Meredith Rose1, Laura Aronow1, Sarah Breen1, Carrie Tully1,2, Marisa E Hilliard3, Ashley M Butler3, Randi Streisand4,5. 1. Children's National Medical Center, 111 MI Ave NW, Washington, DC, 20010, USA. 2. The George Washington University School of Medicine, 2300 I St NW, Washington, DC, 20052, USA. 3. Baylor College of Medicine and Texas Children's Hospital, 1102 Bates Avenue, Suite 940, Houston, TX, 77030, USA. 4. Children's National Medical Center, 111 MI Ave NW, Washington, DC, 20010, USA. RSTREIS@childrensnational.org. 5. The George Washington University School of Medicine, 2300 I St NW, Washington, DC, 20052, USA. RSTREIS@childrensnational.org.
Abstract
PURPOSE OF REVIEW: Type 1 diabetes (T1D) incidence in youth is growing across all racial/ethnic backgrounds, with the most marked increase in African-American youth under 5. Underrepresented racial/ethnic minorities are at an increased risk for health complications. This review focuses on the reported disparities, demographics of samples in behavioral interventions, and study design considerations. RECENT FINDINGS: Recruitment data from two ongoing behavioral intervention trials for young children with T1D are presented to compare enrolled/non-enrolled individuals and to discuss culturally appropriate study design considerations. Data were compared to the demographics of children (ages 1-6) with T1D in the clinic populations from the recruitment sites. Enrolling a representative sample and designing culturally appropriate behavioral interventions are important for generalizability, yet there is a gap between the individuals participating in T1D research and those who are most negatively affected by T1D. Suggestions are offered for ways to expand inclusion of diverse samples in behavioral intervention research in T1D.
PURPOSE OF REVIEW: Type 1 diabetes (T1D) incidence in youth is growing across all racial/ethnic backgrounds, with the most marked increase in African-American youth under 5. Underrepresented racial/ethnic minorities are at an increased risk for health complications. This review focuses on the reported disparities, demographics of samples in behavioral interventions, and study design considerations. RECENT FINDINGS: Recruitment data from two ongoing behavioral intervention trials for young children with T1D are presented to compare enrolled/non-enrolled individuals and to discuss culturally appropriate study design considerations. Data were compared to the demographics of children (ages 1-6) with T1D in the clinic populations from the recruitment sites. Enrolling a representative sample and designing culturally appropriate behavioral interventions are important for generalizability, yet there is a gap between the individuals participating in T1D research and those who are most negatively affected by T1D. Suggestions are offered for ways to expand inclusion of diverse samples in behavioral intervention research in T1D.
Entities:
Keywords:
Cultural competence; Diversity; Research; Type 1 diabetes
Authors: David A Fedele; Christopher C Cushing; Alyssa Fritz; Christina M Amaro; Adrian Ortega Journal: JAMA Pediatr Date: 2017-05-01 Impact factor: 16.193
Authors: Steven M Willi; Kellee M Miller; Linda A DiMeglio; Georgeanna J Klingensmith; Jill H Simmons; William V Tamborlane; Kristen J Nadeau; Julie M Kittelsrud; Peter Huckfeldt; Roy W Beck; Terri H Lipman Journal: Pediatrics Date: 2015-03 Impact factor: 7.124
Authors: Clarissa S Holmes; Rusan Chen; Randi Streisand; Donna E Marschall; Sari Souter; Erika E Swift; Catherine C Peterson Journal: J Pediatr Psychol Date: 2005-10-12
Authors: Maria Teresa Coutinho; Daphne Koinis-Mitchell; Sheryl J Kopel; Lilia Romero-Bosch; Debra Lobato; Elizabeth L McQuaid; Ronald Seifer; Gregory K Fritz; Glorisa Canino Journal: Child Health Care Date: 2014-01-01