Remedy to Diabetes Distress (R2D2): A Scalable Screen to Treat Program for School-age Families
Nemours Children's Clinic
Summary
This R01 is in response to RFA-DK-19-021, Treating Diabetes Distress to Improve Glycemic Outcomes in Type 1 Diabetes. The objective is to test the feasibility and acceptability of a novel, practical, and potentially scalable screen to treat program for diabetes distress in families of school-age children with T1D (called Remedy to Diabetes Distress \[R2D2\]) and to test the initial efficacy of R2D2 to reduce diabetes distress to improve children's glycemic control.
Description
Only 22% of school-age children with type 1 diabetes (T1D) achieve an HbA1c of \<7.5% while the majority of school-age children who exceed this target are at higher risk for T1D-related complications. Achieving optimal T1D self-care is the only direct pathway to better HbA1c and even with the addition of modern therapeutic modalities (e.g., hybrid closed loop), it is a complex, time-consuming, and relentless task. School-age children cannot effectively manage T1D alone and require help from their parents to participate in daily T1D self-care. The research suggests that both parents and youth w…
Eligibility
- Age range
- 8–65 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * child age between 8-12 years, physician confirmed T1D diagnosis, * either the child or the parent or both the child and parent report diabetes distress levels at or above clinical cut-points, * child is on an intensive insulin regimen (pump or MDI). Exclusion Criteria: * children on a conventional insulin regimen, children and/or parents who do not report diabetes distress levels at or above the clinical cut-points, * children who have an allergy or sensitivity to the adhesive and/or skin preparation used for CGM, children with a comorbid chronic condition (e.g., renal…
Interventions
- BehavioralR2D2 mHealth intervention
R2D2 mHealth treatment will use cognitive behavioral therapy, mindfulness, and behavioral activation strategies
Locations (2)
- Nemours Children's HealthJacksonville, Florida
- Children's Mercy Kansas CityKansas City, Missouri