- Overview
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The Improving Diabetes Outcomes (IDO) Lab, directed by Dr. Faisal Malik, is dedicated to improving health care quality and the health of youth and young adults living with diabetes.
Our team is committed to developing and investigating the effectiveness of innovative, person-centered interventions that make a difference in the lives of young people living with diabetes. Our work to date has included the development and implementation of a novel clinic-based program to support an emerging adult’s transition to independence with diabetes management (Achieving Health in Emerging Adults with Diabetes Program), exploring the use of Instagram to provide diabetes education and peer support to adolescents, and examining the effectiveness of using financial incentives to support insulin administration and glucose monitoring in teens with type 1 diabetes.
In addition, our lab engages in studies examining the impact of social determinants of health on diabetes management, as well as clinical trials designed to make new pharmaceutical agents and diabetes technology available to children and young adults living with diabetes. We also participate in diabetes quality improvement collaboratives to support our mission to improve health care quality.
- Publications
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SCI – U: Validation of an updated Self-Care Inventory for contemporary diabetes management in adolescents with type 1 diabetes
Diabetes Research and Clinical Practice
Jaser, S.S. and Hamdan, T.A. and Hilliard, M.E. and Yi-Frazier, J.P. and Streisand, R. and Malik, F.S. and DeSalvo, D.J. and O{'}Donnell, M.B. and La Greca, A.M.
DOI: 10.1016/j.diabres.2025.112218
2025Reassessing the Burden of Food Insecurity in Youth and Young Adults With Youth-onset Diabetes: The Importance of Marginal Food Security
Canadian Journal of Diabetes
Liese, A.D. and Julceus, E.F. and Brown, A.D. and Pihoker, C. and Frongillo, E.A. and Sauder, K.A. and Malik, F.S. and Bellatorre, A. and Reboussin, B.A. and Mendoza, J.A.
DOI: 10.1016/j.jcjd.2024.10.006
2025Financial Incentives to Promote Sustained Improvements in Child Health
JAMA Pediatrics
Wright, D.R. and Malik, F.S. and Shah, S.K.
DOI: 10.1001/jamapediatrics.2025.0020
2025Association Between Food Insecurity and Inability to Obtain Provider-Recommended Medications, Multidisciplinary Services, and Technology in Youth and Young Adults With Diabetes: A Cross-Sectional Study
Endocrine Practice
El Kalach, N. and Julceus, E.F. and Rudisill, A.C. and Malik, F.S. and Flory, K. and Frongillo, E.A. and Sauder, K.A. and Mendoza, J.A. and Liese, A.D.
DOI: 10.1016/j.eprac.2024.11.014
2025The Association of Levels of Food Insecurity and Disordered Eating Behaviors Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study
International Journal of Eating Disorders
Julceus, E.F. and Liese, A.D. and Alfalki, A.M. and Brown, A.D. and Pihoker, C. and Qu, P. and Malik, F.S. and Jones-Smith, J.C. and Crow, S. and Loots, B. and Reboussin, B.A. and Dolan, L.M. and Igudesman, D. and Sauder, K.A. and Shapiro, A.L.B. and Turley, C.B. and Mendoza, J.A.
DOI: 10.1002/eat.24411
2025Current Practices in Operationalizing and Addressing Racial Equity in the Provision of Type 1 Diabetes Care: Insights from the Type 1 Diabetes Exchange Quality Improvement Collaborative Health Equity Advancement Lab
Endocrine Practice
Addala, A. and Mungmode, A. and Ospelt, E. and Sanchez, J.E. and Malik, F. and Demeterco-Berggren, C. and Butler, A. and Edwards, C. and Manukyan, M. and Ochoa-Maya, M. and Zupa, M. and Ebekozien, O.
DOI: 10.1016/j.eprac.2023.10.001
2024Promoting Resilience in Stress Management for Adolescents With Type 1 Diabetes A Randomized Clinical Trial
JAMA Network Open
Yi-Frazier, J.P. and Hilliard, M.E. and O?Donnell, M.B. and Zhou, C. and Ellisor, B.M. and Perez, S.G. and Duran, B. and Rojas, Y. and Malik, F.S. and DeSalvo, D.J. and Pihoker, C. and Bradford, M.C. and Scott, S. and Devaraj, S. and Rosenberg, A.R.
DOI: 10.1001/jamanetworkopen.2024.28287
2024Incorporating the Six Core Elements of Health Care Transition in Type 1 Diabetes Care for Emerging Adults
Endocrinology and Metabolism Clinics of North America
Malik, F.S. and Weaver, K.W. and Corathers, S.D. and White, P.H.
DOI: 10.1016/j.ecl.2023.09.003
2024Improving Continuous Glucose Monitoring Use in Emerging Adults With Type 1 Diabetes
Clinical Diabetes
Malik, F.S. and Perez, S.G. and Lowry, S. and Weaver, K.W. and Hirsch, I.B. and Pihoker, C. and Moss, A.C. and Ehrhardt, N. and Roberts, A.J.
DOI: 10.2337/cd23-0104
2024Depression Rates in Youth With Type 1 Diabetes During the COVID-19 Pandemic: Data From the T1D Exchange Quality Improvement Collaborative
Clinical Diabetes
Roberts, A. and Corathers, S. and Rapaport, R. and Rompicherla, S. and Majidi, S. and Rioles, N. and Ebekozien, O. and Malik, F.S.
DOI: 10.2337/cd24-0004
2024Institutional Barriers to the Successful Implementation of Telemedicine for Type 1 Diabetes Care
Clinical Diabetes
Lee, J.M. and Ospelt, E. and Noor, N. and Mungmode, A. and Ebekozien, O. and Gupta, M. and Malik, F.S. and Fogel, N.R. and Accacha, S. and Hsieh, S. and Wilkes, M. and Neyman, A. and Vendrame, F.
DOI: 10.2337/cd23-0056
2024“Faith, family, and friends”: Pandemic-related coping in parents of adolescents with type 1 diabetes
Clinical Practice in Pediatric Psychology
Baudino, M.N. and Garcia Perez, S. and O{'}Donnell, M.B. and Duran, B. and DeSalvo, D.J. and Malik, F. and Pihoker, C. and Gallagher, K. and Butler, A.M. and Yi-Frazier, J.P. and Rosenberg, A.R. and Hilliard, M.E.
DOI: 10.1037/cpp0000528
2024Household food insecurity and associations with hemoglobin A1c and acute diabetes-related complications in youth and young adults with type 1 diabetes: The SEARCH for Diabetes in Youth study
Diabetes Research and Clinical Practice
Malik, F.S. and Liese, A.D. and Ellyson, A. and Reid, L.A. and Reboussin, B.A. and Sauder, K.A. and Frongillo, E.A. and Pihoker, C. and Dabelea, D. and Reynolds, K. and Jensen, E.T. and Marcovina, S. and Bowlby, D.A. and Mendoza, J.A.
DOI: 10.1016/j.diabres.2024.111608
2024Adolescent-Preferred financial incentives to promote type 1 diabetes Self-Care: A discrete choice experiment
Diabetes Research and Clinical Practice
Wright, D.R. and Chen, T. and Chalmers, K.D. and Shah, S.K. and Yi-Frazier, J.P. and LeBlanc, J.L. and Garvey, K. and Senturia, K.D. and Pihoker, C. and Malik, F.S.
DOI: 10.1016/j.diabres.2024.111798
2024The association of resilience with HbA1c and key psychosocial factors in emerging adults with type 1 diabetes
Journal of Pediatric Psychology
Daffer, A.O. and Yi-Frazier, J.P. and Roberts, A.J. and Lowry, S.J. and Pihoker, C. and Hirsch, I.B. and Weaver, K.W. and Zenno, A. and Malik, F.S.
DOI: 10.1093/jpepsy/jsae085
2024Erratum: 189-OR: Food Insecurity and Inability to Obtain Recommended Medications, Diabetes Technology, and Multidisciplinary Services in Youth and Young Adults with Diabetes (Diabetes (2024), 73(Suppl. 1), (189-OR), 10.2337/db24-189-OR)
Diabetes
Liese, A.D. and Julceus, E.F. and Rudisill, C. and Malik, F. and Flory, K. and Frongillo, E.A. and Sauder, K.A. and Mendoza, J.A.
DOI: 10.2337/db24-er12b
2024Use of Financial Incentives to Promote Adolescent Type 1 Diabetes Self-management: A Pilot Randomized Controlled Trial
Diabetes Care
Malik, F.S. and Chen, T. and Manzueta, M. and Yi-Frazier, J.P. and Pihoker, C. and Leblanc, J.L. and Shah, S.K. and Wright, D.R.
DOI: 10.2337/dc24-0699
2024Self-Reported Food Security in Adolescents with Type 1 Diabetes: Association with Hemoglobin A1c and Mental Health Symptoms Independent of Household Food Security
Journal of Nutrition
Julceus, E.F. and Frongillo, E.A. and Mendoza, J.A. and Sauder, K.A. and Malik, F.S. and Jensen, E.T. and Dolan, L.M. and Bellatorre, A. and Dabelea, D. and Reboussin, B.A. and Reynolds, K. and Pihoker, C. and Liese, A.D.
DOI: 10.1016/j.tjnut.2023.12.006
2024Preconception Counseling in Women With Diabetes: The SEARCH for Diabetes in Youth Study
Clinical Diabetes
Roberts, A.J. and Sauder, K. and Stafford, J.M. and Malik, F.S. and Pihoker, C. and Boghossian, N.S. and Ehrlich, S. and Pettitt, D.J. and Dabelea, D. and Bellatorre, A. and D?Agostino, R. and Jensen, E.T.
DOI: 10.2337/cd22-0030
2023Prevalence and Predictors of Household Food Insecurity and Supplemental Nutrition Assistance Program Use in Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study
Diabetes Care
Malik, F.S. and Liese, A.D. and Reboussin, B.A. and Sauder, K.A. and Frongillo, E.A. and Lawrence, J.M. and Bellatorre, A. and Pihoker, C. and Loots, B. and Dabelea, D. and Mayer-Davis, E. and Jensen, E. and Turley, C. and Mendoza, J.A.
DOI: 10.2337/dc21-0790
2023Making Diabetes Electronic Medical Record Data Actionable: Promoting Benchmarking and Population Health Improvement Using the T1D Exchange Quality Improvement Portal
Clinical Diabetes
Mungmode, A. and Noor, N. and Weinstock, R.S. and Izquierdo, R. and Indyk, J.A. and DeSalvo, D.J. and Corathers, S. and Demeterco-Berggen, C. and Hsieh, S. and Jacobsen, L.M. and Mekhoubad, A. and Akturk, H.K. and Wirsch, A. and Scott, M.L. and Chao, L.C. and Miyazaki, B. and Malik, F.S. and Ebekozien, O. and Clements, M. and Alonso, G.T.
DOI: 10.2337/cd22-0072
2023Longitudinal Associations of Mental Health Comorbidities With A1C Among Adolescents and Young Adults With Type 1 Diabetes
Diabetes Spectrum
Roberts, A.J. and Carlin, K. and Yi-Frazier, J.P. and Moss, A. and Gupta, M. and Malik, F.S.
DOI: 10.2337/ds22-0076
2023Protocol for the Promoting Resilience in Stress Management (PRISM) intervention: A multi-site randomized controlled trial for adolescents with type 1 diabetes
Contemporary Clinical Trials
O{'}Donnell, M.B. and Scott, S.R. and Ellisor, B.M. and Cao, V.T. and Zhou, C. and Bradford, M.C. and Pihoker, C. and DeSalvo, D.J. and Malik, F.S. and Hilliard, M.E. and Rosenberg, A.R. and Yi-Frazier, J.P.
DOI: 10.1016/j.cct.2022.107017
2023Health Care Transition to Adult Care in Type 1 Diabetes: Associations With Student and Employment Status—The SEARCH for Diabetes in Youth Study
Clinical Diabetes
Majidi, S. and Roberts, A.J. and Suerken, C.K. and Reboussin, B.A. and Malik, F.S. and Marcovina, S.M. and Corathers, S. and Reynolds, K. and Imperatore, G. and Wadwa, R.P. and Pihoker, C.
DOI: 10.2337/cd22-0122
2023Facilitators and Barriers to Smart Insulin Pen Use: A Mixed-Method Study of Multidisciplinary Stakeholders From Diabetes Teams in the United States
Clinical Diabetes
Ospelt, E. and Noor, N. and Sanchez, J. and Nelson, G. and Rioles, N. and Malik, F.S. and Basina, M. and Indyk, J. and Vendrame, F. and Schmitt, J. and Scott, M.L. and Ebekozien, O.
DOI: 10.2337/cd22-0068
2023Exploring Racial and Ethnic Differences in Arterial Stiffness Among Youth and Young Adults With Type 1 Diabetes
Journal of the American Heart Association
Sauder, K.A. and Glueck, D.H. and Harrall, K.K. and D?Agostino, R. and Dolan, L.M. and Lane, A.D. and Liese, A.D. and Lustigova, E. and Malik, F.S. and Marcovina, S. and Mayer-Davis, E. and Mottl, A. and Pihoker, C. and Reynolds, K. and Shah, A.S. and Urbina, E.M. and Wagenknecht, L.E. and Daniels, S.R. and Dabelea, D.
DOI: 10.1161/JAHA.122.028529
2023ISPAD Clinical Practice Consensus Guidelines 2022: The delivery of ambulatory diabetes care to children and adolescents with diabetes
Pediatric Diabetes
Limbert, C. and Tinti, D. and Malik, F. and Kosteria, I. and Messer, L. and Jalaludin, Y.M. and Benitez-Aguirre, P. and Biester, S. and Corathers, S. and von Sengbusch, S. and Marcovecchio, M.L.
DOI: 10.1111/pedi.13417
2022“It Just Kind of Feels Like a Different World Now:” Stress and Resilience for Adolescents With Type 1 Diabetes in the Era of COVID-19
Frontiers in Clinical Diabetes and Healthcare
O?Donnell, M.B. and Hilliard, M.E. and Cao, V.T. and Bradford, M.C. and Barton, K.S. and Hurtado, S. and Duran, B. and Perez, S.G. and Rahman, K.S. and Scott, S. and Malik, F.S. and DeSalvo, D.J. and Pihoker, C. and Zhou, C. and Rosenberg, A.R. and Yi-Frazier, J.P.
DOI: 10.3389/fcdhc.2022.835739
2022The clock is ticking: Parental stress around emerging adulthood for adolescents with type 1 diabetes
Journal of Pediatric Nursing
Yi-Frazier, J.P. and Senturia, K. and Wright, D.R. and Lind, C. and Malik, F.S.
DOI: 10.1016/j.pedn.2021.07.012
2022Inequalities in Glycemic Control in Youth with Type 1 Diabetes Over Time: Intersectionality Between Socioeconomic Position and Race and Ethnicity
Annals of Behavioral Medicine
Liese, A.D. and Reboussin, B.A. and Kahkoska, A.R. and Frongillo, E.A. and Malik, F.S. and Imperatore, G. and Saydah, S. and Bellatorre, A. and Lawrence, J.M. and Dabelea, D. and Mendoza, J.A.
DOI: 10.1093/abm/kaab086
2022Identifying Suicide Risk in Adolescents and Young Adults With Type 1 Diabetes: Are Depression Screeners Sufficient?
Diabetes Care
Moss, A.C. and Roberts, A.J. and Yi-Frazier, J.P. and Read, K.L. and Taplin, C.E. and Weaver, K.W. and Pihoker, C. and Hirsch, I.B. and Malik, F.S.
DOI: 10.2337/dc21-1553
2022Trends in Glycemic Control Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study
Diabetes Care
Malik, F.S. and Sauder, K.A. and Isom, S. and Reboussin, B.A. and Dabelea, D. and Lawrence, J.M. and Roberts, A. and Mayer-Davis, E.J. and Marcovina, S. and Dolan, L. and Igudesman, D. and Pihoker, C.
DOI: 10.2337/dc21-0507
2022Trends in Glycemia between 2002 and 2016 among Incident Youth Cohorts Early in the Course of Type 1 Diabetes: The SEARCH for Diabetes in Youth Study
Journal of Diabetes Research
Igudesman, D. and Reboussin, B.A. and Souris, K.J. and Pihoker, C. and Dolan, L. and Lawrence, J.M. and Saydah, S. and Dabelea, D. and Marcovina, S. and Clouet-Foraison, N. and Malik, F.S. and Mayer-Davis, E.J.
DOI: 10.1155/2022/8554991
2022“It Got Likes, But I Don’t Think People Understood”: A Qualitative Study of Adolescent Experiences Discussing Type 1 Diabetes on Social Media
Journal of Diabetes Science and Technology
Chalmers, K. and Smith, M. and Moreno, M. and Malik, F.
DOI: 10.1177/1932296820965588
2022Resilience and Diabetes Distress at 3 Months Following Diagnosis Predict A1C Trajectories in Youth With Type 1 Diabetes: An Argument for Early Intervention
Journal of Pediatric Psychology
Scott, S.R. and O{'}donnell, M. and Manczak, E.M. and Fladeboe, K. and Ellisor, B. and Rosenberg, A.R. and Malik, F.S. and Yi-Frazier, J.P.
DOI: 10.1093/jpepsy/jsac046
2022Household food insecurity is associated with diabetic ketoacidosis but not severe hypoglycemia or glycemic control in youth and young adults with youth-onset type 2 diabetes
Pediatric Diabetes
Reid, L.A. and Mendoza, J.A. and Merchant, A.T. and Geraci, M. and Reboussin, B.A. and Malik, F.S. and Ellyson, A.M. and Dabelea, D. and Merjaneh, L. and Marcovina, S.M. and Lustigova, E. and Lawrence, J.M. and Liese, A.D.
DOI: 10.1111/pedi.13386
2022Screening for Mental Health Comorbidities in a Pediatric Diabetes Clinic Setting
Clinical Diabetes
Alissa J. Roberts and Dwight Barry and Joyce Yi-Frazier and Lori Rutman and Catherine Pihoker and Faisal Saleem Malik
DOI: 10.2337/cd20-0037
01/2021Adapting to telemedicine in the COVID-19 era: Feasibility of dried blood spot testing for hemoglobin A1c
Diabetes and Metabolic Syndrome Clinical Research and Reviews
Roberts, A.J. and Malik, F. and Pihoker, C. and Dickerson, J.A.
DOI: 10.1016/j.dsx.2021.02.010
2021Ethically incentivising healthy behaviours: Views of parents and adolescents with type 1 diabetes
Journal of Medical Ethics
Shah, S. and Malik, F. and Senturia, K.D. and Lind, C. and Chalmers, K. and Yi-Frazier, J. and Pihoker, C. and Wright, D.
DOI: 10.1136/medethics-2020-106428
2021Changes to care delivery at nine international pediatric diabetes clinics in response to the COVID-19 global pandemic
Pediatric Diabetes
Sarteau, A.C. and Souris, K.J. and Wang, J. and Ramadan, A.A. and Addala, A. and Bowlby, D. and Corathers, S. and Forsander, G. and King, B. and Law, J.R. and Liu, W. and Malik, F. and Pihoker, C. and Seid, M. and Smart, C. and Sundberg, F. and Tandon, N. and Yao, M. and Headley, T. and Mayer-Davis, E.
DOI: 10.1111/pedi.13180
2021Augmenting Traditional Support Groups for Adolescents with Type 1 Diabetes Using Instagram: Mixed Methods Feasibility Study
Jmir Diabetes
Malik, F.S. and Lind, C. and Duncan, S. and Mitrovich, C. and Pascual, M. and Yi-Frazier, J.P.
DOI: 10.2196/21405
2021Mental health comorbidities in adolescents and young adults with type 2 diabetes
Journal of Pediatric Nursing
Roberts, A.J. and Bao, H. and Qu, P. and Moss, A. and Kim, G. and Yi-Frazier, J.P. and Pihoker, C. and Malik, F.
DOI: 10.1016/j.pedn.2021.07.028
2021Inequities in health outcomes in children and adults with type 1 diabetes: Data from the T1D exchange quality improvement collaborative
Clinical Diabetes
Majidi, S. and Ebekozien, O. and Noor, N. and Lyons, S.K. and McDonough, R. and Gandhi, K. and Izquierdo, R. and Demeterco-Berggren, C. and Polsky, S. and Basina, M. and Desimone, M. and Thomas, I. and Rioles, N. and Jimenez-Vega, J. and Malik, F.S. and Miyazaki, B. and Albanese-O?Neill, A. and Jones, N.-H.Y.
DOI: 10.2337/cd21-0028
2021Adoption of Telemedicine for Type 1 Diabetes Care during the COVID-19 Pandemic
Diabetes Technology and Therapeutics
Lee, J.M. and Carlson, E. and Albanese-O{'}Neill, A. and Demeterco-Berggren, C. and Corathers, S.D. and Vendrame, F. and Weinstock, R.S. and Prahalad, P. and Alonso, G.T. and Kamboj, M. and Desalvo, D.J. and Malik, F.S. and Izquierdo, R. and Ebekozien, O.
DOI: 10.1089/dia.2021.0080
2021Driving Safety in Adolescents and Young Adults With Type 1 Diabetes
Diabetes Spectrum
Alissa J. Roberts and Ashley Moss and Faisal S. Malik and Craig Taplin and Catherine Pihoker and Irl B. Hirsch and Kendra Read and Joyce P. Yi-Frazier
DOI: 10.2337/ds20-0021
11/2020Augmenting Traditional Support Groups for Adolescents With Type 1 Diabetes Using Instagram: Mixed Methods Feasibility Study (Preprint)
Faisal S Malik and Cara Lind and Sarah Duncan and Connor Mitrovich and Michael Pascual and Joyce P Yi-Frazier
DOI: 10.2196/preprints.21405
06/2020Adolescent and parent perspectives on the acceptability of financial incentives to promote self-care in adolescents with type 1 diabetes
Pediatric Diabetes
Faisal S. Malik and Kirsten D. Senturia and Cara D. Lind and Kristen D. Chalmers and Joyce P. Yi-Frazier and Seema K. Shah and Catherine Pihoker and Davene R. Wright
DOI: 10.1111/pedi.12970
05/2020Receipt of recommended complications and comorbidities screening in youth and young adults with type 1 diabetes: Associations with metabolic status and satisfaction with care
Pediatric Diabetes
Faisal S. Malik and Jeanette M. Stafford and Beth A. Reboussin and Georgeanna J. Klingensmith and Dana Dabelea and Jean M. Lawrence and Elizabeth Mayer-Davis and Sharon Saydah and Sarah Corathers and Catherine Pihoker
DOI: 10.1111/pedi.12948
03/2020Adolescent Perspectives on the Use of Social Media to Support Type 1 Diabetes Management: Focus Group Study
Journal of Medical Internet Research
Faisal S Malik and Neil Panlasigui and Jesse Gritton and Harsimrat Gill and Joyce P Yi-Frazier and Megan A Moreno
DOI: 10.2196/12149
05/2019Perspectives on Smartphone Ownership and Use by Early Adolescents
Journal of Adolescent Health
Megan A. Moreno and Bradley R. Kerr and Marina Jenkins and Esther Lam and Faisal S. Malik
DOI: 10.1016/j.jadohealth.2018.08.017
04/2019Longitudinal Phenotypes of Type 1 Diabetes in Youth Based on Weight and Glycemia and Their Association with Complications
Journal of Clinical Endocrinology and Metabolism
Kahkoska, A.R. and Nguyen, C.T. and Adair, L.A. and Aiello, A.E. and Burger, K.S. and Buse, J.B. and Dabelea, D. and Dolan, L.M. and Malik, F.S. and Mottl, A.K. and Pihoker, C. and Reboussin, B.A. and Sauder, K.A. and Kosorok, M.R. and Mayer-Davis, E.J.
DOI: 10.1210/jc.2019-00734
2019Improving the Care of Youth With Type 1 Diabetes With a Novel Medical-Legal Community Intervention: The Diabetes Community Care Ambassador Program
The Diabetes Educator
Faisal S. Malik and Joyce P. Yi-Frazier and Craig E. Taplin and Christian L. Roth and Kathryn B. Whitlock and Waylon Howard and Catherine Pihoker
DOI: 10.1177/0145721717750346
04/2018Patient Characteristics Associated with Differences in Admission Frequency for Diabetic Ketoacidosis in United States Children's Hospitals
The Journal of Pediatrics
Faisal S. Malik and Matt Hall and Rita Mangione-Smith and Ron Keren and Sanjay Mahant and Samir S. Shah and Rajendu Srivastava and Karen M. Wilson and Joel S. Tieder
DOI: 10.1016/j.jpeds.2015.12.015
04/2016A common thread: Pediatric advocacy training
Pediatrics
Schwarz, K. and Sisk, B. and Schreiber, J. and Malik, F.
DOI: 10.1542/peds.2014-2675
2015DENTAL ANXIETY AMONG CHILDREN OF AGE BETWEEN 5 TO 10 YEARS VISITING A TEACHING DENTAL HOSPITAL IN ISLAMABAD, PAKISTAN
Journal of Ayub Medical College Abbottabad JAMC
Raja, G.H. and Malik, F.S. and Bashir, U. and Attaullah
2015Using instagram as a modified application of photovoice for storytelling and sharing in adolescents with type 1 diabetes
Qualitative Health Research
Yi-Frazier, J.P. and Cochrane, K. and Mitrovich, C. and Pascual, M. and Buscaino, E. and Eaton, L. and Panlasigui, N. and Clopp, B. and Malik, F.
DOI: 10.1177/1049732315583282
2015Insulin therapy in children and adolescents with type 1 diabetes
Pediatric Drugs
Malik, F.S. and Taplin, C.E.
DOI: 10.1007/s40272-014-0064-6
2014Variation in resource use and readmission for diabetic ketoacidosis in children's hospitals
Pediatrics
Tieder, J.S. and McLeod, L. and Keren, R. and Luan, X. and Localio, R. and Mahant, S. and Malik, F. and Shah, S.S. and Wilson, K.M. and Srivastava, R.
DOI: 10.1542/peds.2013-0359
2013 - Research
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Achieving Health in Emerging Adults with Diabetes (AHEAD) Program
The majority of emerging adults (EAs) with type 1 diabetes (T1D) do not meet glycemic targets and experience suboptimal psychosocial outcomes. Few evidence-based interventions exist for this group, and fewer still target health care transition (HCT) readiness to support successful transition to independence with chronic disease management. To assist EAs in effectively managing the stressors and challenges of T1D in the context of their everyday lives, we need interventions that are innovative, developmentally targeted, and feasible to implement in the clinical setting.
Grounded in the self-determination theory of motivation and the Six Core Elements of HCT, the Achieving Health in Emerging Adults with Diabetes (AHEAD) Program is designed to meet the diabetes self-management, psychosocial, and HCT needs of EAs. The AHEAD Program works to meet EA needs by (1) providing tailored education based on self-identified gaps in diabetes knowledge, insulin management, and nutrition skills; (2) identifying and addressing psychological comorbidities through integrated mental health screening and care provided by an embedded AHEAD Program psychologist; (3) meeting HCT needs by delivering health care navigation education by an embedded AHEAD Program social worker; and (4) structuring visits to support a gradual transfer of responsibilities from the caregiver to the EA. In a large single-arm study conducted with real-world providers, the AHEAD Program improved hemoglobin A1c (A1C) and reduced diabetes distress in EAs with T1D.
Our grant funded by Breakthrough T1D (PI: Faisal Malik) builds on our prior experience and promising preliminary AHEAD Program results to carry out a comprehensive hybrid type 1 effectiveness-implementation study to determine: (1) the AHEAD Program’s effectiveness in improving glycemia and psychosocial outcomes in a pragmatic randomized controlled trial; (2) barriers and facilitators to AHEAD Program implementation and program fidelity in different clinical environments, from the perspectives of EAs and the diabetes care team; and (3) whether the AHEAD Program is cost-effective. If the AHEAD Program improves EA diabetes outcomes and is feasible to implement in different contexts, this study will result in a promising, scalable intervention that enhances the long-term health trajectory of this vulnerable population and offer an opportunity to expand the standards of care for EAs with T1D and their families.InvesT1D: Promoting Adolescent Investment in Diabetes Care
Instilling healthy type 1 diabetes (T1D) management practices in adolescence can set a pattern into adulthood, improving long-term health while reducing future burden on patient and family quality of life, adolescent psychosocial development, and the health care system. Health psychology and economics research suggest that financial incentives can increase adolescent adherence to T1D self-management regimens.
Through a partnership with colleagues at Harvard University, we developed InvesT1D, a flexible, patient centered incentives intervention based on rigorous developmental research that included qualitative, ethical, and stated preference analyses. A pilot randomized controlled trial (RCT) demonstrated that InvesT1D was effective at improving adherence to self-management goals and time-in-range among adolescents using continuous glucose monitoring systems.
In this funded trial (PI: Davene Wright), we are working to determine the most efficacious financial incentive structure and to evaluate InvesT1D’s impact on time-in-range, HbA1c, adverse events, long-term health, diabetes distress, family conflict, health care utilization, and adolescent and caregiver quality of life. Our interdisciplinary team’s innovative approach includes an RCT, trial- and model- based economic evaluations (from the payer, health care, and societal perspectives), a policy analysis, the development of a decision support dashboard, and qualitative interviews with patient, health care payer, and health care delivery system stakeholders. Methodologic contributions of the InvesT1D study can make a significant contribution to the scientific approach for developing incentive interventions for a range of behavioral health-related conditions.SEARCH Food Security Study
Youth and young adults with type 1 diabetes (T1D) or type 2 diabetes (T2D) experiencing higher rates of food insecurity than the general population. Qualitative and quantitative research increasingly suggests that food insecurity varies greatly day-to-day, across seasons, and in length from intermittent to persistent. Many of food insecurity’s sequelae, as well as behaviors impacting diabetes self-management (e.g., mental health, nutrition, physical activity) are also highly dynamic across short periods of time.
While conventional epidemiologic cohorts excel at capturing long-term experiences, they fall short in identifying day-to-day variation in food insecurity and its sequelae, and in characterizing the context of an individual’s experience of being food insecure. Thus, in collaboration with colleagues at the University of South Carolina, University of Colorado, and Seattle Children’s, we are involved in the continuation of the SEARCH Food Security Cohort Study (mPIs: Angela Liese and Jay Mendoza) to identify the temporal causal cascades and actionable and acceptable interventions for eliminating food insecurity.
The second phase of the SEARCH Food Security Cohort Study is a longitudinal mixed methods study that works to: (1) evaluate differences in real-time glycemic control between participants with varying levels of food insecurity, assessed by average daily time in range (TIR) via CGM over two 14-day time periods spaced 9 months apart; (2) evaluate the within-participant impact of food insecurity on TIR and intermediate paths using EMA methods, including dynamic structural equation models; (3) use longitudinal, qualitative methods to concurrently and deeply characterize the context of a subgroup of participants’ food insecurity experience and coping process through in-depth, one-on-one, repeated semi-structured interviews over 9 months. The study’s findings will contribute to future interventions and policies that are designed to interrupt the cycle of food insecurity and poor glycemic control and are effective for and acceptable to young people with diabetes.GrantsPrimary Investigator. Pediatric Adolescent Transition Clinic. Funding Source: Forest Foundation & Sequoia Foundation
Site Primary Investigator. Impact of Disparities in Food Security on Glycemic Control and Health Care Utilization Among Youth and Young Adults with Diabetes. Funding Source: National Institutes of Health NIDDK
Site Primary Investigator. InvesT1D: Promoting Adolescent Investment in Diabetes Care. Funding Source: National Institutes of Health NIDDK
Primary Investigator. Achieving Health in Emerging Adults with Diabetes Program. Funding Source: Breakthrough T1D
Site Primary Investigator. Promoting Adolescent Investment in Diabetes Care. Funding Source: American Diabetes Association
Co-Investigator. Impact of Disparities in Food Security on Glycemic Control and Health Care Utilization Among Youth and Young Adults with Diabetes. Funding Source: NIH National Institute of Diabetes and Digestive and Kidney Diseases
Primary Investigator. Leveraging Social Media to Improve Health Outcomes in Adolescents with Diabetes. Funding Source: National Institutes of Health NIDDK
Co-Investigator. Promoting Resilience in Stress Management (PRISM): A Multisite Randomized Control Trial in Adolescents with Diabetes. Funding Source: National Institutes of Health NIDDK
Site Primary Investigator. T1D Exchange Quality Improvement Collaborative. Funding Source: T1D Exchange
Co-Investigator. Safety and Effectiveness of the Omnipod 5 System Compared to Pump Therapy in the Treatment of Type 1 Diabetes: A Randomized, Parallel-Group Clinical Trial. Funding Source: Insulet Corporation
Site Primary Investigator. INHALE-1. Funding Source: Jaeb Center for Health Research
Honours & Awards2022 - Outstanding Pediatric Principal Investigator Award, T1D Exchange
2019 - Pediatric Research Loan Repayment Program Award, National Institutes of Health
2019 - Best Oral Presentation, International Society for Pediatric and Adolescent Diabetes Conference
2016 - Mentored Scholar Award, Seattle Children’s Research Institute
2012 - Special Achievement Award, American Academy of Pediatrics
2012 - Outstanding Peer Teacher Award, University of Washington Department of Pediatrics
2009 - Arthur W. Wright Award, Albany Medical College
2009 - Harold C. Wiggers Award, Albany Medical College
2008 - Gold Humanism Honor Society, Albany Medical College
Congratulations to the 2025 Outstanding Achievement recipients
The Outstanding Achievement Award recognizes the remarkable accomplishments of our trainees in research aimed at improving the health and well-being of children and families. Generously funded by the BC Children’s Hospital Foundation, this program plays a pivotal role in acknowledging and nurturing excellence within our research community. Each year, awards are given to trainees whose research skills and analytical abilities demonstrate strong potential to contribute meaningfully to the scientific community.
