Our Research
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ROUTE-T1D: Research On Use of Technology with Education Optimizing Technology Use in Racially Minoritized Youth with Type 1 Diabetes
Principal Investigator: Randi Streisand, PhD
Status: Follow-up data
Eligibility Criteria: Adolescents ages 10-15 with Type 1 diabetes > 6 months, together with one parent or caregiver, new to CGM or wearing CGM <75% of the time
Procedure: The purpose of this study is to evaluate an innovative behavioral intervention that utilizes certified diabetes care and education specialists (CDCES) to teach problem-solving and communication skills around CGM data and use, targeting adolescent-parent T1D interactions related to glucose data, individualized CGM challenges, and weekly adolescent-parent joint review of CGM reports. Intervention content will be delivered via 3 telemedicine sessions with adolescents and a parent (1 per month) and supported by connection with a peer parent consultant.
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Tween Strengths
EMPoWER: EncourageMent of Preteens With type one diabetes to Enhance Resilience
Principal Investigator: Randi Streisand, PhD (lead investigator at Children's National Hospital); Marisa Hilliard, PhD (lead investigator at Texas Childrens/Baylor College of Medicine)
Status: Actively enrolling
Eligibility Criteria: Adolescents ages 10-13 with T1D with above-target HbA1c (>8.0%)
Procedure: This study will use a brief intervention targeting multiple systems. Intervention components include interactive strategies and tools to help diabetes care providers, parents, and youth identify and bolster T1D-related strengths and self-management behaviors. Specifically, (1) providers will use data-driven youth profiles to incorporate discussion of youths’ T1D strengths and self-management goals into a diabetes care visit, (2) parents will use a mobile app to track and praise their children’s daily T1D strengths and self-management behaviors, and (3) youth will use the app to communicate with their parents about their personal strengths and connect with peers with T1D via strengths-based videos. Patient-reported outcomes (glycemic control, adherence, health-related quality of life, diabetes distress, family conflict, and diabetes strengths) and clinical data (BG, A1c, etc.) will be collected at baseline, 6-, 9-, and 15-months post-randomization.
Funding: R01DK131350
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BREATHE-T1D
BREATHE-T1D: Mindfulness Based Intervention in Youth with Type 1 Diabetes
Principal Investigator: Eleanor Mackey, PhD
Status: Study development
Eligibility Criteria: Adolescents ages 12-17 with T1D ≥ 1 year, elevated anxiety or depression
Procedure: The purpose of this study is to adapt and existing mindfulness curriculum to be specific to adolescents with T1D and develop a didactic health education comparison program and to evaluate the feasibility/acceptability of the two programs. Mindfulness intervention content will be delivered via 6 weekly telemedicine group sessions, followed by a qualitative interview. Adolescents will complete baseline, post-intervention, and 3 months post-intervention questionnaires on mood, mindfulness, diabetes management, and diabetes distress.
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LT1D in Black Families
Family mHealth Intervention to Improve Health Outcomes in Black Youth with Type 1 Diabetes: A Multi-Center Randomized Controlled Trial Principal Investigator: Angelica Eddington PhD, ABPP (at Children’s National Hospital site)
Status: Recruiting participants
Eligibility Criteria: Children and Adolescents ages 10-15 that identify as Black or African American, and have been diagnosed with T1D for at least 6 months. Must also have English fluency and no current history of intellectual disability.
Procedure: Interested parents and youth will participate in a phone screening. Once deemed eligible, parents will participate in a virtual intervention containing educational materials on parenting, monitoring, and guidance on diabetes management. After this, a research assistant will conduct surveys at the family's home. Compensation is provided for families who take part.
Funding: R01MD018583
Collaborators: Deborah Ellis, PhD (lead investigator at Wayne State University), Kristoffer Berlin, PhD (co-investigator at University of Memphis)
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BREATHE
BREATHE: Mindfulness-Based Intervention for Depression and Insulin Resistance in Adolescents
Principal Investigator: Eleanor Mackey, PhD (co-investigator at Children’s National); Lauren Shomaker, PhD (lead investigator at Colorado State University); Megan Kelsey, MD (co-investigator at University of Colorado); Marian Tanofsky-Kraff, PhD (co-investigator at Uniformed Services University)
Status: Follow-up data
Eligibility Criteria: Adolescents ages 12-17; BMI ≥85 percentile for age and sex; have a family member with diabetes; elevated negative affect
Procedure: Interested teens, accompanied by guardian, participate in 1-2 in-person comprehensive screening visits at Children’s National Hospital. Once deemed eligible, teens will participate in a 6-week virtual group program with the potential benefits of: feeling happier and less stressed, learning mindfulness-based or cognitive behavioral skills, learning knowledge about leading a healthier life, and decreasing their risk of developing type 2 diabetes. Compensation is provided for teens who take part to thank them for their time.
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240-583-1916