[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100607814":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":25,"locations":26,"responsibleParty":83,"collaborators":25,"id":85,"slug":86,"hasResults":87,"nctId":88,"briefTitle":89,"officialTitle":89,"acronym":25,"eligibilityCriteria":90,"healthyVolunteers":87,"sex":91,"minAge":92,"maxAge":25,"enrollmentInfo":93,"targetDuration":25,"studyType":96,"phases":97,"briefSummary":99,"conditions":100,"keywords":25,"overallStatus":29,"whyStopped":25,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"Guy's and St Thomas' NHS Foundation Trust","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Enhanced Usual Care (EUC)","ACTIVE_COMPARATOR","This arm of the study involves health care professionals e-learning training in and delivery of EUC for the detection and management of diabetes distress.",[13],"Behavioral: D-stress study: The detection, prevention and management of diabetes distress for adults living with type 1 diabetes.",{"label":15,"type":16,"description":17,"interventionNames":18},"REDUCE Programme Intervention","EXPERIMENTAL","REDUCE intervention is an online group 6 session programme for the management of elevated diabetes distress.",[13],[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","D-stress study: The detection, prevention and management of diabetes distress for adults living with type 1 diabetes.","Enhanced Usual Care intervention aims to train health care professionals to detect and prevent, and manage diabetes distress in routine diabetes care, in the UK NHS. The REDUCE programme aims to prevent and manage elevated diabetes distress.",[9,15],null,[27,50,67],{"facility":28,"status":29,"city":30,"state":25,"zip":25,"country":31,"countryCode":32,"cosmosGeoPoint":33,"geoPoint":38,"contacts":39},"Royal United Hospitals Bath","RECRUITING","Bath","United Kingdom","UK",{"type":34,"coordinates":35},"Point",[36,37],-2.36172,51.3751,{"lat":37,"lon":36},[40,45,48],{"name":41,"role":42,"phone":43,"phoneExt":25,"email":44},"Sarah Stratton","CONTACT","+441225 826192","sarah.stratton@nhs.net",{"name":46,"role":42,"phone":43,"phoneExt":25,"email":47},"Kate Hardenberg","kate.hardenberg@nhs.net",{"name":46,"role":49,"phone":25,"phoneExt":25,"email":25},"PRINCIPAL_INVESTIGATOR",{"facility":51,"status":29,"city":52,"state":25,"zip":53,"country":31,"countryCode":32,"cosmosGeoPoint":54,"geoPoint":58,"contacts":59},"University Hospitals Leicester NHS Trust","Leicester","LE1 7RH,",{"type":34,"coordinates":55},[56,57],-1.13169,52.6386,{"lat":57,"lon":56},[60,64,65],{"name":61,"role":42,"phone":62,"phoneExt":25,"email":63},"Pratik Professor Choudhary","+441162584874","pratik.choudhary@leicester.ac.uk",{"name":25,"role":42,"phone":25,"phoneExt":25,"email":63},{"name":66,"role":49,"phone":25,"phoneExt":25,"email":25},"Pratik Choudhary",{"facility":68,"status":29,"city":69,"state":25,"zip":25,"country":31,"countryCode":32,"cosmosGeoPoint":70,"geoPoint":74,"contacts":75},"Guy's and St Thomas' Hospitals NHS Trust","London",{"type":34,"coordinates":71},[72,73],-0.12574,51.50853,{"lat":73,"lon":72},[76,80],{"name":77,"role":42,"phone":78,"phoneExt":25,"email":79},"Sufyan Hussain","+442071881929","sufyan.hussain@kcl.ac.uk",{"name":81,"role":42,"phone":78,"phoneExt":25,"email":82},"Jiha Jeong","J.Jeong@nhs.net",{"type":84,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100607814","optimising-the-delivery-of-diabetes-distress-informed-care-for-its-prevention-detection-and-management-in-adults-with-type-1-diabetes-a-feasibility-study-d-stress-study-100607814",false,"NCT07193446","Optimising the Delivery of Diabetes Distress Informed Care for Its Prevention, Detection, and Management in Adults With Type 1 Diabetes: a Feasibility Study (D-stress Study)","Inclusion Criteria:\n\nAdults with type 1 diabetes\n\n* People aged 18 years old and older\n* With a T1DM diagnosis of more than one year\n* Who used a Continuous Glucose Monitoring device 3 months prior to trial entry\n\nHealth care professionals\n\n* Members of the multidisciplinary diabetes team\n* Who would like and be able to undertake training in Enhanced Usual Care (EUC)\n\nFamily or friend\n\n* People aged 18 years or older\n* Is involved with the care of the participant\n* The participant has consented to the family member or friend to be involved in the study\n\nREDUCE Facilitators\n\n• Eligibility as per the role specification in Section 6.2.2 of study Protocol\n\nExclusion Criteria:\n\nAdults with type 1 diabetes\n\n* Exclusion criteria will include those adults diagnosed less than one year ago. This is because the first 12 months following a diagnosis of T1DM is a period of unique stress due to the diagnosis, the acute onset, and requirement to learn complex new skills. Additionally, due to the honeymoon period, which can typically last up to a year, there is variety in the physiological trajectory which might have an impact that would be difficult to measure and account for in this study(Sokołowska, Chobot et al. 2016).\n* Women who are pregnant. This is because the additional burdens and anxieties this population is confronted with may risk confounding the trial findings\n* Exclusion of adults with current mental health diagnoses with current symptoms (e.g. psychosis or substance abuse or severe depression), will be evaluated and determined on a case-by-case basis by clinical care teams.\n\nHealth care professionals • People who are unwilling or unable to take on additional workload associated with D-stress e-learning and delivery of Enhanced Usual Care.\n\nFamily or friend\n\n• Participant with type 1 diabetes has not given consent for a family member or friend to participate in the study\n\nREDUCE Facilitators\n\n* • Professional accreditation with one of the following professional bodies: Nursing \\& Midwifery Council, Health \\& Care Professionals Council, British Association for Counselling \\& Psychotherapy, and UK Council for Psychotherapy.\n* Professional or personal understanding of Type 1 diabetes\n* Professional or personal understanding of NHS diabetes care and guidelines\n* Professional or personal understanding of diabetes distress\n* Professional understanding of mental and emotional health\n* Professional experience of in-person and\u002For online group facilitation especially in managing diverse needs within a group and the expression of strong emotions\n* Willingness to be a research participant","ALL","18 Years",{"count":94,"type":95},110,"ESTIMATED","INTERVENTIONAL",[98],"NA","Up to one in two adults with type 1 diabetes find living with and managing diabetes to be emotionally challenging. This 'emotional side' of diabetes - feeling worried, frustrated, overwhelmed, sad, burnt-out - is called diabetes distress. It affects people's quality of life and can hinder them from managing their diabetes as well as they can.\n\nIn the UK, the NHS needs to better understand how to best support people feeling emotionally burdened by diabetes. So, we have worked with diabetes distress specialists around the world to develop an NHS pathway to care for diabetes distress. This pathway to care involves training diabetes teams to recognise, assess and talk about diabetes distress at routine appointments. If people have a high diabetes distress level, they may be able to take part in an online group program to help them manage their type 1 diabetes and emotions. The feasibility study will test this pathway to care with people with type 1 diabetes in the NHS setting.",[101],"Diabetes Type 1","2025-11-26",{"date":104,"type":105},"2025-12-04","ACTUAL",{"date":107,"type":105},"2025-10-31",{"date":109,"type":95},"2026-09-01",{"name":5,"class":6},3]