Strengths-Based Multi-Level Behavioral Intervention to Promote Resilience and Self-Management in Youth With Type 1 Diabetes
The EMPoWER Study randomized clinical trial is a strengths-based behavioral intervention delivered to youth with type 1 diabetes (age 10 to 13) and their parents. The purpose of the intervention is to improve glycemic, behavioral, and psychosocial outcomes in youth with diabetes using a multiple systems approach that engages youth, their parents, and diabetes care providers to identify and build youths' diabetes strengths. The primary aim of this study is to assess the intervention impact on glycemic control, adherence, and health-related quality of life (HRQOL). Secondary aims are to evaluate behavioral mediators of intervention impact and to examine intervention dose as a mediator of intervention impact.
⁃ Youth
• type 1 diabetes diagnosis per ADA criteria for at least 6 months,
• age 10 to 13 years at consent,
• English or Spanish fluency,
• At least one hemoglobin A1c value ≥ 8 % (percent) within the past 12 months
• Patient at one of the participating study sites
⁃ Parent/legal guardian of youth
• Age at least 18 years old at time of consent,
• English or Spanish fluency,
• Consistent access to a mobile phone that has texting capabilities and a device with internet access
• self-reported type 1 diabetes diagnosis for ≥ 1 year,
• age 14-17 at consent,
• English fluency,
• living in the United States
⁃ \- Provider at one of the sites' diabetes care centers