Effectiveness Trial of an E-Health Intervention To Support Diabetes Care in Minority Youth

支持少数民族青少年糖尿病护理的电子健康干预措施的有效性试验

• 批准号: 10533394
• 负责人: DEBORAH A. ELLIS
• 金额: $ 14.61万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10533394
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Despite clear evidence of diabetes-related health disparities among African American youth with T1D, almost no clinical trials have focused on testing behavioral interventions to improve diabetes management for this population. The lack of research to develop effective interventions to improve health outcomes among minority youth with T1D is even more concerning in light of the coronavirus 2019 (COVID-19) pandemic. African American adults and children are likely to be at disproportionate risk to acquire COVID-19 and may be more likely to suffer from psychosocial and economic burdens of the pandemic. The parent clinical trial upon which the supplement will build has successfully recruited a large and representative sample of urban, African American youth with T1D (N=155). The occurrence of the COVID-19 pandemic in the midst of our clinical trial interjects variance that, if unmeasured, could affect study outcomes in ways that are unknown. Therefore, we propose to directly measure the effects of three COVID-19 related social/behavioral stressors (psychological distress, reduced health care utilization and loss of financial resources) on our two primary trial outcomes: diabetes management and glycemic control. We will obtain data on the impact of the pandemic via three new data collections obtained for all trial participants over a period of six months. The supplement will also allow us to evaluate the impact of the novel coronavirus pandemic on the overall health of minority youth with T1D. Our study is ideally posed to conduct this critical work, which is vital to understanding which social/behavioral factors associated with the pandemic are affecting health outcomes in this high-risk population. In turn, such data can inform the development of interventions to mitigate the effects of COVID-19 in the future.

尽管有明确证据表明患有 T1D 的非洲裔美国青年与糖尿病相关的健康差异， 几乎没有临床试验侧重于测试行为干预措施以改善糖尿病管理 这个人口。缺乏研究来制定有效的干预措施来改善健康结果 鉴于 2019 年冠状病毒 (COVID-19) 大流行，患有 T1D 的少数族裔青年更加令人担忧。非洲人 美国成人和儿童感染 COVID-19 的风险可能不成比例，而且可能更高 可能遭受大流行的心理社会和经济负担。母体临床试验 该增刊已成功招募了大量具有代表性的城市、非洲样本 患有 T1D 的美国青年 (N=155)。我们的临床试验期间发生了 COVID-19 大流行 插入方差，如果不加以测量，可能会以未知的方式影响研究结果。因此，我们 建议直接测量三种与 COVID-19 相关的社会/行为压力源（心理压力）的影响 我们的两个主要试验结果： 糖尿病管理和血糖控制。我们将通过三个新的方式获取有关大流行影响的数据 在六个月内收集所有试验参与者的数据。该补充品还可以让我们 评估新型冠状病毒大流行对患有 T1D 的少数民族青少年整体健康的影响。我们的 研究非常适合开展这项关键工作，这对于理解哪些社会/行为因素至关重要 与大流行相关的疾病正在影响这一高危人群的健康结果。反过来，这些数据可以 为制定干预措施以减轻未来 COVID-19 的影响提供信息。

项目成果

Interventions Across the Translational Research Spectrum: Addressing Disparities Among Racial and Ethnic Minoritized Youth with Type 1 Diabetes.

跨转化研究领域的干预措施：解决患有 1 型糖尿病的种族和民族少数青年之间的差异。

• 发表时间: 2023-12
• 影响因子: 4.5
• 作者: Ellis, Deborah A;Naar, Sylvie
• 通讯作者: Naar, Sylvie

Effects of family and neighborhood risks on glycemic control among young black adolescents with type 1 diabetes: Findings from a multi-center study.

家庭和邻里风险对 1 型糖尿病年轻黑人青少年血糖控制的影响：多中心研究的结果。

• 发表时间: 2021
• 影响因子: 3.4
• 作者: Ellis, Deborah A;Cutchin, Malcolm P;Templin, Thomas;Carcone, April Idalski;Evans, Meredyth;Weissberg;Buggs;Boucher;Miller, Jennifer L;Al Wazeer, Mouhammad;Gharib, Jamil;Mehmood, Yasir;Worley, Jessi
• 通讯作者: Worley, Jessi

Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial.

1 型糖尿病黑人青年电子健康干预中抑郁症对血糖控制的调节作用：多中心随机对照试验的结果。

• 发表时间: 2024-04-09
• 作者: Ellis, Deborah;Carcone, April Idalski;Templin, Thomas;Evans, Meredyth;Weissberg;Buggs;Boucher;Miller, Jennifer L;Drossos, Tina;Dekelbab, M Bassem
• 通讯作者: Dekelbab, M Bassem

Racial Residential Segregation and the Health of Black Youth With Type 1 Diabetes.

种族居住隔离与患有 1 型糖尿病的黑人青年的健康。

• 发表时间: 2023-05-01
• 影响因子: 8
• 作者: Ellis, Deborah A;Cutchin, Malcolm P;Carcone, April Idalski;Evans, Meredyth;Weissberg;Buggs;Boucher;Miller, Jennifer L;Drossos, Tina;Dekelbab, M Bassem;Worley, Jessica
• 通讯作者: Worley, Jessica

Diabetes distress in urban Black youth with type 1 diabetes and their caregivers: associations with glycemic control, depression, and health behaviors.

患有 1 型糖尿病的城市黑人青年及其照顾者的糖尿病困扰：与血糖控制、抑郁和健康行为的关联。

• 发表时间: 2024-01-12
• 影响因子: 3.6
• 作者: Evans, Meredyth;Ellis, Deborah A;Vesco, Anthony T;Feldman, Marissa A;Weissberg;Carcone, April Idalski;Miller, Jennifer;Boucher;Buggs;Degnan, Bernard;Dekelbab, Bassem;Drossos, Tina
• 通讯作者: Drossos, Tina