Cognitive Adaptations to Reduce Emotional Stress Associated With Type 1 Diabetes (CARES)
Type 1 Diabetes Mellitus
About this trial
This is an interventional treatment trial for Type 1 Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- Parent/primary caregiver of a child diagnosed with T1D between 5-12 years old
- Parent/caregiver elevated depression symptoms on the CESD-R (score ≥ 16 at time of screening)
- Child with T1D receiving intensive insulin regimen by multiple dose injections (MDI) or continuous subcutaneous insulin infusion (pump)
Exclusion Criteria:
- Child with T1D currently in foster care or not living with legal guardian
- Child with evidence of type 2 diabetes or monogenic diabetes
- Child with a co-morbid chronic illness (e.g., renal disease) that requires ongoing care beyond T1D
- Children who are chronically using medications that may impact glycemic control (i.e., systemic steroids)
- Parents/caregivers who do not speak English (currently there is no way to recruit non-English speaking families because the study questionnaires are only available in English)
Sites / Locations
- The Children's Mercy Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
CARES Intervention- 12 sessions
CARES Intervention- 8 sessions
Participants in the intervention will participate in 12 weekly group-based telemedicine intervention sessions (up to 60 minutes each) with other parents/caregivers of children with T1D. Intervention sessions focus on cognitive-behavioral therapy to treat depression, including identifying cognitive distortions, cognitive restructuring, behavioral activation, coping strategies, and learning diabetes management skills.
Participants in the intervention will participate in 8 weekly group-based telemedicine intervention sessions (up to 60 minutes each) with other parents/caregivers of children with T1D. Intervention sessions focus on cognitive-behavioral therapy to treat depression, including identifying cognitive distortions, cognitive restructuring, behavioral activation, coping strategies, and learning diabetes management skills.