What does this research mean for the field?

A brief, remote Health-Related Quality of Life (HRQOL) intervention in Type 1 Diabetes care is highly acceptable to youth and parents, whereas adults and partners require more personalized content and skill levels. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To enhance health-related quality of life (HRQOL) in individuals with Type 1 Diabetes (T1D) through a brief intervention.

June 7, 2026

1599-P: Experiences of Youth and Adults with Type 1 Diabetes (T1D) in a Brief Health-Related Quality of Life (HRQOL) Intervention

Key Points

To enhance health-related quality of life (HRQOL) in individuals with Type 1 Diabetes (T1D) through a brief intervention.
Piloted a remote, 2-session HRQOL intervention delivered by diabetes educators to 120 people with T1D and their families across 3 care settings.
Focused on individual assessments of HRQOL strengths and challenges, teaching skills like goal setting and square breathing.
Conducted thematic analysis on qualitative feedback from 63 participants to explore intervention acceptability.
Youth and parents expressed high satisfaction with the intervention.
Adults and partners provided mixed feedback, desiring more personalized topics and skill levels, and showing less interest in partner participation.
Highlighted the strengths-based approach and supportive interactions as key aspects of effective behavioral T1D care.

Abstract

Introduction and Objective: Enhancing HRQOL is a central goal of T1D care. International studies have shown benefits of healthcare professionals addressing HRQOL in routine T1D care. This approach has not been studied in the US healthcare system. Methods: We piloted a remote, 2-session, diabetes educator-delivered HRQOL intervention with n=120 people with T1D and their families in 3 care settings: pediatric T1D clinic, adult T1D clinic, and adult primary care. The intervention, based on individual assessment, addressed personal HRQOL strengths and challenges and taught skills, such as goal setting or square breathing, to enhance HRQOL. Using thematic analysis of qualitative feedback (n=63), we explored themes regarding intervention acceptability across participant types and ages. Results: Figure 1 illustrates 6 themes and patterns across groups. While youth and parents were largely satisfied with the intervention, adults and partners had mixed feedback, wanted greater personalization of topics and skill level, and were less interested in partner participation. Conclusion: Appreciation of the strengths-based approach and supportive interactions with interventionists highlight the importance of encouraging positive self-reflection and fostering a validating connection in behavioral T1D care. Tailoring the intervention format and content is warranted to meet specific needs at different life stages and diabetes experiences. Disclosure W.L. Levy: None. S.S. Eshtehardi: None. B.J. Anderson: None. K. Hood: Consultant; Current; Sanofi, MannKind Corporation, Insulet Corporation. P. Trief: None. A.K. Schneider-Utaka: None. C. Mahoney: None. M.A. Riley: None. K.S. Holland: None. Y. Rojas: None. D. DeSalvo: Consultant; Current; Dexcom, Inc., Insulet Corporation. Advisory Panel; Current; Sanofi. Research Support; Current; Medtronic. M. de Wit: Speaker's Bureau; Ended; Sanofi. M. Hilliard: None. Funding The Leona M. and Harry B. Helmsley Charitable Trust, 2012-04197, National Institute of Diabetes and Digestive and Kidney Disease, 1K26DK138332

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