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Collaboration Around Technology Using Community Health Workers in Type 1 Diabetes (CATCH-T1D): Protocol and

Shivani Agarwal1,2, Molly Finnan1, Kevin P Fiori3,4,5

  • 1Fleischer Institute of Diabetes and Metabolism, Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, New York, USA.

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Summary

Community health workers (CHWs) can improve diabetes technology use and address social needs for young adults with Type 1 diabetes (T1D). This approach enhances self-management and builds trust in healthcare for this high-risk population.

Keywords:
Type 1 diabetescommunity health workerdiabetesdiabetes technologydisparitiesethnicityinequityminorityraceyoung adult

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Area of Science:

  • Public Health
  • Health Disparities
  • Diabetes Management

Background:

  • Type 1 diabetes (T1D) technology use offers significant benefits but faces inequities among Hispanic and Black young adults.
  • These demographic groups are the fastest-growing populations with T1D in the U.S. and experience poorer health outcomes due to technology access barriers.

Purpose of the Study:

  • To explore the effectiveness of community health workers (CHWs) in addressing social needs and facilitating T1D technology navigation.
  • To improve the standard of care and health outcomes for high-risk young adults with T1D.

Main Methods:

  • The CATCH-T1D intervention integrates social needs management with T1D technology navigation, utilizing trained CHWs.
  • A hybrid effectiveness-implementation trial is ongoing, comparing CATCH-T1D to usual care in 130 Hispanic and/or Black young adults (18-35 years) with T1D.
  • CHWs provide information access, shared decision-making support, and health system-pharmacy coordination.

Main Results:

  • 118 participants randomized (48% female, 67% Hispanic, 72% Medicaid, mean HbA1c: 9.2%).
  • CHWs conducted 476 follow-up encounters, resolving 24% of identified social needs.
  • High participant satisfaction reported, with increased engagement in diabetes self-management and improved trust in the healthcare system.

Conclusions:

  • The CATCH-T1D model effectively addresses social needs and T1D technology navigation simultaneously.
  • This specialized CHW approach shows potential as a scalable model for improving care and outcomes in underserved populations.