“I Just Wish That It Would Be Easier”: Caregivers’ Perspectives on Barriers and Proposed Solutions to Diabetes Technology Use for Non-Hispanic Black and Hispanic Youth With Type 1 Diabetes

OBJECTIVE We sought to examine barriers to diabetes technology use in underserved non-Hispanic Black and Hispanic youth with type 1 diabetes from the caregivers’ perspectives and to co-create solutions to overcome barriers. RESEARCH DESIGN AND METHODS Using user-centered design methodology, we held virtual workshops with caregivers to identify barriers and solutions associated with diabetes technology use. Three independent coders analyzed workshop recordings using an inductive coding approach. RESULTS Twenty-three caregivers of non-Hispanic Black and Hispanic youth with type 1 diabetes participated. The majority of participants were mothers ( n = 21), were publicly insured ( n = 18), and had social needs ( n = 13). We uncovered novel barriers to diabetes technology use, including 1 ) health-related social needs specific to diabetes technology use, 2 ) insufficient diabetes technology support at school, 3 ) disjointed care integration, and 4 ) the need for personalized diabetes device education. Proposed solutions included resources for social needs, more technology education for schools, enhanced care coordination, and a nonmedical person to deliver tailored device education. CONCLUSION This study revealed new approaches to support caregivers of non-Hispanic Black and Hispanic youth with type 1 diabetes with persistent barriers to device use. Integrating interventions that align with caregivers’ needs will facilitate the adoption and sustained use of diabetes technology by non-Hispanic Black and Hispanic youth with type 1 diabetes.