Technology-Enabled Collaborative Care for Young Adults With Type 1 Diabetes and Diabetes Distress: A Feasibility Trial

Condition(s) studied

Investigational drug(s) / intervention(s)

TECC-T1D3 Program: The TECC-T1D3 program is a twelve-week virtual care intervention designed to support individuals with Type 1 Diabetes (T1D) and Diabetes Distress. The program includes a health coach (HC) and a virtual care team (VCT) of T1D, mental health experts and peer support, offering comprehensive care through various communication channels, including WebEx, phone calls, and text messaging. The program aims to: i. Provide T1D specific mental health and wellbeing support, ii. Provide guidance on how to communicate with others about T1D, manage stigma and ask for help with diabetes management and iii. Facilitate connections with T1D communities. Participants can choose topics of discussion based on their needs and will be directly supported by the HC and indirectly monitored by VCT.

Education Intervention: The Education Intervention is a low-intensity, education-focused intervention consisting of 10 automated emails over 12 weeks, providing generalized educational messages with links to resources for mental health support and well-being for individuals living with T1D.

Study summary

The goal of the study is to evaluate the acceptability and feasibility of a co-designed, Technology-Enabled Collaborative Care for Young Adults with Type-1 Diabetes and Diabetes Distress (TECC-T1D3) program. Through this program, the investigators aim to deliver a collaborative care intervention, featuring a health coach and a virtual care team, designed to help participants manage mental health and overall wellbeing.

Eligibility

Primary outcome measure(s)

• Feasibility - Recruitment Rate (Both Arms) — Through the study completion, an average of 6 months
  The primary outcome in this study is feasibility specifically focusing on process outcomes. This includes assessing recruitment number.
• Feasibility - Engagement Rate (Both Arms) — From consent to randomization throughout the study (average of 6 months)
  The primary outcome in this study is feasibility, specifically focusing on process outcomes. This includes percentage of consented participants who proceed to randomization.
• Feasibility - Completion of Study Assessments (Both Arms) — Up to 12-weeks
  Coaching Intervention: Participants attending a minimum of 8 sessions out of a possible maximum of 10 sessions Education Intervention: Participants opening a minimum of 8 emails out of the 10 emails
• Acceptability - Qualitative (Both Arms) — Within two weeks post-intervention, after completing the 12-weeks program
  Participants' perceptions, experiences, and satisfaction with the intervention assessed through post-intervention interviews. Interviews will explore perceived impact on health, motivation, and suggestions for improvement.
• Delivery of the Digital Intervention - Number of Sessions Completed (Coaching Intervention only) — Up to 12-weeks
  • The number of sessions completed.
• Delivery of the Digital Intervention - Mode of Interaction (Coaching Intervention only) — Up to 12-weeks
  Measurement include: • Number of interaction categorized by the mode of delivery (web-conference, telephone or text message).
• Delivery of Digital Intervention - Time Spent per Session (Coaching Intervention only) — Up to 12-weeks
  • Average time spent by health coach per interaction/session with participants in minutes.

Trial sites (1)

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