Collaboration Around Technology Using Community Health Workers in Type 1 Diabetes (CATCH‐T1D): Protocol and Preliminary Results for a Randomized Controlled Trial.
Background: Diabetes technology use in Type 1 diabetes (T1D) is the standard of care given broad biological and psychosocial benefits. Hispanic and Non‐Hispanic Black young adults are the fastest‐growing demographic with T1D in the United States and face inequity in technology use, leading to poor o...
| Publicado en: | Journal of Diabetes Research Vol. 2026; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
4/8/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192872601&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192872601 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146745 G5G3 jtl: Journal of Diabetes Research issn: 23146745 maglogo: N pubinfo: dt: 4/8/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192872601 192872601 192872601 10.1155/jdr/8785953 192872601 ppf: 1 ppct: 10 formats: tig: atl: Collaboration Around Technology Using Community Health Workers in Type 1 Diabetes (CATCH‐T1D): Protocol and Preliminary Results for a Randomized Controlled Trial. aug: au: Agarwal, Shivani Finnan, Molly Fiori, Kevin P. Walker, Ashby Schechter, Clyde Whiskey, Renee Telzak, Andrew Chen, Charlotte Milosavljevic, Jovan Talla, Astou Sanchez, Steven Mathias, Priyanka Long, Judith A. Wesley, Hannah affil: Fleischer Institute of Diabetes and Metabolism,, Montefiore Medical Center-Albert Einstein College of Medicine,, Bronx, New York,, USA sug: subj: Digital Health Utilization Community Health Workers Collaboration Diabetes Mellitus, Type 1 Outcomes (Health Care) Program Implementation Protocols Program Evaluation Human United States Female Male Randomized Controlled Trials Random Assignment Control Group Semi-Structured Interview Interviews Audiorecording Self Report Surveys Glycated Hemoglobin Health Resource Utilization Quality of Life Stress, Psychological Self-Management Patient Satisfaction Hispanic Americans African Americans Implementation Science Patient Autonomy Support, Social Decision Making, Shared Adolescence Young Adult Adult Housing Instability Correlation Coefficient Confidence Intervals Data Analysis Software Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Background: Diabetes technology use in Type 1 diabetes (T1D) is the standard of care given broad biological and psychosocial benefits. Hispanic and Non‐Hispanic Black young adults are the fastest‐growing demographic with T1D in the United States and face inequity in technology use, leading to poor outcomes. We explored whether community health workers (CHWs) could coaddress unmet social needs and navigation of T1D technology to improve standard of care and outcomes in this high‐risk population. Methods: The collaboration around technology using community health workers in Type 1 diabetes (CATCH‐T1D) intervention enhances the CHW model by integrating social needs management with T1D technology navigation. CHWs trained at the Montefiore‐Einstein CHW Institute navigate YA with T1D to technology by offering information access, shared decision‐making, and health system–pharmacy coordination. We are performing an ongoing trial testing CATCH‐T1D against usual care using a 9‐month hybrid effectiveness–implementation design for 130 Hispanic and/or non‐Hispanic Black young adults (18–35 years) with T1D at Montefiore Medical Center in the Bronx. Results: One hundred and eighteen participants have been randomized (48% F, 67% Hispanic, 72% Medicaid, mean HbA1c: 9.2%). Thus far, CHWs have conducted 476 follow‐up encounters and resolved 24% of identified health‐related social needs. Postintervention interviews showed high participant satisfaction and increased engagement with diabetes self‐management due to CHWs′ flexible communication, support with diabetes technology, and assistance with social needs, fostering trust in the healthcare system. Discussion: CATCH‐T1D is a specialized CHW model that simultaneously addresses social needs and navigation to diabetes technology, with potential to provide a new scalable model of care. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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