{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:52:41Z","timestamp":1792788761383,"version":"4.5.0"},"reference-count":40,"publisher":"American Diabetes Association","issue":"5","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"name":"National Institutes of Diabetes and Digestive and Kidney Diseases","award":["R01DK131026"],"award-info":[{"award-number":["R01DK131026"]}],"id":[{"id":"https:\/\/ror.org\/00adh9b73","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The purpose of this study was to examine participant engagement in a behavioral intervention designed to optimize the use of continuous glucose monitoring among historically minoritized youth with type 1 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>We conducted a secondary mixed-methods analysis of quantitative and qualitative data from 60 youth-caregiver dyads who participated in the Research on Optimizing the Use of Technology with Education (ROUTE-T1D) randomized controlled trial. Engagement was measured by intervention session attendance, parent coach engagement, and qualitative interviews with participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A diverse population of youth was recruited. Session attendance was high, at 75%. Only greater caregiver education was significantly associated with greater session attendance. There was no correlation between demographic and medical factors and contact with parent coaches. Qualitative results suggest participants felt ease of engagement with the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>High engagement suggests the intervention was accessible to the diverse study population and demonstrates the feasibility of including diverse populations in diabetes technology research, thereby improving translation to clinical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/doc26-0055","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:10:11Z","timestamp":1787926211000},"page":"866-873","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Study Engagement in the ROUTE Randomized Controlled Trial: A Diabetes Educator\u2013Led Behavioral Intervention to Promote Continuous Glucose Monitor Use Among Youth With Type 1 Diabetes"],"prefix":"10.2337","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8532-691X","authenticated-orcid":false,"given":"Amanda","family":"Perkins","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Straton","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shideh","family":"Majidi","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"},{"name":"The George Washington University School of Medicine 2 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Barber","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Maya","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"White","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Naveed","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randi","family":"Streisand","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital 1 , Washington, DC"},{"name":"The George Washington University School of Medicine 2 , Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"2026101610015485100_B1","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1056\/NEJMoa1610187","article-title":"Incidence trends of type 1 and type 2 diabetes among youths, 2002\u20132012","volume":"376","author":"Mayer-Davis","year":"2017","journal-title":"N Engl J Med"},{"key":"2026101610015485100_B2","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1001\/jama.2014.3201","article-title":"Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009","volume":"311","author":"Dabelea","year":"2014","journal-title":"JAMA"},{"key":"2026101610015485100_B3","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S2213-8587(23)00025-6","article-title":"Trends in incidence of youth-onset type 1 and type 2 diabetes in the USA, 2002\u201318: results from the population-based SEARCH for Diabetes in Youth study","volume":"11","author":"Wagenknecht","year":"2023","journal-title":"Lancet Diabetes Endocrinol"},{"key":"2026101610015485100_B4","doi-asserted-by":"crossref","first-page":"S146","DOI":"10.2337\/dc25-S007","article-title":"7. 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