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)
Trial Parameters
Brief Summary
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. In 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.
Eligibility Criteria
Inclusion Criteria: Adults with type 1 diabetes * People aged 18 years old and older * With a T1DM diagnosis of more than one year * Who used a Continuous Glucose Monitoring device 3 months prior to trial entry Health care professionals * Members of the multidisciplinary diabetes team * Who would like and be able to undertake training in Enhanced Usual Care (EUC) Family or friend * People aged 18 years or older * Is involved with the care of the participant * The participant has consented to the family member or friend to be involved in the study REDUCE Facilitators • Eligibility as per the role specification in Section 6.2.2 of study Protocol Exclusion Criteria: Adults with type 1 diabetes * 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 perio