THR1VE! Positive psychology intervention to treat diabetes distress in teens with type 1 diabetes: Rationale and trial design

Jaser, Sarah S.; Datye, Karishma A.; Morrow, Troy; Sinisterra, Manuela; LeStourgeon, Lauren M.; Abadula, Fayo; Bell, Grace E; Streisand, Randi

doi:10.1016/j.cct.2020.106086

Cited by 21 publications

(18 citation statements)

References 41 publications

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“…The current study is a secondary analysis of baseline data from participants enrolled in an ongoing clinical trial of a positive psychology intervention to treat diabetes distress in teens with T1DM (NCT03845465). 14 The purpose of the ongoing clinical trial is to evaluate the effect of a text-message-based positive affect intervention on adolescents' diabetes distress, self-management, and glycemic control. As part of baseline data collection, prior to randomization, teens and parents completed measurements of positive and negative emotions, perceived adherence to the teens' diabetes regimen, diabetes-related family conflict, stress and coping, resilience, and health-related quality of life.…”

Section: Methodsmentioning

confidence: 99%

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A Pandemic Perspective: Analyzing the Impact of COVID-19 on Diabetes Management and Mood Through the Lens of Location and Family Conflict

Moore¹,

Abadula

Garretson

et al. 2022

The Science of Diabetes Self-Management and Care

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Purpose: The purpose of this study was to examine the influence of COVID-19 on teens’ diabetes management and mood and their association with family conflict. Methods: One hundred and nineteen teens ages 13 to 17 (M = 15.5 ± 1.3 years, 61.3% female, 57.1% non-Hispanic White) and 119 parents (83.2% female, 75.6% married, 63.9% non-Hispanic White) enrolled in an ongoing two-site randomized behavioral clinical trial. At baseline, dyads completed the Revised Diabetes Family Conflict scale and a survey measuring the impact of COVID-19 on teens’ mood and diabetes management. Results: Parent- and teen-reported impacts of COVID-19 on diabetes management and teen mood were positively correlated. Higher levels of both parent- and teen-reported family conflict were associated with greater parent-reported impact of COVID-19 on diabetes management and teen mood. In addition, teen-reported impact of COVID-19 on their mood varied by geographical location but not population density. Conclusions: COVID-19 influenced teen diabetes management and mood, and the impact of COVID-19 was related to diabetes-related family conflict and differed by geographic location. Findings lend support for mental health interventions targeting teens with T1DM affected by COVID-19 and monitoring the long-term effects of the pandemic.

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Section: Methodsmentioning

confidence: 99%

“…191245) approved this study for both sites. Adolescents ages 13 to 17 years were recruited for participation in the ongoing 2-site clinical trial (see Jaser et al 14 for additional recruitment information and eligibility criteria). After obtaining consent and assent, parents and teens completed psychosocial surveys at baseline.…”

Section: Methodsmentioning

confidence: 99%

A Pandemic Perspective: Analyzing the Impact of COVID-19 on Diabetes Management and Mood Through the Lens of Location and Family Conflict

Moore¹,

Abadula

Garretson

et al. 2022

The Science of Diabetes Self-Management and Care

Self Cite

View full text Add to dashboard Cite

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“…From a clinical diabetes management standpoint, elevated diabetes distress is associated with lower quality of life, lower engagement in diabetes self-management behaviors, suboptimal glycemic outcomes, and behavioral health issues [127,128], all of which can contribute to suicidal ideation. Using diabetes management devices (e.g., continuous glucose monitors, insulin pumps, sensor-augmented insulin pumps) may reduce everyday diabetes burdens and increase quality of life in youth with T1D and parents [129][130][131]. Therefore, talking to youth and their parents to identify the most stressful parts of diabetes and considering a transition to advanced diabetes technologies if appropriate may help to reduce perceptions of burdensomeness.…”

Section: Reducing Diabetes Distressmentioning

confidence: 99%

“…For example, given the increased risk for suicidality in adolescence and early adulthood and the common gaps in care during the transfer between pediatric and adult healthcare settings, interventions targeting diabetes transition may benefit from monitoring suicidality and integrating suicide prevention strategies. Resilience-promotion interventions for youth with T1D that target mood symptoms and diabetes distress concerns [129][130][131] may be particularly well-suited to address suicide risk factors and prevention. Given the complexity of management of T1D and the potentially lethal nature of insulin overdose, future research should address T1D treatment challenges when youth are experiencing suicidal ideation.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention

et al. 2021

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Purpose of Review The manuscript reviews the extant literature on suicide-related thoughts and behaviors among youth and young adults with pediatric diabetes. This evidence is presented within the context of current theories of the etiology of suicidal behavior to highlight how diabetes may contribute to suicide risk, and to support providers in understanding the interplay between pediatric diabetes and suicide risk. The manuscript also reviews evidence-based approaches to suicide prevention suitable for use in pediatric healthcare settings, with suggestions for their application to this unique population. Recent Findings Several recent studies identify heightened rates of suicidal ideation, suicide attempts, and suicide among youth and young adults with pediatric diabetes, as compared with their peers without diabetes. Evidence-based suicide prevention approaches frequently emphasize the importance of reducing suicidal youths’ access to potentially lethal means for suicidal behavior. This approach may require special considerations for youth with pediatric diabetes, due to their need to carry sufficient quantities of insulin and the dangers of inaccurate insulin dosing and/or overdose. Suggestions for suicide prevention for this population include risk screening as part of routine diabetes care, early prevention, education for youth and families, and provider awareness of risk factors, warning signs, and implications for diabetes care. Summary Youth and young adults with diabetes reported elevated rates of suicide-related behaviors as compared with their peers without diabetes. Existing suicide prevention approaches may require substantial adaptation for use with youth and young adults with diabetes. Further research is needed to examine how to best prevent suicidal behaviors among this population.

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“…A relatively new body of work on positive emotion interventions for adolescents with type 1 diabetes has come from two research groups 46–51 (see summaries in Table 1). These groups have adapted interventions based on the adult literature to meet the needs of adolescents.…”

Section: Positive Emotion Interventionsmentioning

confidence: 99%

Applying theoretical models of positive emotion to improve pediatric asthma: A positive psychology approach

Jenkins

Moskowitz

Halterman

et al. 2021

Pediatric Pulmonology

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Positive emotion, encompassing feelings such as joy and happiness, has been shown to predict a multitude of health outcomes. However, the role of positive emotion in pediatric asthma is not understood. No work to date has examined how positive emotion may offer benefits to children and adolescents with asthma. Based on theory and models of positive emotion and health, we hypothesize that positive emotion may improve asthma outcomes through mediators such as health behaviors and health‐relevant physiological functioning. Moreover, boosting positive emotion during times of stress may be particularly relevant in mitigating asthma symptoms. In the present commentary, we elaborate on the hypothesized mechanisms behind such associations grounded within positive emotion theoretical frameworks. Additionally, we summarize the methodologically rigorous work of positive emotion interventions in other clinical settings to propose that positive emotion could be a useful tool in the management of pediatric asthma.

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THR1VE! Positive psychology intervention to treat diabetes distress in teens with type 1 diabetes: Rationale and trial design

Cited by 21 publications

References 41 publications

A Pandemic Perspective: Analyzing the Impact of COVID-19 on Diabetes Management and Mood Through the Lens of Location and Family Conflict

A Pandemic Perspective: Analyzing the Impact of COVID-19 on Diabetes Management and Mood Through the Lens of Location and Family Conflict

Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention

Applying theoretical models of positive emotion to improve pediatric asthma: A positive psychology approach

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