Evidence map›Paper›PMID 39884514›Full record

Trial reportDiabetes research and clinical practice2025

Telehealth occupational therapy improves psychosocial well-being but not glycemia among young adults with type 1 diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) randomized controlled trial.

Elizabeth A Pyatak, Pey-Jiuan Lee, Ngozi D Nnoli, Yujia Mo, Anya Khurana, Aina Ali, D Steven Fox, John Sideris, Jesus Diaz, Gabrielle Granados and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Elizabeth A PyatakChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States. Electronic address: beth.pyatak@chan.usc.edu.
Pey-Jiuan LeeCenter for Economic and Social Research, Dornsife College of Letters Arts and Sciences, University of Southern California, Los Angeles, CA, United States.
Ngozi D NnoliChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Yujia MoChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Anya KhuranaChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Aina AliChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
D Steven FoxLeonard D. Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, CA, United States; Mann Department of Pharmaceutical and Health Economics, University of Southern California, Los Angeles, CA, United States.
John SiderisChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Jesus DiazChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Gabrielle GranadosChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Jeanine BlanchardChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Elissa S LeeChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Jennifer K RaymondDivision of Endocrinology, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, United States; Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.

Funding

Evaluation of a Complex Behavioral Intervention for Young Adults with Diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) StudyR01DK116719 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PYATAK, ELIZABETH F · 2019 to 2023
$3.6M
NIDDK NIH HHS R01 DK116719
6 · The paper itself

Abstract

backgroundYoung adults with type 1 diabetes mellitus often face challenges managing their condition, leading to elevated glucose and heightened psychosocial distress. Diabetes care traditionally focuses on biomedical outcomes, with less emphasis on well-being. Occupational therapy offers a holistic approach to managing diabetes by integrating changes to daily habits and routines and psychosocial support.

methodsThis randomized controlled trial involved participants aged 18-30 with HbA1c ≥ 7.5 % (≥58 mmol/mol). Participants received either telehealth occupational therapy or usual care. The intervention addressed diabetes management, daily habits and routines, and emotional well-being. Data collected at baseline, 3 months, and 6 months included HbA1c, continuous glucose monitoring metrics, and psychosocial outcomes. Analyses employed intent-to-treat principles, using ANCOVA to evaluate between-group differences.

resultsParticipants (n = 209) were 24.3 (±3.7) years old, 59.8 % female, 44.5 % non-Hispanic White, and 47.4 % publicly insured. No significant differences were found in glycemic outcomes. Intervention participants had improved diabetes-related quality of life (DQoL; least-squares [LS] mean 0.67, 95 % CI 0.02 to 1.32, p = 0.045) and reduced diabetes distress (LS-mean -0.36, CI -0.65 to -0.07, p = 0.01).

conclusionGeneralizability may be impacted by external factors related to COVID-19. The findings suggest occupational therapy may be beneficial for young adults experiencing diabetes-related distress and poor DQoL.

Indexed as

Diabetes Mellitus, Type 1Occupational TherapyAdolescentAdultBlood GlucoseBlood Glucose Self-MonitoringFemaleGlycated HemoglobinHumansMaleQuality of LifeTelemedicineYoung AdultBlood GlucoseGlycated HemoglobinBehavioral InterventionsDistressLifestyle HabitsLifestyle InterventionPsychosocial InterventionQuality of LifeTelemedicineType 1 DiabetesYoung Adult

Identifiers

PMID39884514
PMCPMC11991672

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.