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

Utilizing a Community Health Worker in the Role of a Diabetes Technology Coach for Black Children Using Automated Insulin Delivery and Not Meeting Glycemic Targets (CHWs AID Youth)

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.

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