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Type 1 DiabetesTeKnO T1DNCT05300022

Technology Knowledge Optimization in Type 1 Diabetes (TeKnO T1D): Parents

A study testing TeKnO T1D: Parents in people with Type 1 Diabetes, run by Children's Hospital of Philadelphia at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study aims to identify the unmet psychoeducational needs of parents of children 8-12 years of age using insulin pump and CGM for pediatric T1D management and to leverage that information to develop an innovative app-based psychoeducational intervention to optimize use of these technologies and improve T1D… Read more about this study

Who is it for?
Ages 8 years and older
Conditions the study is for
Type 1 Diabetes
What is being tested?
TeKnO T1D: Parents
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
15 Aug 2025to 31 Jul 2027
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • child 8-12 years of age with a diagnosis of T1D ≥ 6 months
  • currently using insulin pump( IP) and CGM ≥ 1 month [including Hybrid Closed Loop (HCL) systems]
  • participation of primary diabetes caregiver
  • English fluency
  • mean A1c >7.5% over the past 6 months (Aim 3 only)

Who cannot join

  • major illnesses other than T1D in the child
  • significant cognitive limitations or major psychiatric disorders in the child or parent
  • the use of medications other than insulin to control blood glucose levels.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Childrens Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19146

Other trials in United States

About this study

This study aims to identify the unmet psychoeducational needs of parents of children 8-12 years of age using insulin pump and CGM for pediatric T1D management and to leverage that information to develop an innovative app-based psychoeducational intervention to optimize use of these technologies and improve T1D outcomes.

Read the detailed description

Despite increased use of insulin pumps and continuous glucose monitors (CGM) for pediatric type 1 diabetes (T1D) management and research studies showing benefits from the use of these devices, real-world glycemic control among youth with T1D has worsened in recent years. Although greater youth and parental diabetes knowledge is associated with better glycemic control, education alone is not sufficient to bring about the behavioral changes needed to improve outcomes in T1D. Psychoeducation recognizes the need to blend educational and behavioral approaches, including problem-solving and goal-setting, to support parents in developing optimal T1D management approaches. There are currently a lack of effective standardized tools to support patients and families in developing the knowledge and behavioral strategies needed to optimize the use of diabetes technologies. The development of innovative family-centered psychoeducational tools addressing both behavior and knowledge will help to realize the full potential of diabetes technologies to improve glycemic control and quality of life while ultimately preventing or delaying the development of both acute and long-term complications of T1D.

Interviews with parent-child dyads and diabetes clinicians will be used to identify the unmet parental psychoeducational needs regarding insulin pumps and CGM. These results will inform the use of instructional design to adapt an existing app-delivered diabetes technology curriculum to meet the specific needs of parents of children with T1D. Finally, the investigators will assess the feasibility and acceptability of this novel family-facing psychoeducational app-delivered intervention in a non-randomized pilot study.

Conditions
Type 1 Diabetes
Being tested
TeKnO T1D: Parents
Keywords
pediatric, continuous glucose monitor, insulin pump, automated insulin delivery, hybrid closed loop systems, medical education, diabetes technology
Medical subject headings
Diabetes Mellitus, Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TeKnO T1D: ParentsOther

    app-delivered curriculum to provide psychoeducational education surrounding diabetes technology use

Study groups in NCT05300022
Study groupRoleWhat they receive
Arm 1: Semi-structured InterviewsNo interventionArm 1 will be conducted from months 0-15 and will use interviews to better understand existing challenges in diabetes technology educational practices. It is not a clinical trial, but is a crucial part of what builds to the clinical trial.
Arm 2: Designing an App Delivered CurriculumExperimentalArm 2 will be conducted from months 10-33 and will use information learned in arm 1 to develop and beta test an educational curriculum. Arm 2 also is not a clinical trial, but is a crucial part of what builds to the clinical trial.
Receives: Other: TeKnO T1D: Parents
Arm 3: TeKnO T1D: Parents Pilot StudyActive comparatorArm 3 will be conducted from months 30-60 and involves a pilot and feasibility study of the newly developed educational curriculum. This is the clinical trial.
Receives: Other: TeKnO T1D: Parents

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Study Recruitment

    Percentage of eligible patients who are approached and enroll in the study in Arm 3.

    Measured: Arm 3: Months 30-60

  2. Intervention Satisfaction

    Score on a survey developed to assess satisfaction with the Technology Knowledge Optimization Type 1 Diabetes: Parents curriculum in Arm 3. Scores range from 0-100 with higher scores reflecting greater satisfaction.

    Measured: Arm 3: Months 30-60

  3. Perceived Intervention Utility

    Score on a survey developed to assess the perceived utility of the Technology Knowledge Optimization Type 1 Diabetes: Parents curriculum during Arm 3. Scores range from 0-100 with higher scores reflecting greater perceived utility.

    Measured: Arm 3: Months 30-60

  4. Intervention Completion

    Percentage of enrolled participants who complete the TeKnO T1D: Parents Curriculum in Arm 3.

    Measured: Arm 3: Months 30-60

  5. Intervention Retention

    Percentage of enrolled participants who complete the entire intervention for Arm 3.

    Measured: Arm 3: Months 30-60

Secondary outcomes (26)
  1. Hemoglobin A1c

    Hemoglobin A1c will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  2. CGM Mean Sensor Glucose

    CGM mean sensor glucose will be assessed prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: months 0-60

  3. CGM Glucose Management Indicator

    The Glucose Management Indicator will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  4. CGM Coefficient of Variation of the Mean

    The Coefficient of Variation of the Mean will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. .

    Measured: Arm 3: Months 30-60

  5. CGM Time in Range (70-180 mg/dL)

    CGM Time in Range (70-180 mg/dL) will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  6. CGM Time Below Range (<70 mg/dL)

    CGM Time Below Range (<70 mg/dL) will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  7. CGM Time Above Range (<180 mg/dL)

    CGM Time Above Range (<180 mg/dL) will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  8. CGM Wear Time

    The percentage of CGM wear time will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  9. Total Daily Insulin Dose

    Total Daily Insulin Dose will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  10. Total Daily Basal Insulin Dose

    Total Daily Basal Insulin Dose will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  11. Percent Basal Insulin Dose

    The percentage of the total daily insulin derived from basal insulin (basal insulin/ total daily insulin dose) will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  12. Number of boluses per day

    The number of boluses per day will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  13. Carbohydrate intake logged on insulin pump

    The number of grams of carbohydrate intake logged on insulin pump will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  14. Episodes of Severe Hypoglycemia

    The number of episodes of severe hypoglycemia will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  15. Emergency Department Visits

    The number of diabetes-related emergency department visits will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  16. Hospital Admissions

    The number of diabetes-related hospital admissions will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  17. Episodes of Diabetic Ketoacidosis

    The number of episodes of diabetic ketoacidosis will be assessed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion.

    Measured: Arm 3: Months 30-60

  18. Parent Diabetes-Specific Quality of Life

    The Type 1 Diabetes and Life (T1DAL) is a validated survey assessing diabetes-specific quality of life. T1DAL will be will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 0 to 100 with higher scores reflecting greater quality of life.

    Measured: Arm 3: Months 30-60

  19. Parent Emotional Distress Related to T1D

    Parents of Children (P-PAID) is a validated survey assessing emotional distress related to T1D. P-PAID will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 15 to 96 with higher scores reflecting greater emotional distress.

    Measured: Arm 3: Months 30-60

  20. Parent Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ) is a validated survey assessing diabetes self-management. The DMQ will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 0 to 100 with higher scores reflecting greater adherence to diabetes management.

    Measured: Arm 3: Months 30-60

  21. Parent Perceived CGM Benefits and Burdens

    CGM Benefits and Burdens scale is a validated survey exploring perceived benefits and burdens of CGM use. CGM Benefits and Burdens will be completed prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scoring of the CGM Benefits subscale ranges from 1 to 40 with higher scores reflecting greater perceived benefits. Scoring of the CGM Burdens subscale ranges from 1 to 40 with higher scores reflecting less perceived burden.

    Measured: months 0-60

  22. Parent Diabetes Technology Knowledge

    A survey assessing diabetes technology knowledge will be developed. This survey will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 0 to 100 with higher scores reflecting greater knowledge.

    Measured: Arm 3: Months 30-60

  23. Child Diabetes-Specific Quality of Life

    The Type 1 Diabetes and Life (T1DAL) is a validated survey assessing diabetes-specific quality of life. T1DAL will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 0 to 100 with higher scores reflecting greater quality of life.

    Measured: Arm 3: Months 30-60

  24. Child Emotional Distress Related to T1D

    Problem Areas in Diabetes- Child Version (PAID-C) is a validated survey assessing emotional distress related to T1D. PAID-C will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion). Scores range from 11 to 84 with higher scores reflecting greater emotional distress.

    Measured: Arm 3: Months 30-60

  25. Child Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ) is a validated survey assessing diabetes self-management. The DMQ will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scores range from 0 to 100 with higher scores reflecting greater adherence to diabetes management.

    Measured: Arm 3: Months 30-60

  26. Child Perceived CGM Benefits and Burdens

    CGM Benefits and Burdens scale is a validated survey exploring perceived benefits and burdens of CGM use. CGM Benefits and Burdens will be completed in Arm 3 prior to the curriculum start, upon completion of the TeKnO T1D: Parents curriculum, and 12 weeks after the curriculum completion. Scoring of the CGM Benefits subscale ranges from 1 to 40 with higher scores reflecting greater perceived benefits. Scoring of the CGM Burdens subscale ranges from 1 to 40 with higher scores reflecting less perceived burden.

    Measured: Arm 3: Months 30-60

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2022
  2. Study start15 Aug 2025 (estimated)
  3. Primary completion31 Jul 2027 (estimated)
  4. Study completion31 Jul 2027 (estimated)

Why it stopped: Investigator left the institution and is relinquishing the award supporting this study. The study will not launch.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05300022
Sponsor's protocol ID
22-019791
Other IDs
K23DK129827
Acronym
TeKnO T1D
Status last verified
Oct 2025
First submitted
18 Dec 2021
Last updated
9 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing TeKnO T1D: Parents in people with Type 1 Diabetes, run by Children's Hospital of Philadelphia at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 9 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Study Recruitment (time frame: Arm 3: Months 30-60). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2025.

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TeKnO T1D Clinical Trial NCT05300022 | AzTrials