Feasibility Study of Family Teamwork Peer-Delivery (TEAM)

The purpose of this study is to 1) convene African American and Latino Community Coalitions to adapt Family Teamwork (FT) for school-age youth, and integrate FT with the Smart and Secure Children (SSC) program community-based, peer delivery format, 2) identify facilitators and barriers to parental involvement in diabetes management for African American and Latino parents of children (5-9 years) with T1D to refine, with Community Coalitions the adapted and integrated Family Teamwork- Peer Delivery (FT-P), and 3) evaluate the feasibility, satisfaction, and preliminary outcomes of the FT-P program among African American and Latino parents of school-aged children (5-9 years) withT1D. A randomized pilot trials will be conducted with African American and Latino families to examine the feasibility, parent satisfaction, and preliminary outcomes of FT-P. Families will be stratified by race/ethnicity, age, and HbA1c strata, and randomized to FT-P plus standard diabetes care or to standard diabetes care alone after completion of baseline assessment using a random numbers table generated by a program created through Baylor College of Medicine's Institute for Clinical Training and Research data management specialists.

Health disparities, Family teamwork, Peer-delivered intervention, Facilitators to diabetes management, Barriers to diabetes management, Community-based intervention

Children with T1D and their parent will participate in 6 in-person FT-P group sessions during a 12-month period. Parents will also participate in monthly telephone support calls with a Parent Leader during the 12-month intervention period.

Percentage of monthly intervention calls completed by Parent Leaders will be determined from study logs

Frequency of blood glucose monitoring obtained from blood glucose meter and the Diabetes Self-Management Questionnaire

Pediatric Quality of Life Total Cumulative Scale (scores range from 0-132 with higher scores indicating worse quality of life)

The Diabetes Family Responsibility Questionnaire (scores range from 17-51 with lower scores indicating parent in primarily responsible for diabetes management)

Parental Self-Efficacy for Diabetes Management questionnaire scores range from 8-40 with higher scores indicating higher self-efficacy)

Problem Areas in Diabetes Revised for Parents (scores range from 0-72 with higher scores indicating less emotional burden)

The Center for Epidemiological Depression Studies-Depression scale (scores range from 12-48 with higher scores indicating more depressive symptoms)

2-way Social Support Scale total score (scores range from 0-100 with higher scores indicating more giving and receiving of social support)

Diabetes Family Impact Scale (scores range from 0-56 with higher scores indicating greater impact of diabetes on the family)

Inclusion Criteria: Primary caregiver of a child ages 5-10 years with type 1 diabetes as defined by the American Diabetes Association criteria Having a child with diabetes duration of >1 year Self-identified African American or Latino race/ethnicity Fluent in English Not planning to leave the geographic area during the study Exclusion Criterion: • Not fluent in English

https://www.bcm.edu/departments/pediatrics/sections-divisions-centers/psychology/research/health-disparities-laboratory