Resilience and Diabetes Behavioral Research Lab Projects

DiaBetter Together

This randomized controlled trial is funded by NIH/NIDDK (1R01 DK119246, PI: Hilliard) and aims to evaluate the efficacy of a strengths-based, supportive behavioral intervention for young adults with type 1 diabetes as they transition from pediatric to adult diabetes care, compared to usual care. The behavioral intervention is delivered by Peer Mentors, older young adults with T1D who have successfully established care in an adult setting, trained by the research team.

Posters and Publications

Promoting Resilience in Stress Management (PRISM)

This multi-site randomized controlled trial is funded by NIH/NIDDK (1R01 DK121224, PI: Yi-Frazier; Site PI: Hilliard) and aims to test the efficacy of the PRISM intervention in teens with type 1 diabetes who have elevated diabetes-related distress, compared to usual care. PRISM has been piloted in other pediatric conditions and aims to help adolescents learn and use “resilience resources” to overcome challenges related to living with a complex medical condition.

Type 1 Doing Well

This pilot study is funded by the National Institutes of Health (NIH)/National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) (1R21 DK107951, PI: Hilliard) and aims to develop and pilot test a new, strengths-based mobile health (mHealth) smartphone app for parents of adolescents with type 1 diabetes. The app is designed to help parents recognize and reinforce what their adolescents do well for diabetes care, compared to usual diabetes care without the app.

Posters and Publications

Diabetes Quality of Life Study

This study is funded by the Leona M. and Harry B. Helmsley Charitable Trust (2015PG-T1D0184, PIs: Hilliard, Anderson) and aims to (1) learn about the experiences of people with diabetes and their families that contribute to their health-related quality of life, and (2) develop and validate a series of new assessment instruments to measure diabetes-specific health-related quality of life in people with diabetes and in their parents or partners, from early childhood to late adulthood.

Posters and Publications

First STEPS

This multi-site randomized controlled trial is funded by NIH/NIDDK (1R01 DK102561, PI: Streisand; Site PI: Hilliard) and aims to evaluate a stepped care behavioral intervention to support parents of young children under age seven newly diagnosed with type 1 diabetes, compared to usual diabetes care.

Posters and Publications

Strategies to Enhance New CGM Use in Early childhood (SENCE)

This multi-site randomized controlled trial is funded by the Leona M. and Harry B. Helmsley Charitable Trust (2016PG-T1D011, PI: DiMeglio; Site PIs: Hilliard, DeSalvo) and aims to (1) learn about the experiences of parents of young children under age eight using advanced diabetes management technologies, and (2) compare the efficacy of continuous glucose monitoring (CGM), CGM with a newly developed behavioral intervention to support effective CGM use, and usual care without CGM in young children with type 1 diabetes.

Posters and Publications

Diabetes Strengths Study

This pilot study was funded by Texas Children’s Hospital Pediatric Pilot Research Fund (PI: M Hilliard) and Caroline Weiss Law Fund for Research in Molecular Medicine (PI: M Hilliard) to develop and pilot test a new behavioral intervention that builds on teens’ positive diabetes-related behaviors and attitudes. Using teen and parent-reported information about the teens’ strengths, diabetes care providers delivered this brief behavior intervention as part of routine medical care visits.

Posters and Publications

Resilience and Diabetes Outcomes (RODEO)

This study was funded by NIH/NIDDK (1K12 DK097696, PI: Anderson; Project PI: Hilliard) and aimed to (1) learn about the strengths and everyday diabetes management experiences of pre-adolescents and young adults with type 1 diabetes leading to resilient diabetes outcomes, and (2) develop and validate new assessment instruments to measure diabetes-specific strengths in these age groups.

Posters and Publications

Getting Ready for Emerging Adulthood and Transition (GREAT)

This pilot program in diabetes clinic (Co-leads: Hilliard, Lyons) has been developed to help adolescents with type 1 diabetes and their parents prepare for the transition from adolescence to adulthood and the transfer of healthcare from the pediatric setting to the adult setting. This is part of the Texas Children's Hospital Diabetes “Type 1 Transitions” Program.

Posters and Publications