Diabetes Mellitus, Type 1
Conditions
Brief summary
The purpose of this study is to understand how behavioral health care that is coordinated with diabetes medical care compared with behavioral care that is provided in the community (and therefore not coordinated with diabetes medical care).
Interventions
BEHAVIORALBehavioral Care Coordinated with Medical Care Intervention
Participants will be meeting with a behavioral health provider during their clinic visit. Subsequent visits can be held either via telehealth or in-person. Participants should expect weekly visits during the first two months and less frequent visits (biweekly or monthly) for the last two months. Some sessions that are provided via telehealth might be video recorded and later reviewed to ensure that the program is being delivered as intended.
BEHAVIORALBehavioral Care Not Coordinated with Medical Care Intervention
Participants will meet with a study team member during their in-person visit and will receive a list of clinics that are panelled with their insurance. The participants will be responsible for calling the clinics to set up their appointments. Services might be provided in person or via telehealth based on the participant's preference and the clinics' availability.
Sponsors
University of Miami
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
1. Type 1 Diabetes diagnosed for one year or more 2. Latino or Black ethnicity/race 3. Speak and read English or Spanish 4. Eligibility for Medicaid
Exclusion criteria
1. Significant developmental disability 2. Serious psychiatric disorder 3. Another serious chronic illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Glycemic Control | Baseline and 4 months | Will be measured by glycosylated hemoglobin A1c |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Diabetes Self-Management | Baseline and 4 months | We will measure Type 1 Diabetes Self-management using the Diabetes Management Questionnaire (DMQ; Score Range: 0-100, higher scores indicate greater adherence to diabetes management). |
Countries
United States
Outcome results
None listed