Type 1 diabetes

Underresourced Youth With Diabetes in a Community-Based Intervention Show Improved Diabetes Outcomes, Technology Use, and Psychosocial Functioning

Endocr PractPublished Pre-post intervention study

Authors' conclusion

This study is the first to show successful full-scale implementation of NICH in a new geographic location with unique racial and ethnic diversity and social challenges, demonstrating associations with improved health and well-being.

Study context

Population
Racially and ethnically diverse youth with diabetes and high social risk; mean age 13.7 ± 3.5 years, 92% from historically marginalized racial or ethnic groups, 96% with public insurance
Participants
26 participants
Comparison
Before vs after Novel Interventions in Children's Healthcare (NICH) program enrollment
  • NICHn = 26
Outcome
HbA1c change
Follow-up
1 year following NICH enrollment
Methodological detailssingle-group, community-based, EHR review of HbA1c, CGM use and hospital admission days; parametric and nonparametric tests
  • Single-group
  • Community-based
  • EHR review of HbA1c, CGM use and hospital admission days; parametric and nonparametric tests

Main finding

As reported in the abstract

Mean HbA1c reduction

−1.1%

−12 mmol/molP < .01

CGM use

27%-73%

P < .01

Further findings

Psychosocial outcomes · after participation in NICH

Youth reported significant reductions in depressive symptoms
P < 0.05
Caregivers reported significant reductions in diabetes distress
P < 0.05

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Underresourced Youth With Diabetes in a Community-Based Intervention Show Improved Diabetes Outcomes, Technology Use, and Psychosocial Functioning. Endocr Pract. Published 14 February 2025. doi:10.1016/j.eprac.2025.02.008

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