Katharine Garvey

Katharine Garvey, MD, MPH, completed fellowships in pediatric endocrinology at Boston Children’s Hospital (BCH) and Pediatric Health Services Research at Harvard and obtained an MPH degree from the Harvard T.H. Chan School of Public Health. She recently completed a K23 award from NIH/NIDDK. Dr. Garvey’s research has focused on understanding and improving the process of transition from pediatric to adult care for youth with T1D. She designed survey measures to systematically analyze the transition care process from varied perspectives and published results from pre- and post-transition patient cohorts (both local and national) as well as providers (national samples of endocrinologists and diabetes educators). She also studied patterns of health care utilization and outcomes in the claims dataset environment. She has helped lay the groundwork in the U.S. literature on diabetes care transitions demonstrating that many youth transition out of pediatric diabetes care without appropriate follow-up or adequate preparation to ensure the skills and knowledge needed to succeed in an adult-oriented system. She has also developed expertise in qualitative research and has used this to develop relevant and effective interventional approaches. She recently completed a pilot randomized controlled trial implementing and evaluating a longitudinal, nurse-led peer group education curriculum (SMART T1D) for diabetes self-care and transition preparation education in teens with uncontrolled T1D. Dr. Garvey’s future work will continue to test hypotheses related to the positive impact of patient engagement curricula on adherence and glycemic control.

Specialties

• Type 1 Diabetes

Departments

• Division of Endocrinology
• Department of Pediatrics

EDUCATION

Medical School

• Harvard Medical School , 2004 , Boston , MA

Internship

Pediatrics Boston Combined Residency Program (BCRP) , 2005 , Boston , MA

Residency

Pediatrics Boston Combined Residency Program (BCRP) , 2007 , Boston , MA

Residency

Chief Resident Boston Combined Residency Program (BCRP) , 2008 , Boston , MA

Fellowship

Pediatric Endocrinology Boston Children's Hospital , 2011 , Boston , MA

PUBLICATIONS

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• Hispanic Caregivers' experience of pediatric type 1 diabetes: A qualitative study. Pediatr Diabetes. 2021 11; 22(7):1040-1050.
• Health Care Transition in Youth With Type 1 Diabetes and an A1C >9%: Qualitative Analysis of Pre-Transition Perspectives. Diabetes Spectr. 2020 Nov; 33(4):331-338.
• Safety Protocols for Adolescent Substance Use Research in Clinical Settings. J Adolesc Health. 2021 05; 68(5):999-1005.
• Health Care Transition in Type 1 Diabetes: Perspectives of Diabetes Care and Education Specialists Caring for Young Adults. Diabetes Educ. 2020 06; 46(3):252-260.
• Improving pediatric endocrinology trainees' knowledge about insulin pumps and continuous glucose monitors with online spaced education: Technology Knowledge Optimization in T1D (TeKnO T1D). Pediatr Diabetes. 2020 08; 21(5):814-823.
• A Practice in Maturation: Current Perspectives on the Transition from Pediatric to Adult Care for Young Adults with Diabetes. Curr Diab Rep. 2019 11 14; 19(11):126.
• Screening and Counseling for Alcohol Use in Adolescents With Chronic Medical Conditions in the Ambulatory Setting. J Adolesc Health. 2019 06; 64(6):804-806.
• Pediatric Endocrinology Trainees' Education and Knowledge About Insulin Pumps and Continuous Glucose Monitors. Diabetes Technol Ther. 2019 03; 21(3):105-109.
• ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes. 2018 10; 19 Suppl 27:250-261.
• Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association. Diabetes Care. 2018 09; 41(9):2026-2044.
• Transitions in Care from Pediatric to Adult Health Care Providers: Ongoing Challenges and Opportunities for Young Persons with Diabetes. Endocr Dev. 2018; 33:68-81.
• Preparation for Transition to Adult Care Among Medicaid-Insured Adolescents. Pediatrics. 2017 Jul; 140(1).
• Fertility and sexual function: a gap in training in pediatric endocrinology. J Pediatr Endocrinol Metab. 2017 Jan 01; 30(1):3-10.
• Health Care Transition Preparation and Experiences in a U.S. National Sample of Young Adults With Type 1 Diabetes. Diabetes Care. 2017 Mar; 40(3):317-324.
• Perspectives on care for young adults with type 1 diabetes transitioning from pediatric to adult health systems: A national survey of pediatric endocrinologists. Pediatr Diabetes. 2017 Nov; 18(7):524-531.
• A Screening Tool for Assessing Alcohol Use Risk among Medically Vulnerable Youth. PLoS One. 2016; 11(5):e0156240.
• Health Care Transition in Young Adults With Type 1 Diabetes: Perspectives of Adult Endocrinologists in the U.S. Diabetes Care. 2016 Feb; 39(2):190-7.
• Development and Validation of the Adolescent Assessment of Preparation for Transition: A Novel Patient Experience Measure. J Adolesc Health. 2015 Sep; 57(3):282-7.
• The Impact of Technology on Current Diabetes Management. Pediatr Clin North Am. 2015 Aug; 62(4):873-88.
• Developmental changes in the roles of patients and families in type 1 diabetes management. Curr Diabetes Rev. 2015; 11(4):231-8.
• Experiences of health care transition voiced by young adults with type 1 diabetes: a qualitative study. Adolesc Health Med Ther. 2014; 5:191-8.
• Humanism and professionalism education for pediatric hematology-oncology fellows: A model for pediatric subspecialty training. Pediatr Blood Cancer. 2015 02; 62(2):335-340.
• Graduate medical education in humanism and professionalism: a needs assessment survey of pediatric gastroenterology fellows. J Pediatr Gastroenterol Nutr. 2014 Jan; 58(1):34-7.
• Transition and transfer of adolescents and young adults with pediatric onset chronic disease: the patient and parent perspective. J Pediatr Rehabil Med. 2014; 7(1):43-51.
• Patient-provider relationships across the transition from pediatric to adult diabetes care: a qualitative study. Diabetes Educ. 2014 Jan-Feb; 40(1):40-7.
• Health care transition in young adults with type 1 diabetes: barriers to timely establishment of adult diabetes care. Endocr Pract. 2013 Nov-Dec; 19(6):946-52.
• Transition experiences and health care utilization among young adults with type 1 diabetes. Patient Prefer Adherence. 2013; 7:761-9.
• Transition to adult care for youth with type 1 diabetes. Curr Diab Rep. 2012 Oct; 12(5):533-41.
• Health care transition in patients with type 1 diabetes: young adult experiences and relationship to glycemic control. Diabetes Care. 2012 Aug; 35(8):1716-22.