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Research Projects

Improving Health Communication in Adolescents and Young Adults with Type 1 Diabetes (PREP-DC)

Logo for PREP-DC, a study on improving health communication in adolescents and young adults with Type 1 diabetes

Principal Investigator: Maureen Monaghan, Ph.D. (email)
Status: Recruiting participants
Eligibility Criteria: Adolescents and young adults (AYAs) ages 17-23 with Type 1 diabetes ≥ one year duration nearing transition to adult care (within 6-12 months)
Procedure: Participants complete questionnaires at two to three consecutive clinic visits in pediatric care and one visit post-transfer to adult care. Each visit with the pediatric health care provider is audio recorded. Between the first two clinic visits, AYAs participate in three intervention sessions via video-conference and receive targeted two-way text messages and access to study resources (e.g. website). Intervention sessions focus on communicating health information and preparation for adult diabetes care.
Funding: American Diabetes Association, Pathway to Stop Diabetes Accelerator Award 1-18-ACE-27 (2018-2022) and the CTSI-CN Pilot Award (2016-2017)

Positive Psychology Intervention to Treat Diabetes Distress in Teens with T1D

Multicolored conversation bubble cloud graphicPrincipal Investigator: Randi Streisand, Ph.D. (email),  in collaboration with Sarah Jaser, Ph.D. (Vanderbilt University)
Status: Plan to enroll in Fall 2019
Eligibility Criteria: Adolescents ages 13-17 with type 1 diabetes ≥ 1 year, together with one parent or caregiver.
Procedure: The purpose of this study is to evaluate a positive psychology intervention for distressed teens with type 1 diabetes to determine the effects on adolescents’ glycemic control and psychosocial outcomes, and to examine the differential impact of the intervention across demographic and treatment variables. The intervention includes 8 weeks of supportive text messages to teens, with some additional text messages to parents.
Funding: National Institutes of Diabetes and Digestive and Kidney Diseases, R01DK121316

Healthy Eating, Physical Activity and Glycemic Control in Young Children with Type 1 Diabetes (T1D) - Phase 2

Logo for TOTs, the Type One Training Project that studies healthy eating, physical activity and glycemic control in young children with Type 1 diabetes

Principal Investigator: Randi Streisand, Ph.D. (email)
Status: Enrollment complete
Phase 1 (2015-2016): Recruited 10 parent participants to evaluate feasibility of outcome data (e.g. continuous glucose monitoring, FitBit, questionnaires)
Phase 2 (2017-2019): Forty parent participants randomly assigned to receive TOTs program (intervention) or care as usual (control group)
Eligibility Criteria: Parent(s) of young children ages 2-5 with Type 1 diabetes ≥ one year duration
Procedure: Two in-person sessions, three telephone sessions and one group phone call. Intervention includes glycemic control, healthy breakfast, mealtime management and physical activity. Participants will connect with a parent coach, access a study website and receive text messages.
Funding: National Institutes of Diabetes and Digestive and Kidney Diseases, 1DP3DK103998
Collaborators: Pediatric Specialists of Virginia

Study of Type 1 in Early Childhood and Parenting Support

Logo for the First Steps study of Type 1 diabetes in early childhood and parenting support

Principal Investigator: Randi Streisand, Ph.D. (email)
Status: Recruiting participants
Eligibility Criteria

  • Participant: Parent(s) of children newly diagnosed with Type 1 diabetes between ages 1-6
  • Parent Coach: Parents of children diagnosed at a young age and doing well with T1D management and psychosocial functioning

Procedure

  • Step 1: Contact with a Parent Coach
  • Step 2: Psychosocial intervention by a trained research staff member
  • Step 3: Ongoing support from a Certified Diabetes Educator (CDE) and meeting with a clinical psychologist

Note: Step movement is determined by child’s A1c and parent psychosocial functioning.
Funding: National Institutes of Diabetes and Digestive and Kidney Diseases, 1R01DK102561-01A1
Collaborators: Pediatric Specialists of Virginia and Texas Children’s Hospital.

Exploring the Impact of Parent Executive Functioning in Child Glycemic Control 

Drawing of a brain segmented by different colors

Principal Investigator: Carrie Tully, Ph.D. (email)
Status: Enrollment completed
Eligibility Criteria: Parent(s) of young children ages 2-10 with Type 1 diabetes ≥ one year duration
Procedure: Participants complete neuropsychology battery and psychosocial questionnaires at upcoming clinic visit; cross-sectional design
Funding: Unfunded pilot study

Preliminary Examination of Eating Disorder Risk in Adolescents with Type 1 Diabetes

Close-up image of hands as a person writes in a notebook

Principal Investigator: Eleanor Mackey, Ph.D. (email)
Status: Recruiting participants
Eligibility Criteria: Adolescents and young adults ages 11-17 with Type 1 diabetes ≥ one year duration
Procedure: Parents and adolescents complete psychosocial questionnaires in clinic at upcoming clinic visit; cross-sectional design
Funding: Unfunded pilot study