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Randomized Controlled Trial
. 2024 May:140:107493.
doi: 10.1016/j.cct.2024.107493. Epub 2024 Mar 7.

ROUTE-T1D: A behavioral intervention to promote optimal continuous glucose monitor use among racially minoritized youth with type 1 diabetes: Design and development

Emma Straton  1 , Breana L Bryant  1 , Leyi Kang  1 , Christine Wang  1 , John Barber  1 , Amanda Perkins  1 , Letitia Gallant  1 , Brynn Marks  2 , Shivani Agarwal  3 , Shideh Majidi  4 , Maureen Monaghan  5 , Randi Streisand  6
Affiliations
Randomized Controlled Trial

ROUTE-T1D: A behavioral intervention to promote optimal continuous glucose monitor use among racially minoritized youth with type 1 diabetes: Design and development

Emma Straton et al. Contemp Clin Trials. 2024 May.

Abstract

Background: Type 1 diabetes management is often challenging during adolescence, and many youth with type 1 diabetes struggle with sustained and optimal continuous glucose monitor (CGM) use. Due to racial oppression and racially discriminatory policies leading to inequitable access to quality healthcare and life necessities, racially minoritized youth are significantly less likely to use CGM.

Methods: ROUTE-T1D: Research on Optimizing the Use of Technology with Education is a pilot behavioral intervention designed to promote optimal CGM use among racially minoritized youth with type 1 diabetes. Intervention strategies include problem solving CGM challenges and promoting positive caregiver-youth communication related to CGM data.

Results: This randomized waitlist intervention provides participants with access to three telemedicine sessions with a Certified Diabetes Care and Education Specialist. Caregiver participants are also connected with a peer-parent coach.

Conclusion: Hypothesized findings and anticipated challenges are discussed. Future directions regarding sustaining and optimizing the use of diabetes technology among racially minoritized pediatric populations are reviewed.

Keywords: Behavioral intervention; Continuous glucose monitor; Diabetes.

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Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: M.M. is currently employed by the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIDDK/NIH). B.E.M. is supported by the National Institutes of Health (PI: Marks, NIH: K23DK129827), and has received investigator-initiated research support from Tandem Diabetes Care, Inc. (TDC20210226), and the Cystic Fibrosis Foundation, industry sponsored research support from Medtronic, and research supplies from Dexcom, Inc. and Digostics.

Figures

Figure 1.
Figure 1.
The impact of systemic, healthcare, and individual factors that influence CGM specific behaviors and long-term health outcomes. This figure provides an overview of systemic factors that influence health care professional and youth-caregiver behavior. Youth and caregiver behaviors and communication are reciprocal and influenced by modifiable factors, which in turn, contribute to short-term diabetes self-management behaviors and long-term health outcomes.
Figure 2.
Figure 2.
Timeline of data collection and study activities for the immediate and delayed intervention group.
See this image and copyright information in PMC

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