This research will compare a psychological intervention ("ACT1VATE") versus diabetes self-management education and support (DSME/S; usual care) in improving clinical, behavioral, psychosocial, process, and cost outcomes among adults with poorly controlled type 1 diabetes (T1D) who are experiencing significant diabetes-related emotional distress and poor glycemic control in a real world, healthcare environment.
Spanish or English-speaking
Type 1 diabetes
Glycosylated Hemoglobin (HbA1c) 7.0% - 12.5% in last 90 days
Screen positive for diabetes distress
Severe medical or psychological conditions that would interfere with participation based on the opinion of a provider
Plans to move out of the San Diego area in the next 12 months
Lack of technology capability required to complete online surveys and telemedicine visit
Scripps Whittier Diabetes Institute
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator