University of Southern California
University of Southern California

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Helmsley Type 1 Diabetes Transition “Let’s Empower and Prepare” (LEAP) Program

Principal Investigator: Beth Pyatak PhD, OTR/L, CDCES, FAOTA

February 2011 to December 2013 | Total funding $1,119,060

Funding sourceAmount

Leona M. and Harry B. Helmsley Charitable Trust (32010PG-T1D011) $1,119,060

Adolescence is a period of many physical, social, and psychological changes, and maintaining control of type 1 diabetes (T1D) and understanding the healthcare system is often not a priority. Diabetes-related health outcomes worsen during adolescence, with poor adherence to insulin therapy and blood glucose testing and poor glycemic control being common among this group. The LEAP transition education curriculum is based primarily on Self-Determination Theory, predominantly in promoting the autonomous motivation of adolescents with diabetes to engage in beneficial self-care activities. The project as outlined, in the specific aims, consists of the development and implementation of a empowerment-based transition program for adolescents and young adults with T1D known as LEAP, “Let’s Empower and Prepare.” The study was divided into 2 phases: Developmental Phase, 1 year and Implementation Phase, 2 years. The study examined the efficacy of a new process of care aimed at empowering adolescents from underserved urban communities.


Journal Articles

Weigensberg, M. J., Vigen, C., Sequeira, P., Spruijt-Metz, D., Juarez, M., Florindez, D., Provisor, J., Peters, A., & Pyatak, E. A. (2018). Diabetes Empowerment Council: Integrative Pilot Intervention for Transitioning Young Adults With Type 1 Diabetes. Global Advances in Health and Medicine, 7, 2164956118761808. Show abstract

Pyatak, E. A., Sequeira, P. A., Vigen, C. L., Weigensberg, M. J., Wood, J. R., Montoya, L., Ruelas, V., & Peters, A. L. (2017). Clinical and psychosocial outcomes of a structured transition program among young adults with type 1 diabetes. Journal of Adolescent Health, 60(2), 212-218. Show abstract

Sequeira, P. A., Pyatak, E. A., Weigensberg, M. J., Vigen, C. P., Wood, J. R., Ruelas, V., Montoya, L., Cohen, M., Speer, H., Clark, S., & Peters, A. L. (2015). Let's Empower and Prepare (LEAP): Evaluation of a structured transition program for young adults with type 1 diabetes. Diabetes Care, 38(8), 1412-1419. Show abstract

Pyatak, E. A., Sequeira, P. A., Whittemore, R., Vigen, C. P., Peters, A. L., & Weigensberg, M. J. (2014). Challenges contributing to disrupted transition from paediatric to adult diabetes care in young adults with type 1 diabetes. Diabetic Medicine, 31(12), 1615-1624. Show abstract

Pyatak, E. A., Sequeira, P., Peters, A. L., Montoya, L., & Weigensberg, M. J. (2013). Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes. Diabetic Medicine, 30(9), 1140-1144. Show abstract