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Objectives <p>Diabetes distress (DD) is common; few studies have applied compassion-based approaches to reduce DD. We aimed to determine the feasibility and acceptability of MindfulT1D, a brief compassion-based group intervention for adult continuous glucose monitor (CGM) users with type 1 diabetes.</p> Method <p>Adult (18+) CGM users with type 1 diabetes and elevated DD attended a three-session group workshop held online. Participants completed pre- and post-intervention surveys, provided CGM data, and attended post-intervention focus groups. Data were analyzed using Wilcoxon signed-rank tests. Qualitative data were analyzed using content analysis.</p> Results <p>Twenty-four adults participated (age 42.88 ± 14.47&#xa0;years; diabetes duration 27.33 ± 12.97&#xa0;years; 67% female; 58% White, 21% Asian; 79% automated insulin delivery use; % time 70–180&#xa0;mg/dL 72.20 ± 0.11). MindfulT1D demonstrated high retention: 83% attended all sessions. Moderate effect sizes were found for reduced Core diabetes distress (<i>p</i> = 0.016, <i>r</i> = −0.49), management difficulties (<i>p</i> = 0.03, <i>r</i> = −0.44), and increased diabetes self-compassion (<i>p</i> = 0.045, <i>r</i> = 0.41); a large effect size was found for reduced technology challenges (<i>p</i> = 0.002, <i>r</i> = −0.62). Participants valued learning diabetes-focused compassion practices and group setting; 92% would recommend MindfulT1D.</p> Conclusions <p>MindfulT1D demonstrated feasibility, acceptability, and preliminary evidence of benefit for reducing DD in adult CGM users with type 1 diabetes. Further research in a larger sample could deliver MindfulT1D to those with multiple daily injections and/or lower time in glucose target range.</p> Registration <p>This study is not preregistered.</p>

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MindfulT1D: A Pilot and Feasibility Study of a Compassion-Based Online Group Program for Adults with Type 1 Diabetes

  • 期刊论文

  • 发表日期：

    2026年4月22日

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  • Molly L. Tanenbaum,
  • Brooke Cassoff,
  • Mabelle B. Pasmooij,
  • Kathleen Judge,
  • Chloe Kaelberer,
  • Sarah J. Hanes,
  • Himani Darji,
  • Marina Basina

摘要

Objectives

Diabetes distress (DD) is common; few studies have applied compassion-based approaches to reduce DD. We aimed to determine the feasibility and acceptability of MindfulT1D, a brief compassion-based group intervention for adult continuous glucose monitor (CGM) users with type 1 diabetes.

Method

Adult (18+) CGM users with type 1 diabetes and elevated DD attended a three-session group workshop held online. Participants completed pre- and post-intervention surveys, provided CGM data, and attended post-intervention focus groups. Data were analyzed using Wilcoxon signed-rank tests. Qualitative data were analyzed using content analysis.

Results

Twenty-four adults participated (age 42.88 ± 14.47 years; diabetes duration 27.33 ± 12.97 years; 67% female; 58% White, 21% Asian; 79% automated insulin delivery use; % time 70–180 mg/dL 72.20 ± 0.11). MindfulT1D demonstrated high retention: 83% attended all sessions. Moderate effect sizes were found for reduced Core diabetes distress (p = 0.016, r = −0.49), management difficulties (p = 0.03, r = −0.44), and increased diabetes self-compassion (p = 0.045, r = 0.41); a large effect size was found for reduced technology challenges (p = 0.002, r = −0.62). Participants valued learning diabetes-focused compassion practices and group setting; 92% would recommend MindfulT1D.

Conclusions

MindfulT1D demonstrated feasibility, acceptability, and preliminary evidence of benefit for reducing DD in adult CGM users with type 1 diabetes. Further research in a larger sample could deliver MindfulT1D to those with multiple daily injections and/or lower time in glucose target range.

Registration

This study is not preregistered.