Fusing Rapid-cycle Testing and Adaptive Trial Designs: A Scientific Pipeline to Translate and Individualize Evidence-based Psychosocial and Behavioral Interventions in Routine Type 1 Diabetes Care
This study is designed to compare two behavioral approaches to reduce diabetes distress (the expected burdens, concerns, fears, and threats that arise from the challenges of living with diabetes) in adults with type 1 diabetes. At the study baseline, participants will be randomized to take part in one of two virtual, group-based interventions (the Primary intervention) utilizing either an emotions-focused or a problem-solving approach to reduce diabetes distress. After the initial intervention, participants will complete surveys to assess their response to the material. Participants who are determined to be non-responders (i.e., the Primary intervention was not effective) will be re-randomized to one of two Supplementary interventions, which will include individualized sessions to learn and/or practice strategies related to either the psychological or problem-solving approach.
• Adults 30 years and older
• Type 1 diabetes OR latent autoimmune diabetes in adults (LADA) clinically managed as type 1 diabetes
• Elevated diabetes distress, defined as a score \>= 2.0 on the T1-DDAS core scale
• English speaking