Considering Culture: A Review of Pediatric Behavioral Intervention Research in Type 1 Diabetes

  • Meredith Rose
  • Laura Aronow
  • Sarah Breen
  • Carrie Tully
  • Marisa E. Hilliard
  • Ashley M. Butler
  • Randi StreisandEmail author
Psychosocial Aspects (SS Jaser, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Psychosocial Aspects


Purpose of Review

Type 1 diabetes (T1D) incidence in youth is growing across all racial/ethnic backgrounds, with the most marked increase in African-American youth under 5. Underrepresented racial/ethnic minorities are at an increased risk for health complications. This review focuses on the reported disparities, demographics of samples in behavioral interventions, and study design considerations.

Recent Findings

Recruitment data from two ongoing behavioral intervention trials for young children with T1D are presented to compare enrolled/non-enrolled individuals and to discuss culturally appropriate study design considerations. Data were compared to the demographics of children (ages 1–6) with T1D in the clinic populations from the recruitment sites.


Enrolling a representative sample and designing culturally appropriate behavioral interventions are important for generalizability, yet there is a gap between the individuals participating in T1D research and those who are most negatively affected by T1D. Suggestions are offered for ways to expand inclusion of diverse samples in behavioral intervention research in T1D.


Diversity Type 1 diabetes Research Cultural competence 



This work was supported in part by DP3DK103998 (RS) and R01DK102561 (MH and RS).

Compliance with Ethical Standards

Conflict of Interest

Meredith Rose, Laura Aronow, Sarah Breen, Carrie Tully, Marisa E. Hilliard, Ashley M. Butler, and Randi Streisand declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).


Papers of particular interest, published recently, have been highlighted as: Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Meredith Rose
    • 1
  • Laura Aronow
    • 1
  • Sarah Breen
    • 1
  • Carrie Tully
    • 1
    • 2
  • Marisa E. Hilliard
    • 3
  • Ashley M. Butler
    • 3
  • Randi Streisand
    • 1
    • 2
    Email author
  1. 1.Children’s National Medical CenterWashingtonUSA
  2. 2.The George Washington University School of MedicineWashingtonUSA
  3. 3.Baylor College of Medicine and Texas Children’s HospitalHoustonUSA

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