protocolSection identificationModule nctId: NCT06348160, orgStudyIdInfo id: STUDY20230187, briefTitle: iHERO Study: Insurance, Health and Economic Resources Online for Emerging Adults With Type 1 Diabetes, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05-01, primaryCompletionDateStruct date: 2026-03-31, completionDateStruct date: 2026-03-31, studyFirstPostDateStruct date: 2024-04-04, lastUpdatePostDateStruct date: 2024-04-04, sponsorCollaboratorsModule leadSponsor name: Julia Blanchette, class: OTHER, collaborators name: The Leona M. and Harry B. Helmsley Charitable Trust, descriptionModule briefSummary: This research study aims to test a financial and health insurance iHERO Toolkit for young adults with type1 diabetes. The iHERO Toolkit was developed over one year with the type 1 diabetes community, The Diabetes Link organization, and experts. Now, the investigators want to understand the impact of the iHERO Toolkit on diabetes self-management, financial stress, and health insurance literacy outcomes. The investigators are doing this study because it will help to better understand how to support health insurance and financial stress and improve self-management outcomes in young adults with type 1 diabetes. The investigators want to understand how the iHERO Toolkit helps all young adults with diabetes, but especially those on Medicaid and who are racially or ethnically diverse. The investigators will ask participants to participate at four-time points over one year. For the first time, participants will fill out online enrollment and demographic forms and 9 surveys. The 9 surveys have 8-40 short questions each, estimated to take about 45 minutes. Participants will also be asked to complete a home A1c collection with a University Hospitals team member on Zoom., conditionsModule conditions: Type 1 Diabetes, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: NONE, enrollmentInfo count: 192, type: ESTIMATED, armsInterventionsModule interventions name: iHERO Toolkit Resource, outcomesModule primaryOutcomes measure: Change in financial stress as measured by the Personal Financial Well-Being Scale© (PFW) Scale (PFW), primaryOutcomes measure: Change in health insurance literacy as measured by The Health Insurance Literacy Measure (HILM) Measure (HILM), primaryOutcomes measure: Change in diabetes-specific quality of life as measured by The Type 1 Diabetes and Life Young Adult (T1DAL- Young Adult) for ages 18-25 or The Type 1 Diabetes and Life (T1DAL- Adult) for Ages 26-30., primaryOutcomes measure: Change in transition navigation readiness as measured by the The Readiness for Emerging Adults with Diabetes Diagnosed in Youth (READDY) Navigation Subscale, primaryOutcomes measure: Change in HbA1c levels as measured by self-collect capillary HbA1c, eligibilityModule sex: ALL, minimumAge: 18 Years, maximumAge: 30 Years, stdAges: ADULT, contactsLocationsModule locations facility: Children's Hospital Los Angeles, city: Los Angeles, state: California, zip: 90027, country: United States, contacts name: Jaquelin Flores Garcia, MPH, role: CONTACT, contacts name: Jennifer Raymond, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 34.05223, lon: -118.24368, locations facility: University of Florida Diabetes Institute, city: Gainesville, state: Florida, zip: 32610, country: United States, contacts name: Michael Haller, MD, role: CONTACT, contacts name: Michael Haller, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 29.65163, lon: -82.32483, locations facility: University Hospitals, city: Cleveland, state: Ohio, zip: 44106, country: United States, contacts name: Dionne Williams, PhD, role: CONTACT, phone: 216-238-6100, email: dionne.williams@uhhospitals.org, geoPoint lat: 41.4995, lon: -81.69541, locations facility: Children's Hospital of Philadelphia, city: Philadelphia, state: Pennsylvania, zip: 19104, country: United States, contacts name: Steven Willi, MD, role: CONTACT, contacts name: Steven Willi, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 39.95233, lon: -75.16379, hasResults: False