 1 Diabetes Using Automated Insulin Delivery
University Hospitals Cleveland Medical Center
Start Date
11/6/2025
Completion Date
3/1/2027
Summary
This study uses community health workers (CHW) as diabetes technology coaches for African American children using automated insulin delivery systems but have an HbA1c of 8% or higher. Families will meet with the CHW monthly x 6 months with additional visits as needed. All participants and parents/guardians will fill out questionnaires at the beginning and end of the 6 month intervention in addition to an interview at 6 months. This will be followed by 6 months with no extra help from the CHW, but we will continue to follow CGM and pump download data.
Eligibility Criteria
Age Range: 5 years to 17 years
Inclusion Criteria:
* Self-reported as non-Hispanic Black
* Clinical diagnosis of type 1 diabetes, requiring treatment with insulin at the time of consent
* Currently using, or have used within the past 3 months, an automated insulin delivery system (consisting of a continuous glucose monitor and an insulin pump as well as an automated insulin delivery algorithm)
* Clinical care provided at UH Cleveland Medical Center
* Has not previously worked with a community health worker for help with diabetes technology
Exclusion Criteria:
* Clinical diagnosis of Type 2 or monogenic diabetes
* Completed high school
* At least 1 parent/guardian or family support person not willing to participate
* Non-English speaking guardians
* Has not used automated insulin delivery within the past 3 months
* Has previously worked with a CHW for help with diabetes technology
* Custody of children and family services
Interventions
OTHER
Community Health Worker
Conditions
Type 1 Diabetes (T1D)
Locations
University Hospitals Cleveland Medical Center
Cleveland, Ohio 44106
United States