Whitmore Carly, Mangialardi Natalie, Saiva Anika, Cafazzo Joseph A, McQuire Tracy, Mytkolli Linxi, St John Alex, Senior Peter, Sherifali Diana, Strudwick Gillian, Selby Peter
School of Nursing, McMaster University, Hamilton, ON, Canada.
Centre for Addiction and Mental Health, Toronto, ON, Canada.
Digit Health. 2025 Jul 29;11:20552076251365134. doi: 10.1177/20552076251365134. eCollection 2025 Jan-Dec.
Type 1 diabetes (T1D) is a complex, chronic condition that requires active and intensive daily self-management, often necessitating specialized and integrated care. Individuals with T1D are at a heightened risk of experiencing diabetes distress (DD) and other mental health challenges, which, when unaddressed, can impair diabetes self-management and diminish quality of life. These challenges are particularly pronounced for young adults with T1D, who must navigate the typical developmental transitions of early adulthood while managing changes in their diabetes care, self-management, and support systems. However, physical and mental healthcare remain fragmented. While previous studies have explored interventions to address DD, many have faced limitations in scalability. This study aims to evaluate the feasibility and acceptability of the co-designed technology-enabled collaborative care model (TECC-T1D3) tailored to young adults with T1D and DD.
A randomized controlled trial in young adults aged 18-29 years living with T1D in Ontario, Canada (n = 60), to assess the feasibility and acceptability of the co-designed TECC-T1D3 intervention. Secondary objectives include evaluating the preliminary effectiveness of the program in reducing DD, enhancing self-efficacy, improving quality of life, and exploring the impact of the intervention on connectedness to care and community.
This paper presents the trial protocol of the TECC-T1D3 study. Recruitment began in December 2024, and the trial was registered on clinicaltrials.gov (NCT06804694).
The TECC-T1D3 study will determine whether a TECC model is feasible and acceptable for young adults with T1D and DD.
1型糖尿病（T1D）是一种复杂的慢性疾病，需要积极且密集的日常自我管理，通常需要专业的综合护理。患有T1D的个体经历糖尿病困扰（DD）和其他心理健康挑战的风险更高，若不加以解决，这些问题会损害糖尿病自我管理并降低生活质量。对于患有T1D的年轻人来说，这些挑战尤为突出，他们在应对糖尿病护理、自我管理和支持系统变化的同时，还必须经历成年早期典型的发展转变。然而，身心医疗保健仍然分散。虽然先前的研究探索了应对DD的干预措施，但许多措施在可扩展性方面存在局限性。本研究旨在评估为患有T1D和DD的年轻人量身定制的共同设计的技术支持协作护理模式（TECC-T1D3）的可行性和可接受性。
在加拿大安大略省对60名年龄在18至29岁、患有T1D的年轻人进行一项随机对照试验，以评估共同设计的TECC-T1D3干预措施的可行性和可接受性。次要目标包括评估该项目在减少DD、增强自我效能、改善生活质量方面的初步效果，以及探索该干预措施对与护理和社区联系的影响。
本文介绍了TECC-T1D3研究的试验方案。招募工作于2024年12月开始，该试验已在clinicaltrials.gov（NCT06804694）上注册。
TECC-T1D3研究将确定TECC模式对患有T1D和DD的年轻人是否可行且可接受。
