Evidence map›Paper›PMID 40302949›Full record

Trial reportPediatric diabetes2024

Adverse Social Determinants of Health in Children with Newly Diagnosed Type 1 Diabetes: A Potential Role for Community Health Workers.

Charlene W Lai, Meghan Craven, Jennifer A Hershey, Terri H Lipman, Colin P Hawkes

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04238949 (The Impact of Community Health Workers in Pediatric Patients With Newly Diagnosed Type 1 Diabetes - A Pilot Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04238949 naactive not recruitingnot on this map

The Impact of Community Health Workers in Pediatric Patients With Newly Diagnosed Type 1 Diabetes - A Pilot Study

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2027Enrolled28ConditionsType 1 Diabetes, Diabetes Mellitus, Psychosocial Problem, Compliance, PatientArmsCommunity Health Worker added to diabetes team
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Racial Disparities in the Use of Automated Insulin Delivery Systems in Youth With Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Charlene W LaiDivision of Pediatric Endocrinology, Oregon Health and Sciences University, 700 SW Campus Drive, Portland, OR 97239, USA.ORCID 0000-0002-1074-835X
Meghan CravenDivision of Pediatric Diabetes and Endocrinology, Baylor College of Medicine, 6701 Fannin Street Suite 1020, Houston, TX 77030, USA.ORCID 0000-0001-9727-6123
Jennifer A HersheyChildren's Hospital of Philadelphia, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.ORCID 0000-0002-7363-7446
Terri H LipmanChildren's Hospital of Philadelphia, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.ORCID 0000-0002-5649-8069
Colin P HawkesChildren's Hospital of Philadelphia, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.ORCID 0000-0001-6484-0445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: There are significant socioeconomic and racial disparities in glycemic control among children with type 1 diabetes (T1D). Community health workers (CHWs) have been shown to improve outcomes in marginalized, high-risk populations. The purpose of this qualitative study was to describe the prevalence and the impact of adverse social determinants of health (SDOH) on diabetes care soon after a diagnosis of pediatric T1D, and investigate the potential supportive role of a CHW. Results: Seventeen caregivers were enrolled, 10 were randomly assigned to a CHW. Two-thirds of caregivers identified at least one SDOH need at enrollment; 35% of caregivers identified two SDOH needs. Interviews revealed that the two major themes identified as barriers to diabetes care were caregivers' employment and financial issues. Social support was identified as a facilitator. The transition from hospital to home after the diagnosis of T1D was improved for families working with a CHW, and the CHW was identified as a strong source of support. Conclusions: There is a high prevalence of adverse SDOH in families from lower socioeconomic status at the time of diagnosis of pediatric T1D. These SDOH have a significant impact on families' abilities to care for their children. Preliminary data suggest that CHWs can be a facilitator to the diabetes care. This trial is registered with NCT04238949.

Indexed as

Community Health WorkersDiabetes Mellitus, Type 1Social Determinants of HealthAdolescentAdultCaregiversChildChild, PreschoolFemaleHumansMaleQualitative ResearchSocial Support

Identifiers

PMID40302949
PMCPMC12017050

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.