Overview
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.
Eligibility
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