Faisal Malik

MD, MSc

Investigator, BC Children's Hospital Research Institute
Head, Division of Endocrinology, Diabetes, & Gender, Department of Pediatrics, University of British Columbia

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.

Academic Affiliations

  • Clinical Associate Professor, Division of Endocrinology, Diabetes and Gender, Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation
  • Research Group(s): Clinical Practice, Outcomes and Innovation; Diabetes

Contact Information

Location

4480 Oak Street, Vancouver, British Columbia, Canada, V6H 3V4

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

Reassessing 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

Financial 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

Association 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

The 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

Current 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

Promoting 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

Incorporating 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

Improving 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

Depression 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

Institutional 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

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

Household 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

Adolescent-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

The 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

Erratum: 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

Use 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

Self-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

Preconception 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

Prevalence 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

Making 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

Longitudinal 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

Protocol 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

Health 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

Facilitators 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

Exploring 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

ISPAD 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

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

The 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

Inequalities 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

Identifying 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

Trends 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

Trends 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

It Got Likes, But I Dont 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

Resilience 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

Household 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

Screening 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 / 2021

Adapting 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

Ethically 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

Changes 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

Augmenting 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

Mental 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

Inequities 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

Adoption 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

Driving 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 / 2020

Augmenting 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 / 2020

Adolescent 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 / 2020

Receipt 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 / 2020

Adolescent 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 / 2019

Perspectives 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 / 2019

Longitudinal 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

Improving 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 / 2018

Patient Characteristics Associated with Differences in Admission Frequency for Diabetic Ketoacidosis in UnitedStatesChildren'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 / 2016

A common thread: Pediatric advocacy training

Pediatrics

Schwarz, K. and Sisk, B. and Schreiber, J. and Malik, F.

DOI: 10.1542/peds.2014-2675

DENTAL 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

Using 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

Insulin 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

Variation 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

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.

Grants

Primary 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 & Awards

2022 - 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

Our Research

At BC Children’s, we are making discoveries that save lives and transform health care for children in our province and around the world. Our research portfolio includes basic, clinical, population, and public health research.

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