Type 1 Diabetes
Conditions
Keywords
Type 1 diabetes, Health insurance, Financial stress, Young adults, Health insurance literacy
Brief summary
This research study aims to test a financial and health insurance iHERO Toolkit for young adults with type1 diabetes. The iHERO Toolkit was developed over one year with the type 1 diabetes community, The Diabetes Link organization, and experts. Now, the investigators want to understand the impact of the iHERO Toolkit on diabetes self-management, financial stress, and health insurance literacy outcomes. The investigators are doing this study because it will help to better understand how to support health insurance and financial stress and improve self-management outcomes in young adults with type 1 diabetes. The investigators want to understand how the iHERO Toolkit helps all young adults with diabetes, but especially those on Medicaid and who are racially or ethnically diverse. The investigators will ask participants to participate at four-time points over one year. For the first time, participants will fill out online enrollment and demographic forms and 9 surveys. The 9 surveys have 8-40 short questions each, estimated to take about 45 minutes. Participants will also be asked to complete a home A1c collection with a University Hospitals team member on Zoom.
Interventions
BEHAVIORALiHERO Toolkit Resource
iHERO Toolkit consists of micro-videos and supplemental online resources. Participants will have access to the toolkit housed on pathfactory for 30 days.
Sponsors
University Hospitals Cleveland Medical Center
The Leona M. and Harry B. Helmsley Charitable Trust
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Age range: 18-30 years * Diagnosis of type 1 diabetes (T1D) * T1D duration for one year or longer * Geographical location: residing in the United States.
Exclusion criteria
* Inability to answer questions due to cognitive status. * Inability to read or understand English. * Diagnosis of insulin-dependent diabetes that is not T1D such as cystic fibrosis-related diabetes, maturity-onset diabetes of the young, or insulin-dependent type 2 diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in financial stress as measured by the Personal Financial Well-Being Scale© (PFW) Scale (PFW) | Baseline, 1 month, 6 months, 12 months | The PFW is an 8-item scale used to measure financial stress with a Likert scale of 1-10 with 1 being no financial stress and 10 being an overwhelming level of financial stress. Lower scores (≤ 4.4) indicate high financial stress, while scores ranging from 4.5-6.4 indicate average stress, and scores ≥ 6.5 indicate low stress. |
| Change in health insurance literacy as measured by The Health Insurance Literacy Measure (HILM) Measure (HILM) | Baseline, 1 month, 6 months, 12 months | The HILM is a 21-item measure used to rate confidence in selecting and using health insurance with 0 representing little confidence and 4 representing highest confidence. The scores of the items are summed and range from 0 to 84, with higher scores representing greater levels of health insurance literacy. |
| Change in diabetes-specific quality of life as measured by The Type 1 Diabetes and Life Young Adult (T1DAL- Young Adult) for ages 18-25 or The Type 1 Diabetes and Life (T1DAL- Adult) for Ages 26-30. | Baseline, 1 month, 6 months, 12 months | T1DAL-Young Adult and T1DAL- Adult are scored on a scale of 0-100 with higher scores indicating better health related quality of life. |
| Change in transition navigation readiness as measured by the The Readiness for Emerging Adults with Diabetes Diagnosed in Youth (READDY) Navigation Subscale | Baseline, 1 month, 6 months, 12 months | READDY navigation sub-scale scores of 1-3 indicate lower levels of confidence and scores of 4-5 indicate higher levels of confidence in healthcare navigation. |
| Change in HbA1c levels as measured by self-collect capillary HbA1c | Baseline, 6 months, 12 months | — |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJulia Blanchette, PhD
University Hospitals
Outcome results
None listed