RecruitingNot ApplicableNCT07193446

Optimising the Delivery of Diabetes Distress Informed Care for Its Prevention, Detection, and Management in Adults With Type 1 Diabetes: a Feasibility Study (D-stress Study)

Sponsor

Guy's and St Thomas' NHS Foundation Trust

Enrollment

110 participants

Start Date

Oct 31, 2025

Study Type

INTERVENTIONAL

Conditions

Diabetes Type 1

Summary

Up to one in two adults with type 1 diabetes find living with and managing diabetes to be emotionally challenging. This 'emotional side' of diabetes - feeling worried, frustrated, overwhelmed, sad, burnt-out - is called diabetes distress. It affects people's quality of life and can hinder them from managing their diabetes as well as they can. In the UK, the NHS needs to better understand how to best support people feeling emotionally burdened by diabetes. So, we have worked with diabetes distress specialists around the world to develop an NHS pathway to care for diabetes distress. This pathway to care involves training diabetes teams to recognise, assess and talk about diabetes distress at routine appointments. If people have a high diabetes distress level, they may be able to take part in an online group program to help them manage their type 1 diabetes and emotions. The feasibility study will test this pathway to care with people with type 1 diabetes in the NHS setting.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This feasibility study is testing a care program called D-stress that aims to prevent, detect, and manage diabetes-related emotional distress (the worry, burnout, and overwhelm that many people with Type 1 diabetes experience) by improving how healthcare teams, patients, and their support people work together. **You may be eligible if...** - You are an adult (18+) with Type 1 diabetes diagnosed more than one year ago, and you have been using a continuous glucose monitor for at least 3 months - OR you are a family member or friend (18+) who is involved in the care of an eligible participant (with the participant's consent) - OR you are a healthcare professional on a diabetes care team willing to undertake the study training **You may NOT be eligible if...** - You were diagnosed with Type 1 diabetes less than one year ago - You do not use a continuous glucose monitor - You do not meet the role-specific requirements for your participant category Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALD-stress study: The detection, prevention and management of diabetes distress for adults living with type 1 diabetes.

Enhanced Usual Care intervention aims to train health care professionals to detect and prevent, and manage diabetes distress in routine diabetes care, in the UK NHS. The REDUCE programme aims to prevent and manage elevated diabetes distress.