Supporting Teen Problem-Solving (STEPS) 3 year outcomes: preventing diabetes-specific emotional distress and depressive symptoms in adolescents with type 1 diabetes

Weissberg-Benchell, Jill; Shapiro, Jenna B.; Bryant, Fred B.; Hood, Korey K.

doi:10.1037/ccp0000608

Cited by 44Diabetes Management and EducationDiabetes Management and ResearchChild and Adolescent Psychosocial and Emotional Development

Supporting Teen Problem-Solving (STEPS) 3 year outcomes: preventing diabetes-specific emotional distress and depressive symptoms in adolescents with type 1 diabetes

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Weissberg-Benchell, Jill, Shapiro, Jenna B., Bryant, Fred B., Hood, Korey K.·2020·Journal of Consulting and Clinical Psychology

DOI 10.1037/ccp0000608PMC PMC8279264

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Abstract

OBJECTIVE: This article reports the 3-year outcomes for the Supporting Teen Problem-Solving (STePS) multisite Randomized Control Trial (RCT); reporting the overall impact of the STePS trial, and the differential impact of each arm of the trial (a resilience promoting intervention [PRP T1D] vs. a diabetes education intervention [EI]) on diabetes-specific emotional distress and depressive symptoms. METHOD: Participants included 264 adolescents with Type 1 diabetes (T1D), ages 14-18, in Chicago and San Francisco. Both intervention arms lasted 4.5 months and assessments were conducted at baseline, postintervention (4.5 months), and 5 follow-up visits (8, 12, 16, 28, and 40 months from baseline). Intervention efficacy was investigated using latent growth curve modeling (LGCM) to analyze the rate and shape of change of outcomes from preintervention across postintervention and follow-up time points. RESULTS: Mean age of participants was 15.7 years, mean T1D duration was 6.9 years, mean HbA1c at baseline was 9.1%. The sample was diverse with nearly 35% identifying as racial or ethnic minorities, and 60% were female. PRP T1D participants reported significantly lower diabetes distress compared with EI participants, and the effect size increased over time. For the pooled sample, while 40% of youth reported elevated distress at baseline, only 23% reported elevated distress 3 years postintervention. Moreover, PRP T1D participants experienced a significant decline in depressive symptoms from 16 to 40 months postbaseline, while participants in the education arm did not. CONCLUSIONS: Results from the 3-year outcomes assessment demonstrate the robust effects of PRP T1D in adolescents with declines in distress and depressive symptoms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

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Resilience-promoting interventions prevent diabetes distress in adolescence.
“resilience-promoting interventions to prevent diabetes distress in adolescence (352,353)”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [353]

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Additional file 1 of The role of peer social relationships in psychological distress and quality of life among adolescents with type 1 diabetes mellitus: a longitudinal study
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Authors: Weissberg-Benchell, J., Shapiro, J. B., Bryant, F. B., & Hood, K. K.
Affiliations: Lurie Children's Hospital (US)
Loyola University Chicago (US)
Stanford University (US)
ORCID: Weissberg-Benchell, Jill
Shapiro, Jenna B.
Bryant, Fred B.
Hood, Korey K.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2020-11
Volume: 88
Issue: 11
Pages: 1019-1031
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/ccp0000608
PMC: PMC8279264
OpenAlex: W3097400848
Cited by: 44
References: 1
Citations by year: 2026: 6 · 2025: 10 · 2024: 9 · 2023: 9 · 2022: 5 · 2021: 4 · 2020: 1
FWCI: 3.58
Type: journal article
Language: en
Open access: green
europepmc.org
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Diabetes Digestive and Kidney Diseases (1R01DK090030)
Dexcom, Inc.
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: type 1 diabetes, adolescents, diabetes distress, depressive symptoms, resilience promotion, diabetes education, problem-solving intervention, long-term outcomes
MeSH terms: Psychological Distress, Adaptation, Psychological, Adolescent, Chicago, Depression, Diabetes Mellitus, Type 1, Female, Humans, Male, Problem Solving, San Francisco

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Supporting Teen Problem-Solving (STEPS) 3 year outcomes: preventing diabetes-specific emotional distress and depressive symptoms in adolescents with type 1 diabetes

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