This study is designed to compare two behavioral approaches to reduce diabetes distress ("the expected burdens, concerns, fears, and threats that arise from the challenges of living with diabetes") in adults with type 1 diabetes. At the study baseline, participants will be randomized to take part in one of two virtual, group-based interventions (the "Primary" intervention) utilizing either an emotions-focused or a problem-solving approach to reduce diabetes distress. After the initial intervention, participants will complete surveys to assess their response to the material. Participants who are determined to be "non-responders" (i.e., the Primary intervention was not effective) will be re-randomized to one of two "Supplementary" interventions, which will include individualized sessions to learn and/or practice strategies related to either the psychological or problem-solving approach.
Adults 30 years and older
Type 1 diabetes OR latent autoimmune diabetes in adults (LADA) clinically managed as type 1 diabetes
Elevated diabetes distress, defined as a score >= 2.0 on the T1-DDAS core scale
English speaking
Does not receive diabetes care at UNC Endocrinology at Eastowne
Cannot commit to the pre-scheduled weekly, virtual sessions
Diagnosis of any major medical or psychiatric condition that would preclude participation
Diagnosis of dementia or other conditions that affect memory or information retention, such as cognitive impairment
University of North Carolina, Chapel Hill
Lead sponsor
American Diabetes Association
Collaborator