Preventing diabetes distress in adolescents with type 1 diabetes: results 1 year after participation in the STePS Program
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OBJECTIVE: The aim is to report 1-year outcomes of the Supporting Teens Problem Solving (STePS) study, a randomized controlled trial comparing a distress and depression prevention program with a diabetes education program for adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS: With 264 adolescents in two locations (Chicago and San Francisco Bay Area), a randomized controlled trial was conducted comparing the Penn Resilience Program for type 1 diabetes (PRP T1D) to Advanced Diabetes Education. Interventions lasted 4.5 months, and assessments were conducted at baseline, and 4.5, 8, 12, and 16 months. Outcomes of interest were diabetes distress (DD), depressive symptoms, resilience, diabetes self-management, and glycemic control. Latent growth curve modeling was used to test between-group differences over time. RESULTS: Results indicate that there was acceptable randomization and exposure to interventions, and that exposure to PRP T1D was associated with substantial reductions in DD. In addition, stable glycemic control, resilience characteristics, and depressive symptoms were observed 1 year post-treatment. Diabetes management deteriorated in both groups. CONCLUSIONS: Intervening before symptoms of psychological distress start can prevent the development of the DD commonly seen in adolescents with type 1 diabetes. The STePS program represents a promising prevention program, and future reports on 2- and 3-year outcomes will explore benefits over longer periods of time.
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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:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [352]
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Self-citation
- Authors
- Hood, K. K., Iturralde, E., Rausch, J., & Weissberg-Benchell, J.
- Affiliations
- Stanford Medicine (US)
- Nationwide Children's Hospital (US)
- Northwestern University (US)
- Corresponding author
- Hood, Korey K.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2018-06-19
- Volume
- 41
- Issue
- 8
- Pages
- 1623-1630
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC6054495
- OpenAlex
- W2809429416
- Cited by
- 79
- References
- 29
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 14 · 2023: 14 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 9 · 2018: 1
- FWCI
- 5.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diabetes Care (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01-090030)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- type 1 diabetes, adolescents, diabetes distress, depression prevention, resilience, diabetes self-management, glycemic control, diabetes education
- MeSH terms
- Adolescent, Blood Glucose, Chicago, Depression, Diabetes Mellitus, Type 1, Female, Humans, Male, Patient Education as Topic, Patient Participation, San Francisco, Self Care
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