Utilizing Community Health Workers as Diabetes Technology Coaches for Children With Type 1 Diabetes Using Automated Insulin Delivery

NCT ID: NCT07154251

Last Updated: 2025-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-06

Study Completion Date

2027-03-01

Brief Summary

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This study uses community health workers (CHW) as diabetes technology coaches for African American children using automated insulin delivery systems but have an HbA1c of 8% or higher. Families will meet with the CHW monthly x 6 months with additional visits as needed. All participants and parents/guardians will fill out questionnaires at the beginning and end of the 6 month intervention in addition to an interview at 6 months. This will be followed by 6 months with no extra help from the CHW, but we will continue to follow CGM and pump download data.

Detailed Description

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Conditions

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Type 1 Diabetes (T1D)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single arm pilot intervention study with use of historic controls
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Community Health Worker

Community Health Workers will meet with families monthly in the role of a diabetes technology coach, with additional visits as needed.

Group Type EXPERIMENTAL

Community Health Worker

Intervention Type OTHER

Community Health Worker will meet with families monthly (and more often as needed) in the role of a diabetes technology coach

Interventions

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Community Health Worker

Community Health Worker will meet with families monthly (and more often as needed) in the role of a diabetes technology coach

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Self-reported as non-Hispanic Black
* Clinical diagnosis of type 1 diabetes, requiring treatment with insulin at the time of consent
* Currently using, or have used within the past 3 months, an automated insulin delivery system (consisting of a continuous glucose monitor and an insulin pump as well as an automated insulin delivery algorithm)
* Clinical care provided at UH Cleveland Medical Center
* Has not previously worked with a community health worker for help with diabetes technology

Exclusion Criteria

* Clinical diagnosis of Type 2 or monogenic diabetes
* Completed high school
* At least 1 parent/guardian or family support person not willing to participate
* Non-English speaking guardians
* Has not used automated insulin delivery within the past 3 months
* Has previously worked with a CHW for help with diabetes technology
* Custody of children and family services
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals Cleveland Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sarah A. MacLeish

Associate Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sarah A MacLeish, DO

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center

Locations

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University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Wendy Campbell, RN, CDCES

Role: CONTACT

216-844-3661

Julie Hutter, RN

Role: CONTACT

216-844-3661

Facility Contacts

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Wendy Campbell, RN, CDCES

Role: primary

216-844-3661

Julie Hutter, RN

Role: backup

216-844-3661

Other Identifiers

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STUDY20250042

Identifier Type: -

Identifier Source: org_study_id

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