Details

Autor(en) / Beteiligte

• Martyn-Nemeth, Pamela
• Duffecy, Jennifer
• Quinn, Laurie
• Park, Chang
• Reutrakul, Sirimon
• Mihailescu, Dan
• Park, Minsun
• Penckofer, Sue

Titel

FREE: A randomized controlled feasibility trial of a cognitive behavioral therapy and technology-assisted intervention to reduce fear of hypoglycemia in young adults with type 1 diabetes

Ist Teil von

• Journal of psychosomatic research, 2024-06, Vol.181, p.111679, Article 111679

Ort / Verlag

England: Elsevier Inc

Erscheinungsjahr

2024

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• The purpose of this study was to test the preliminary effectiveness of a cognitive behavioral therapy intervention (Fear Reduction Efficacy Evaluation [FREE]) designed to reduce fear of hypoglycemia in young adults with type 1 diabetes. The primary outcome was fear of hypoglycemia, secondary outcomes were A1C, and glycemic variability. A randomized clinical trial was used to test an 8-week intervention (FREE) compared to an attention control (diabetes education) in 50 young adults with type 1 diabetes who experienced fear of hypoglycemia at baseline. All participants wore a continuous glucose monitor for the 8-week study period. Self-reported fear of hypoglycemia point-of-care A1C testing, continuous glucose monitor-derived glucose variability were measured at baseline, Week 8, and Week 12 (post-program). Compared to controls, those participating in the FREE intervention experienced a reduction in fear of hypoglycemia (SMD B = −8.52, p = 0.021), change in A1C (SMD B = 0.04, p = 0.841) and glycemic variability (glucose standard deviation SMD B = −2.5, p = 0.545) by the end of the intervention. This represented an 8.52% greater reduction in fear of hypoglycemia. A cognitive behavioral therapy intervention (FREE) resulted in improvements in fear of hypoglycemia. Clinicaltrials.govNCT03549104 •Despite improved diabetes technology, fear of hypoglycemia persists in T1D.•We developed and tested an intervention (FREE) to reduce fear of hypoglycemia.•FREE resulted in reduced fear, and improved self-management and glucose parameters.