Actively Recruiting
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)
Led by Guy's and St Thomas' NHS Foundation Trust · Updated on 2025-12-04
110
Participants Needed
3
Research Sites
43 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
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.
CONDITIONS
Official Title
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)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults aged 18 years or older with type 1 diabetes
- Diagnosed with type 1 diabetes for more than one year
- Using a Continuous Glucose Monitoring device for at least 3 months before joining the trial
- Health care professionals who are members of the multidisciplinary diabetes team and willing to undertake Enhanced Usual Care training
- Family members or friends aged 18 or older involved in the participant's care, with participant consent
- REDUCE facilitators meeting role specifications in the study protocol
You will not qualify if you...
- Adults diagnosed with type 1 diabetes less than one year ago
- Women who are pregnant
- Adults with current mental health diagnoses with active symptoms such as psychosis, substance abuse, or severe depression, as determined case-by-case
- Health care professionals unwilling or unable to undertake additional workload from D-stress training and care delivery
- Family members or friends without participant consent to participate
- REDUCE facilitators not meeting professional accreditation or experience requirements specified in the study protocol
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 3 locations
1
Royal United Hospitals Bath
Bath, United Kingdom
Actively Recruiting
2
University Hospitals Leicester NHS Trust
Leicester, United Kingdom, LE1 7RH,
Actively Recruiting
3
Guy's and St Thomas' Hospitals NHS Trust
London, United Kingdom
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
TREATMENT
Number of Arms
2
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