School Partnered Collaborative Care (SPACE) Intervention for Children With Type 1 Diabetes

Launched by UNIVERSITY OF PITTSBURGH · May 14, 2024

Keywords

ClinConnect Summary

This is a small, early-phase study (a pilot) to see if a school-based teamwork approach called SPACE can be put into practice for children with type 1 diabetes. In this trial, school districts are randomly chosen to start SPACE right away or to continue with usual school and clinic care (with monthly phone check-ins). The SPACE program involves four monthly virtual meetings that bring together the child, the school nurse, and a diabetes care and education specialist to make a shared plan, review glucose records, and set ongoing goals. The idea is to learn whether this school-and-provider collaboration is feasible and something families and school staff find acceptable.

If your child is eligible, they would be ages 5 to 12 with type 1 diabetes for at least 6 months, attend a participating school, receive daily help from their school nurse, and be managed by the Children’s Hospital of Pittsburgh Diabetes center, and able to participate in English. Exclusions include children who have certain developmental or neuropsychiatric conditions that would make participation hard, or those who already manage their diabetes completely independently at school. Participants in the SPACE group will have four monthly virtual visits; those in the control group will have four monthly phone calls while continuing usual care. The study will collect surveys from parents and school nurses, plus data from glucose devices and health records, to measure feasibility, acceptability, and other implementation outcomes, with results expected around 2027.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Diagnosis of type 1 diabetes for at least 6 months
• • Attend school in one of the partnered school districts
• • Receive daily oversight from the school nurse for their diabetes
• • Managed by the Children's Hospital of Pittsburgh Diabetes center
• • Able to participate in English
• Exclusion Criteria:
• • Child has developmental delay or neuropsychiatric disorder which would preclude their participation in their diabetes care and/or completion of study questionnaires
• • Child is completely independent in diabetes care in school