Incorporating Mind-body Skills with Diabetes Education in Adolescents with Type 1 Diabetes

Indiana University

Status: Active, not recruiting

Conditions: Type 1 Diabetes; Adolescent Behavior

Treatments: Behavioral: Mind-body skills; Behavioral: Diabetes education

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT05577169

15268

Details and patient eligibility

About

Adolescence presents a challenging time for type 1 diabetes management, and despite a multitude of studies aimed at increasing disease compliance in this age group, none have been deemed superior. The purpose of this study is to incorporate mindfulness skills in with diabetes education sessions for adolescents with type 1 diabetes and study if this translates to improved outcomes in glycemic control, patient satisfaction, and mental wellness.

Full description

This is a pilot study to learn if adding mind-body skills to diabetes education is useful in helping adolescents manage their type 1 diabetes. Specifically, the investigators will be studying adolescents aged 15-17 years old with uncontrolled diabetes defined by an A1c >9.0% who have also had the diagnosis of diabetes for at least 12 months. This study combines the teaching of mind-body skills with short virtual diabetes education sessions, in order to address both the direct needs of good diabetes management and the indirect needs of coping with diabetes-related stress and other external factors. The investigators will have two arms of the study - one receiving diabetes education with the addition of mind-body skills, and the other arm receiving only diabetes education. Sessions will be conducted virtually with 20-30 minutes of diabetes education, followed by 20-30 minutes of mind-body skills teaching in the respective arm. The study will consist of 10-12 weekly group sessions, with pre- and post-study questionnaires to evaluate mental and physical health. Participants will continue to attend their regular diabetes clinic appointments every three months. At the end of the study, participants will also partake in a short interview to gather feedback about their experience. The goals of this study are to evaluate the effect of mind-body skills as well as pilot test the feasibility and acceptability of such a project.

Enrollment: 30 patients

Sex: All

Ages: 15 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 15-17 years
• Diagnosis of type 1 diabetes for at least 12 months
• Uncontrolled diabetes with A1c at least 9.0%
• Parent or guardian agrees for adolescent to participate

Exclusion criteria

• Diagnosed cognitive disabilities
• Other uncontrolled chronic diseases as assessed by PI
• Inability to attend visits due to individual schedules

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Mind-body skills + diabetes education

Experimental group

Description:

Participants randomly assigned to this arm will undergo 20-30 minutes discussing a predetermined diabetes topic followed by 20-30 minutes working on a mind-body skills component. This mind-body skills component will be a combination of deep breathing, self-reflection, and meditation techniques focused on self-awareness to calm the stress-response. Participants will be assigned "homework" designed to encourage practice of the learned skill.

Treatment:

Behavioral: Diabetes education

Behavioral: Mind-body skills

Diabetes education alone

Active Comparator group

Description:

Participants randomly assigned to this arm will similarly undergo 20-30 minutes discussing the same predetermined diabetes topic as the intervention group.

Treatment:

Behavioral: Diabetes education