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