{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:51:13Z","timestamp":1791438673675,"version":"4.3.3"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Persistent inequities in access to diabetes technologies remain evident among children and young people (CYP) with type 1 diabetes (T1D), particularly among those from ethnic minority groups and socioeconomically deprived areas. The UK UNBIASED study identified barriers including limited awareness, language and communication challenges, inconsistent service delivery and reduced confidence in healthcare interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To respond to, and support dissemination and implementation of these findings, a series of stakeholder consultation and public engagement activities was undertaken involving CYP with lived experience of diabetes, their families, diabetes healthcare professionals, diabetes networks and voluntary sector partners. These activities informed the co\u2010production and refinement of culturally inclusive actionable recommendations, educational and dissemination resources for healthcare professionals, CYP and families, including visual materials, animation, video poem and CYP\u2010informed communication tools. A participatory approach to public engagement was adopted to create culturally inclusive and accessible resources for healthcare professionals and CYP and families. Early evaluation drew on website analytics, social media metrics, dissemination records and informal stakeholder feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Stakeholder consultation and co\u2010production activities, informed by findings from the UNBIASED study, brought together young people, caregivers, healthcare professionals in diabetes and designers to create culturally responsive educational tools, including visual materials, infographics, youth\u2010led videos and culturally adapted animations. These were disseminated through a strategically developed distribution plan involving local NHS services, grassroots organisations, national diabetes networks and trusted community spaces. Youth ambassadors, diabetes family networks, diabetes national networks and diabetes advocacy groups further extended the reach through social media outreach and interactive peer support sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Co\u2010produced, culturally inclusive resources and targeted dissemination provide a promising starting point for improving awareness and engagement around diabetes technology equity. However, these early indicators of reach and engagement do not yet demonstrate implementation or improved uptake. Longer\u2010term audit and evaluation are required to determine whether this approach reduces disparities in technology access and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70491","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:04:23Z","timestamp":1791435863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From insight to impact: A co\u2010produced public engagement and dissemination strategy from the\n                    <scp>UK UNBIASED<\/scp>\n                    study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3449-0541","authenticated-orcid":false,"given":"Sze May","family":"Ng","sequence":"first","affiliation":[{"name":"Faculty of Health, Social Care and Medicine Edge Hill University  Ormskirk UK"},{"name":"Paediatric Department Mersey and West Lancashire Teaching Hospitals  Ormskirk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"McMillan","sequence":"additional","affiliation":[{"name":"Diabetes UK, Co\u2010Chair of Diabetes UK's Lived Experience Advisory Committee and Deputy Chair of the Research Steering Group for Children and Young People with Diabetes  London, Diabetes UK UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Lamb","sequence":"additional","affiliation":[{"name":"Diabetes UK, Person with Lived Experience and Member of Research Steering Group for Children and Young People with Diabetes  London, Diabetes UK UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Evans","sequence":"additional","affiliation":[{"name":"Institute of Metabolic Science and Department of Medicine University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3525-3633","authenticated-orcid":false,"given":"Nick","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Metabolism, Digestion and Reproduction Imperial College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Tracz","sequence":"additional","affiliation":[{"name":"Diabetes Africa  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Adeyileka\u2010Tracz","sequence":"additional","affiliation":[{"name":"Diabetes Africa  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6384-9269","authenticated-orcid":false,"given":"Natalie","family":"Darko","sequence":"additional","affiliation":[{"name":"Diabetes Research Centre, Department of Global, Lifestyle &amp; Metabolic Health, College of Life Sciences, NIHR Leicester Biomedical Research Centre and Clinical Research Facility, College of Life Sciences University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.1534"},{"issue":"11","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1111\/dme.14620","article-title":"Widening health inequalities related to type 1 diabetes care in children and young people in the UK: a time to act now","volume":"38","author":"Ng SM","year":"2021","journal-title":"Diabet Med"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.70304"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2026.103432"},{"issue":"3","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1542\/peds.2014-1774","article-title":"Racial\u2010ethnic disparities in management and outcomes among children with type 1 diabetes","volume":"135","author":"Willi SM","year":"2015","journal-title":"Pediatrics"},{"issue":"2","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1111\/pedi.13139","article-title":"Racial disparities in treatment and outcomes of children with type 1 diabetes","volume":"22","author":"Lipman TH","year":"2021","journal-title":"Pediatr Diabetes"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f22"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-070530"},{"key":"e_1_2_9_10_1","volume-title":"Hybrid closed loop systems for managing blood glucose levels in type 1 diabetes: technology appraisal guidance TA943","year":"2023"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15015"},{"issue":"1","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12916-024-03396-x","article-title":"Long\u2010term assessment of the NHS hybrid closed\u2010loop real\u2010world study on glycaemic outcomes, time\u2010in\u2010range, and quality of life in children and young people with type 1 diabetes","volume":"22","author":"Ng SM","year":"2024","journal-title":"BMC Med"},{"issue":"7","key":"e_1_2_9_13_1","first-page":"1225","article-title":"ISPAD clinical practice consensus guidelines 2022: insulin treatment in children and adolescents with diabetes","volume":"23","author":"International Society for Pediatric and Adolescent Diabetes (ISPAD)","year":"2022","journal-title":"Pediatr Diabetes"},{"key":"e_1_2_9_14_1","volume-title":"Annual Report 2024\u20102025","author":"National Paediatric Diabetes Audit (NPDA)","year":"2026"},{"key":"e_1_2_9_15_1","unstructured":"National Institute for Health and Care Excellence (NICE).Hybrid Closed Loop systems for Managing Blood Glucose in Type 1 Diabetes: Technology Appraisal Guidance TA943.2023."},{"key":"e_1_2_9_16_1","article-title":"Understanding inequities in access to diabetes technologies in children and young people with type 1 diabetes: qualitative study of healthcare professionals' perspectives and views","author":"Dlugatch R","year":"2024","journal-title":"Diabet Med"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.70058"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/15209156261417292"},{"key":"e_1_2_9_19_1","unstructured":"Diabetes UK Website[cited 2026 18 May]. 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Available from:https:\/\/www.socialinsider.io\/social\u2010media\u2010benchmarks\/linkedin"},{"issue":"1","key":"e_1_2_9_21_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/dom.15470","article-title":"Technology and health inequities in diabetes care: how do we widen access to underserved populations and utilize technology to improve outcomes for all?","volume":"26","author":"Ebekozien O","year":"2024","journal-title":"Diabetes Obes Metab"},{"issue":"3","key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s11892-023-01527-x","article-title":"A systematic review of the effects of provider bias on health in youth and young adults with type 1 diabetes","volume":"24","author":"Wetter\u2010Wren SE","year":"2024","journal-title":"Curr Diab Rep"},{"key":"e_1_2_9_23_1","doi-asserted-by":"crossref","DOI":"10.1155\/2023\/4751595","article-title":"Social determinant of health impact on diabetes device use and clinica loutcomes in youth with type 1 diabetes","volume":"2023","author":"Crain ER","year":"2023","journal-title":"Pediatr Diabetes"},{"issue":"4","key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1089\/dia.2021.0413","article-title":"Technology utilization in black adolescents with type 1 diabetes: exploring the decision\u2010making process","volume":"24","author":"Mencher SR","year":"2022","journal-title":"Diabetes Technol Ther"},{"issue":"11","key":"e_1_2_9_25_1","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15382","article-title":"Improving equity in diabetes technology use: voices of youth and their parents","volume":"41","author":"Perkins A","year":"2024","journal-title":"Diabet Med"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd13.150473"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3222211"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/26350106221145323"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.05.021"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.70491","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dme.70491","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.70491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:04:26Z","timestamp":1791435866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.70491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":28,"alternative-id":["10.1111\/dme.70491"],"URL":"https:\/\/doi.org\/10.1111\/dme.70491","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"2026-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70491"}}