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Type 1 DiabetesROUTE-T1DNCT05564481

Research on Optimizing the Use of Technology With Education

A study testing diabetes education and parent coaching support in people with Type 1 Diabetes and Continuous Glucose Monitoring, run by Children's National Research Institute at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Consistent use of continuous glucose monitors (CGM) has the potential to improve glycemic control and related type 1 diabetes (T1D) health outcomes, however young adolescents with T1D are the least likely age group to begin and sustain use of CGM. Read more about this study

Who is it for?
Ages 10 to 15 years
What is being tested?
diabetes education and parent coaching support
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
7 Sep 2022to 1 Jan 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 10 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 10-15 years old
  • Type 1 diabetes
  • Type 1 diabetes diagnosis ≥ 6 months \
  • Starting a continuous glucose monitor for the first time or restarting after ≥ 1 year

Who cannot join

  • Younger than 10, older than 15
  • Diagnosed less than 6 months
  • Already using CGM or has used within last year
  • Other major medical condition such as cancer, cystic fibrosis

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Children's National Research Institute

    Washington D.C., District of Columbia, 20010

Other trials in United States

About this study

Official title: Optimizing Technology Uptake and Use in Hard to Reach Adolescents With Type 1 Diabetes

Consistent use of continuous glucose monitors (CGM) has the potential to improve glycemic control and related type 1 diabetes (T1D) health outcomes, however young adolescents with T1D are the least likely age group to begin and sustain use of CGM. The proposed study will conduct a feasibility trial of a behavioral intervention designed to optimize use of CGM in adolescents specifically targeting underrepresented populations in diabetes technology research.

Read the detailed description

Young adolescents (ages 10-15) with type 1 diabetes (T1D) are at high risk for deterioration of glycemic control and relatedly poor overall T1D self-management. Continuous glucose monitors (CGM) provide real-time indicators of glucose levels and alert users to hypoglycemia and hyperglycemia. Consistent, informed use of CGM has the potential to improve glycemic control and related T1D health outcomes. However, adolescents with T1D are the least likely age group to utilize CGM and significant health disparities exist in access to and use of CGM among youth from racial and ethnic minority backgrounds and youth with public insurance. Adolescent CGM users also continue to evidence A1c levels above recommended targets, potentially due challenges related to perceived CGM burden and related family functioning. Novel, developmentally targeted interventions delivered early in adolescence could promote optimal uptake and use of CGM and reduce psychosocial barriers to sustained use but must be evaluated in rigorous pilot trials that attend to health disparities. The current study proposes to evaluate an innovative behavioral intervention that utilizes certified diabetes care and education specialists (CDCES) to teach problem-solving and communication skills around CGM data and use, targeting adolescent-parent T1D interactions related to glucose data, individualized CGM challenges, and weekly adolescent-parent joint review of CGM reports. The intervention also addresses HCP knowledge of health disparities in diabetes technology through interactive education, and boosts family support through connection with peer parent consultants. This study aims to evaluate the preliminary efficacy of the behavioral intervention to enhance CGM use and resulting T1D health outcomes. Sixty adolescents and their parents (using a dyad study design) will be recruited for this pilot randomized trial, randomly assigned to either an immediate intervention group or a delayed intervention group serving as a standard care comparison. Intervention content will be delivered via 3 telemedicine sessions with adolescents and a parent and supported by connection with a peer parent consultant. Medical and psychosocial data (including A1c, CGM indicators, CGM burdens and benefits, diabetes distress, and diabetes-related family conflict) will be collected from adolescents and a parent at baseline and three follow-up time points across the first year after CGM initiation. The investigators will employ quantitative and qualitative analyses to evaluate intervention feasibility, acceptability, and impact. Enhancing CGM access and use at this key developmental juncture provides an excellent opportunity for tailored support and problem-solving, resulting in potentially lasting improvement in diabetes self-management. Results of this pilot trial will directly inform a multi-site randomized clinical trial to evaluate efficacy, with the long term goal of identifying effective behavioral strategies that can be integrated into routine diabetes education and care.

Being tested
diabetes education and parent coaching support
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.

  • diabetes education and parent coaching supportBehavioural

    Intervention sessions will include parent/child discussion about barriers to CGM use, review of CGM data, problem solving, and working as a team.

Study groups in NCT05564481
Study groupRoleWhat they receive
Immediate interventionExperimentalParticipants randomized to the immediate intervention group will participate in 3 video-conferencing sessions with a Certified Diabetes Care and Education Specialist (CDCES) interventionist and connect with a peer parent consultant immediately post randomization (expected intervention duration: 3 months).
Receives: Behavioral: diabetes education and parent coaching support
Wait-list/delayed interventionActive comparatorParticipants randomized to the delayed intervention group will receive no intervention for 6 months post-randomization; after the 6-month follow-up period, the delayed intervention group also will participate in 3 video conferencing sessions with a CDCES interventionist and connect with a peer parent consultant (expected intervention duration: 3 months).
Receives: Behavioral: diabetes education and parent coaching support

What is being measured

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

  1. Glycemic Control

    Hemoglobin A1c (HbA1c)

    Measured: 6 months post-randomization

  2. Glycemic Control

    Hemoglobin A1c (HbA1c)

    Measured: 12 months post-randomization

  3. CGM Time-in-range

    CGM time-in-range is the amount of time a person with diabetes spends in a target glucose range of 70 and 180 mg/dL. The time frame used was 90-day CGM data, with the end date of the 90 days being the 6-month timepoint start date.

    Measured: 6 months post-randomization

  4. CGM Time-in-range

    CGM time-in-range is the amount of time a person with diabetes spends in a target glucose range of 70 and 180 mg/dL. The time frame used was 90-day CGM data, with the end date of the 90 days being the 12-month timepoint start date.

    Measured: 12 months post-randomization

  5. CGM Wear-time

    The duration of time that the CGM is worn on the body. The time frame used was 90-day CGM data, with the end date of the 90 days being the 6-month timepoint start date.

    Measured: 6 months post randomization

  6. CGM Wear-time

    The duration of time that the CGM is worn on the body. The time frame used was 90-day CGM data, with the end date of the 90 days being the 12-month timepoint start date.

    Measured: 12 months post-randomization

Secondary outcomes (16)
  1. Caregiver-Reported Family Conflict

    The Diabetes Family Conflict Scale-Revised (DFCS-R) was used to measure diabetes-related family conflict. Total scores are reported below. The DFCS-R is on a scale of 19-57, where a higher score indicates higher family conflict. 6-month caregiver-reported diabetes family conflict is reported here.

    Measured: 6 months post-randomization

  2. Caregiver-Reported Family Conflict

    The Diabetes Family Conflict Scale-Revised (DFCS-R) was used to measure diabetes-related family conflict. Total scores are reported below. The DFCS-R is on a scale of 19-57, where a higher score indicates higher family conflict. 12-month caregiver-reported diabetes family conflict is reported here.

    Measured: 12 months post-randomization

  3. Youth-Reported Family Conflict

    The Diabetes Family Conflict Scale-Revised (DFCS-R) was used to measure diabetes-related family conflict. Total scores are reported below. The DFCS-R is on a scale of 19-57, where a higher score indicates higher family conflict. 6-month youth-reported diabetes family conflict is reported here.

    Measured: 6 months post-randomization

  4. Youth-Reported Family Conflict

    The Diabetes Family Conflict Scale-Revised (DFCS-R) was used to measure diabetes-related family conflict. Total scores are reported below. The DFCS-R is on a scale of 19-57, where a higher score indicates higher family conflict. 12-month youth-reported diabetes family conflict is reported here.

    Measured: 12 months post-randomization

  5. Caregiver CGM Benefits and Burdens

    The Benefits and Burdens of CGM (Ben/Bur CGM) questionnaire includes two 8-item scales (benefits, burdens) that provide important patient-reported outcome metrics to further understand complex behaviors related to adherence to CGM use and diabetes self-management. Each questionnaire (benefits, burdens) contains eight items which are rated on a Likert scale, one to five. 1 is strongly disagree and 5 is strongly agree. Mean total scores for each scale as well as mean scores for each item may be analyzed. Scores range from 1-5 for each item/subscale and for the overall score. Higher mean score on the benefits scale indicates higher perceived benefits while higher mean scores on the burdens scales indicated higher perceived burdens. 6-month caregiver-reported Ben/Bur CGM is reported here.

    Measured: 6 months post randomization

  6. Caregiver CGM Benefits and Burdens

    The Benefits and Burdens of CGM (Ben/Bur CGM) questionnaire includes two 8-item scales (benefits, burdens) that provide important patient-reported outcome metrics to further understand complex behaviors related to adherence to CGM use and diabetes self-management. Each questionnaire (benefits, burdens) contains eight items which are rated on a Likert scale, one to five. 1 is strongly disagree and 5 is strongly agree. Mean total scores for each scale as well as mean scores for each item may be analyzed. Scores range from 1-5 for each item/subscale and for the overall score. Higher mean score on the benefits scale indicates higher perceived benefits while higher mean scores on the burdens scales indicated higher perceived burdens. 12-month caregiver-reported Ben/Bur CGM is reported here.

    Measured: 12 months post randomization

  7. Youth CGM Benefits and Burdens

    The Benefits and Burdens of CGM (Ben/Bur CGM) questionnaire includes two 8-item scales (benefits, burdens) that provide important patient-reported outcome metrics to further understand complex behaviors related to adherence to CGM use and diabetes self-management. Each questionnaire (benefits, burdens) contains eight items which are rated on a Likert scale, one to five. 1 is strongly disagree and 5 is strongly agree. Mean total scores for each scale as well as mean scores for each item may be analyzed. Scores range from 1-5 for each item/subscale and for the overall score. Higher mean score on the benefits scale indicates higher perceived benefits while higher mean scores on the burdens scales indicated higher perceived burdens. 6-month youth-reported Ben/Bur CGM is reported here.

    Measured: 6 months post randomization

  8. Youth CGM Benefits and Burdens

    The Benefits and Burdens of CGM (Ben/Bur CGM) questionnaire includes two 8-item scales (benefits, burdens) that provide important patient-reported outcome metrics to further understand complex behaviors related to adherence to CGM use and diabetes self-management. Each questionnaire (benefits, burdens) contains eight items which are rated on a Likert scale, one to five. 1 is strongly disagree and 5 is strongly agree. Mean total scores for each scale as well as mean scores for each item may be analyzed. Scores range from 1-5 for each item/subscale and for the overall score. Higher mean score on the benefits scale indicates higher perceived benefits while higher mean scores on the burdens scales indicated higher perceived burdens. 12-month youth-reported Ben/Bur CGM is reported here.

    Measured: 12 months post randomization

  9. Child/Teen Diabetes Distress

    Problem Areas in Diabetes Children (PAID-C) and Teen (PAID-T) versions measure diabetes-specific emotional distress for children and adolescents. Responses target how much each diabetes-related experience bothers/upsets the individual respondent over the past month. Items are summed to create an overall distress score, with higher scores indicating greater emotional distress. For the PAID-T and PAID-C, higher scores reflect greater diabetes-specific diabetes distress for both teens and children. Scores range from 14-84 for the PAID-T and 11-66 for the PAID-C. To address the unequal sample sizes between the PAID-C (n=19) and PAID-T (n=41), scores were normalized by converting the raw scores into percentages of the maximum possible score for each version. This normalization ensured that both the child and teen versions of the PAID were on the same scale (0-100%), allowing for more accurate comparisons across groups and improving statistical power. Data here is for youth at 6-months.

    Measured: 6 months post-randomization

  10. Child/Teen Diabetes Distress

    Problem Areas in Diabetes Children (PAID-C) and Teen (PAID-T) versions measure diabetes-specific emotional distress for children and adolescents. Responses target how much each diabetes-related experience bothers/upsets the individual respondent over the past month. Items are summed to create an overall distress score, with higher scores indicating greater emotional distress. For the PAID-T and PAID-C, higher scores reflect greater diabetes-specific diabetes distress for both teens and children. Scores range from 14-84 for the PAID-T and 11-66 for the PAID-C. To address the unequal sample sizes between the PAID-C (n=19) and PAID-T (n=41), scores were normalized by converting the raw scores into percentages of the maximum possible score for each version. This normalization ensured that both the child and teen versions of the PAID were on the same scale (0-100%), allowing for more accurate comparisons across groups and improving statistical power. 12-month youth date is presented here.

    Measured: 12 months post-randomization

  11. Caregiver Diabetes Distress

    The Problem Areas in Diabetes Survey - Parent Revised version (PAID-PR) assesses the perceived parental burden associated with caring for a child with diabetes. Responses target how much each diabetes-related experience bothers/upsets the individual respondent over the past month. Each of the 18 items is reverse scored (0 to 4, 1 to 3, etc.), then you calculate the mean of all non-missing items. That mean is multiplied by 25 to produce a total score ranging from 0 to 100, with higher scores indicating greater parent diabetes-related distress. 6-month caregiver-reported diabetes distress is reported here.

    Measured: 6 months post-randomization

  12. Caregiver Diabetes Distress

    The Problem Areas in Diabetes Survey - Parent Revised version (PAID-PR) assesses the perceived parental burden associated with caring for a child with diabetes. Responses target how much each diabetes-related experience bothers/upsets the individual respondent over the past month. Each of the 18 items is reverse scored (0 to 4, 1 to 3, etc.), then you calculate the mean of all non-missing items. That mean is multiplied by 25 to produce a total score ranging from 0 to 100, with higher scores indicating greater parent diabetes-related distress. 12-month caregiver-reported diabetes distress is reported here.

    Measured: 12 months post-randomization

  13. Caregiver-Reported Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ)-a self- and parent-report measure assessing the frequency of engagement in diabetes care behaviors (e.g. BG monitoring, adjusting behavior to specific situations) over the past month. Scored 0-100 with higher scores indicating higher adherence to diabetes management. 6-month caregiver-reported Diabetes Self-Management is reported here.

    Measured: 6 months post-randomization

  14. Caregiver-Reported Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ)-a self- and parent-report measure assessing the frequency of engagement in diabetes care behaviors (e.g. BG monitoring, adjusting behavior to specific situations) over the past month. Scored 0-100 with higher scores indicating higher adherence to diabetes management. 12-month caregiver-reported Diabetes Self-Management is reported here.

    Measured: 12 months post-randomization

  15. Youth-Reported Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ)-a self- and parent-report measure assessing the frequency of engagement in diabetes care behaviors (e.g. BG monitoring, adjusting behavior to specific situations) over the past month. Scored 0-100 with higher scores indicating higher adherence to diabetes management. 6-month youth-reported Diabetes Self-Management is reported here.

    Measured: 6 months post-randomization

  16. Youth-Reported Diabetes Self-Management

    The Diabetes Management Questionnaire (DMQ)-a self- and parent-report measure assessing the frequency of engagement in diabetes care behaviors (e.g. BG monitoring, adjusting behavior to specific situations) over the past month. Scored 0-100 with higher scores indicating higher adherence to diabetes management. 12-month youth-reported Diabetes Self-Management is reported here.

    Measured: 12 months post-randomization

Timeline

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

  1. First posted3 Oct 2022
  2. Study start7 Sep 2022
  3. Primary completion1 Jan 2025
  4. Study completion1 Jan 2025

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
wait-list control; all youth-caregiver dyads receive intervention- randomized to start immediately or 6 months after CGM start
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05564481
Sponsor's protocol ID
Pro00016314
Acronym
ROUTE-T1D
Status last verified
Jul 2026
First submitted
26 Aug 2022
Last updated
22 Oct 2026
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 diabetes education and parent coaching support in people with Type 1 Diabetes and Continuous Glucose Monitoring, run by Children's National Research Institute 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 4 inclusion and 4 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: finished, as of the sponsor's last update on 22 Oct 2026. 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?

Yes. Results are posted in the registry (first posted 22 Oct 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Glycemic Control (time frame: 6 months post-randomization). The study lists 6 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 22 Oct 2026.

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