ArticleDiabetic medicine : a journal of the British Diabetic Association2026
D-ACTnow-A diabetes-specific group-based psychological intervention for young adults with type 1 diabetes and elevated diabetes distress: Results from a single-arm pilot study.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo test the feasibility of a group-based psychological intervention for young adults with type 1-diabetes and elevated diabetes distress.
methodsYoung adults (18-30 years), screened for diabetes distress using the Type 1 Diabetes Distress Scale (T1-DDS), participated in six group sessions led by a psychologist and a diabetes nurse. The intervention was based on Acceptance and Commitment Theory (ACT) and focused on reducing diabetes distress. Feasibility was assessed through trial recruitment, intervention completion, intervention acceptability and preliminary estimates of effect size (T1-DDS, HbA
resultsDuring May 2023-December 2023, 22 young adults were recruited; 20 completed the intervention with high acceptability. Participants (85% women, mean age 23.6 years) showed significant reductions in diabetes distress (T1-DDS: 1.2, p < 0.0001). No changes were found in HbA
conclusionsThe intervention is feasible and acceptable with encouraging diabetes distress improvements. Minor adjustments will optimize the intervention for the upcoming RCT.
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