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Adapting a peer mentorship program to improve CGM use among Latino youth with type 1 diabetes from families with limited English proficiency

Award Number: R21MD021275
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/16/2026
PERIOD OF PERFORMANCE END DATE: 01/31/2028

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Adapting a peer mentorship program to improve CGM use among Latino youth with type 1 diabetes from families with limited English proficiency - Project Summary Limited English proficiency contributes to adverse health outcomes. Latino youth with type 1 diabetes (T1D) tend to have higher glycemic levels than non-Latino White (White) youth and are less likely to use continuous glucose monitoring systems (CGM), an advanced diabetes technology that can lower glycemic levels and improve health. Barriers to CGM use exist at family (e.g., skepticism about CGM), provider (e.g., not tailoring education to families), and healthcare system levels (e.g., complex insurance approval process, cost of devices). Due to limitations of our healthcare system (e.g., few bilingual providers), Latino families with limited English proficiency may have even more difficulty overcoming these barriers. In our ongoing research, we partnered with English-proficient Black and Latino youth with T1D and their caregivers to co-develop Type 1 Together, an intervention to promote use of CGM. In Type 1 Together, families meet monthly with peer mentor families and a community health worker. Families of youth with T1D and limited English proficiency report unique challenges to managing T1D, indicating a need for interventions tailored to family beliefs and values and delivered in their preferred language. The objective of this proposal is to adapt and pilot-test Type 1 Together for Latino youth from families with limited English proficiency. During the first year of this proposal, we will conduct focus groups to gather Latino adolescent and caregiver perspectives on the intervention and then work with family research partners to adapt the intervention accordingly. Then, we will conduct a pilot randomized controlled trial. Families (n=20) will be recruited during or after Endocrinologist clinic visits and randomized (1:1) to the adapted Type 1 Together or a 3-month waitlist control. Primary outcomes will be intervention acceptability and feasibility, use of CGM, and glycemic levels (i.e., HbA1c, time in range). Findings from the current study will inform future research aimed at testing the efficacy of the intervention in a larger, multisite randomized controlled trial.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $188,890 )
2026	2026	THE NEMOURS FOUNDATION	1600 ROCKLAND RD	WILMINGTON	DE	19803	NEW CASTLE	USA	Minority Health and Health Disparities Research	000	1	8/18/2026	NEW	$188,890
														Subtotal = $188,890

Grand Total All Awards = $188,890

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Adapting a peer mentorship program to improve CGM use among Latino youth with type 1 diabetes from families with limited English proficiency

Award Number: R21MD021275

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/16/2026

PERIOD OF PERFORMANCE END DATE: 01/31/2028

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