[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652086":3},{"organization":4,"armGroups":7,"interventions":16,"overallOfficials":28,"centralContacts":32,"locations":38,"responsibleParty":52,"collaborators":56,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":28,"eligibilityCriteria":66,"healthyVolunteers":67,"sex":68,"minAge":28,"maxAge":28,"enrollmentInfo":69,"targetDuration":28,"studyType":72,"phases":73,"briefSummary":75,"conditions":76,"keywords":80,"overallStatus":86,"whyStopped":28,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Nemours Children's Clinic","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Implementation Toolkit","EXPERIMENTAL","In this arm, all participants will receive BIT. If indicated, BIT-Enhanced will be deployed. All participants will receive BIT-Sustainment.",[13,14,15],"Behavioral: Base Implementation Toolkit (BIT)","Behavioral: BIT-Enhanced","Behavioral: BIT-Sustainment",[17,25,29],{"type":18,"name":19,"description":20,"armGroupLabels":21,"otherNames":22},"BEHAVIORAL","Base Implementation Toolkit (BIT)","The Base Implementation Toolkit (BIT) includes strategies across pre-implementation, active implementation, and sustainment phases. Pre-implementation BIT strategies include provider and staff education meetings (e.g., meetings introducing processes for referring and delivering Diabetes Coaching), identification of and training the psychology providers and one medical provider as Champions for implementation and deliverer of Diabetes Coaching (psychology providers only), materials to increase demand for Diabetes Coaching among families (e.g., family-facing educational materials), and development of a workflow blueprint and of tools to monitor implementation. Active implementation BIT strategies include reporting summary level data on uptake of referrals to and family engagement in Diabetes Coaching to clinical type 1 diabetes providers, as well as facilitation (i.e., consultation) to support problem-solving workflow and other implementation challenges.",[9],[23,24],"BIT-Enhanced","BIT-Sustainment",{"type":18,"name":23,"description":26,"armGroupLabels":27,"otherNames":28},"During active implementation, two strategies (audit and feedback, adapting delivery format and timing of Diabetes Coaching) may be added to BIT (BIT-Enhanced) to improve adoption among medical providers with lower referral rates (adoption rate \\\u003C80%) and\u002For to increase reach if few families schedule and attend Diabetes Coaching (\\\u003C6 families scheduled per group and\u002For \\\u003C4 families attend group). BIT-Enhanced requires additional time and resources (e.g., Champions and providers review individual data, collaborate on ways to increase referrals). Thus, examining if these additional strategies meaningfully improve outcomes offers critical data for maintaining only the strategies that are necessary and sufficient for adoption, reach, and fidelity outcomes.",[9],null,{"type":18,"name":24,"description":30,"armGroupLabels":31,"otherNames":28},"Key to maintaining implementation of any evidence-based practice, including Diabetes Coaching, is considering sustainability early on. The primary sustainability strategy (BIT-Sustainment) involves training multiple Champions early and planful progression of their role in the implementation efforts, from first participating in PI-led (implementation and content expert) consultation huddles and shadowing data tracking to then independently leading these huddles, reporting adoption data, and, for those requiring BIT-Enhanced, employing audit and feedback and reach data as needed. The BIT-Sustainment will be deployed for all providers (BIT and BITE) during the sustainment phase of implementation.",[9],[33],{"name":34,"role":35,"phone":36,"phoneExt":28,"email":37},"Julia EW Price, PhD","CONTACT","302-287-9391","julia.price@nemours.org",[39],{"facility":40,"status":28,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":28},"Nemours Children's Hospital - Delaware","Wilmington","Delaware","19803","United States","US",{"type":47,"coordinates":48},"Point",[49,50],-75.54659,39.74595,{"lat":50,"lon":49},{"type":53,"investigatorFullName":54,"investigatorTitle":55,"investigatorAffiliation":5,"oldNameTitle":28,"oldOrganization":28},"PRINCIPAL_INVESTIGATOR","Julia Price","Senior Research Scientist\u002FAssociate Professor",[57],{"name":58,"class":59},"National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)","NIH","100652086","pilot-implementation-trial-of-implementation-toolkits-for-diabetes-coaching-100652086",false,"NCT07766811","Pilot Implementation Trial of Implementation Toolkits for Diabetes Coaching","Single Site Implementation Pilot Trial of Base, Enhanced, and Sustainment Implementation Toolkits for Diabetes Coaching for Families With an Adolescent With Type 1 Diabetes","Inclusion Criteria:\n\n1. Involved in the direct clinical medical care of adolescents with T1D at Nemours Children's Hospital - Delaware OR\n2. Involved in the direct clinical psychological care of adolescents with T1D at Nemours Children's Hospital - Delaware OR\n3. Involved in the scheduling and\u002For insurance coverage verification in the clinical psychological care of adolescents with T1D at Nemours Children's Hospital - Delaware OR\n4. Holds a leadership role in Endocrinology and\u002For Behavioral Health at Nemours Children's Hospital - Delaware\n\nExclusion Criteria:\n\n1\\. Not involved in the direct clinical care or administrative parts of care of families with an adolescent with T1D at Nemours Children's Hospital - Delaware",true,"ALL",{"count":70,"type":71},15,"ESTIMATED","INTERVENTIONAL",[74],"NA","The goal of this study is to learn if toolkits of implementation strategies (e.g., provider and staff education, clear plan for how to refer and bill) help pediatric type 1 diabetes medical and psychology providers deliver a behavioral intervention (Diabetes Coaching) to more families. The main questions this study aims to answer are:\n\n* Is it possible to put these toolkits of implementation strategies into place in one pediatric hospital?\n* Do providers and staff find these toolkits of implementation strategies acceptable?\n\nParticipants will be type 1 diabetes professionals (endocrinologists, nurse practitioners, psychologists, scheduling and billing staff) at Nemours Children's Hospital Delaware. Participants will:\n\n* Attend educational and\u002For planning meetings\n* Receive email updates on referral data\n* Complete surveys\n* Complete an interview",[77,78,79],"Implementation Science","Type 1 Diabetes in Adolescence","Implementation Strategies",[81,82,83,84,85],"Implementation strategies","Type 1 Diabetes","Adolescence","Implementation outcomes","Psychosocial intervention","NOT_YET_RECRUITING","2026-08-14",{"date":89,"type":90},"2026-08-18","ACTUAL",{"date":92,"type":71},"2026-08-26",{"date":94,"type":71},"2027-04-30",{"name":5,"class":6},1]