Cognitive Adaptations to Reduce Emotional Stress Associated With Type 1 Diabetes

Longitudinal Test of Adherence & Control in Kids New to Type 1 Diabetes & 5-9 Years Old

The purpose of this study is to evaluate a new intervention (CARES: Cognitive Adaptations to Reduce Emotional Stress Associated with Type 1 Diabetes) designed to reduce caregiver depressive symptoms in families of children with T1D. This is a pilot in which all enrolled parents/caregivers will be placed in the intervention group to assess initial pre- to post-treatment impact of the intervention on parent/caregiver depression, distress, and diabetes-related outcomes (e.g., glycemic control).

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)