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June 20, 2026Canadian Journal of Occupational Therapy

Exploring Treatment Mechanisms of the Resilient, Empowered, Active Living-Telehealth (REAL-T) Intervention

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Authors

ZLZhixin LiuGGGabrielle GranadosPLPey-Jiuan Lee

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Overview

Randomized trial explores engagement indicators affecting glucose, quality of life, and distress in type 1 diabetes, suggesting process insights for interventions.

Key Points

  • The aim is to explore which indicators of intervention exposure and engagement relate to changes in glucose control and quality of life in type 1 diabetes patients.
  • Analyzed data from the REAL-T randomized controlled trial using an as-treated analytic approach.
  • Evaluated changes in A1c, glycemic risk index (GRI), quality of life (QoL), and diabetes-related distress.
  • Conducted hierarchical regression analyses adjusting for baseline values and relevant demographic covariates.
  • Higher baseline A1c and a greater proportion of goals met led to larger reductions in A1c levels.
  • Improved glycemic risk index scores were linked to higher baseline GRI, being non-Hispanic White, and improved occupational performance.
  • Changes in quality of life and diabetes-related distress were mainly explained by baseline levels, with limited contributions from intervention engagement indicators.

Cite This Study

Liu et al. (2026) studied this question.

synapsesocial.com/papers/6a362f3bdb0793dc1a536aebhttps://doi.org/10.1177/00084174261445818
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Also Consider

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  3. 31599-P: Experiences of Youth and Adults with Type 1 Diabetes (T1D) in a Brief Health-Related Quality of Life (HRQOL) Intervention2026
  4. 4Testing the Impact of a Collaborative, Goal-Setting, and Behavioral Telehealth Intervention on Diabetes Distress: A Randomized Clinical Trial2021 · 8 citations
  5. 52588-P: Enhancing Quality of Life, Reducing Diabetes Distress, and Optimizing Health Care Resource Use through a Digitally Enabled Lifestyle Program Including a Low-Calorie Diet with Diabetes Specific Nutritional Formula and Coaching2026