Adapting Single Sessions Interventions for Type 1 Diabetes

Adapting Single Sessions Interventions for Type 1 Diabetes (ASSISTED): Integrated Pediatric Care to Reduce Depression and HbA1c

The goal of this clinical trial is to learn if implementing a single-session depression intervention for youth with type 1 diabetes (T1D) is feasible and acceptable to patients. can help improve mood and health outcomes. It will also learn about the initial efficacy of the intervention. The main questions it aims to answer are:

1. Is a single-session depression intervention for youth with T1D feasible to recruit and implement?
2. Is a single-session depression intervention for youth with T1D acceptable to patients (i.e., do they find it helpful)?
3. Does a single-session depression intervention for youth with T1D lead to improvements in low mood?

Researchers will compare a single-session depression intervention for youth with to a education control to see if a single-session depression intervention works to improve depressive symptoms.

Participants will:

• Participate in a single-session depression intervention
• Complete questionnaires and provide a sample for A1c at a baseline, 3-month, and 6-month visit
• Complete daily questionnaires once a day for two weeks before and after the single-session depression intervention

Inclusion Criteria:

• Child or adolescent age between 11-18 years, inclusive
• Physician confirmed T1D diagnosis of at least 6 months duration prior to study enrollment
• Positive depression screening score of >5 on the PHQ-9 in the last year
• Not currently engaged in outpatient mental healthcare
• English fluency

Exclusion Criteria:

• Another systemic chronic medical illness except for celiac disease, autoimmune thyroiditis, microalbuminuria, hypertension, or well-managed asthma
• Any score of 1, 2, or 3 on item 9 (indicating suicidal ideation) of the PHQ-9 in the last year.