1943-LB: Satisfaction with a Behavioral Intervention for African American and Hispanic Parents of Youth with Type 1 Diabetes

Introduction and Objective: Poor prognostic factors are present early in the disease course of type 1 diabetes (T1D) among socioeconomically disadvantaged African American and Hispanic youth, contributing to disparities in diabetes outcomes and complications. Few empirically supported interventions exist for this population. The Early Links proof of concept pilot study evaluated the feasibility and acceptability of an intervention for African American and Hispanic parents of youth with new-onset T1D that included a videoconferencing four-session behavioral intervention and social needs screening and navigation program. The present study examined parent satisfaction with the behavioral intervention to guide future intervention refinement and potential implementation. Methods: Nine parents of youth (ages 6-12 years) with public or no insurance and recently diagnosed (M diabetes duration = 8.8 weeks) with T1D participated in the behavioral intervention. On average, parents endorsed 1.1 social needs at baseline. Transcripts from semi-structured qualitative interviews were coded and thematic analysis was used to generate themes related to participants’ satisfaction. Results: All participants were highly satisfied with the intervention. Parents described benefits of the intervention (receiving support from other parents, learning T1D management skills, enhancing coping skills) and barriers to intervention attendance (discomfort sharing personal information, balancing participation with competing demands). Suggestions for improvement included having asynchronous intervention content and including children with T1D in the intervention. We generated three themes: social support, acquiring knowledge, and suggestions for improvement. Conclusion: Results suggest parents found the Early Links behavioral intervention valuable and highly acceptable. Future research is needed to identify ways to promote parent engagement with the intervention. Disclosure M. Baudino: None. L.C. Williams: None. R. Ghaddar: None. S.A. Carreon: None. M.J. Redondo: None. S.A. Dei-Tutu: None. A. Butler: None. Funding Baylor College of Medicine