Effectiveness of Low Intensity Mental Health Support via a Telehealth Enabled Network (LISTEN) for Adults With Diabetes Distress: A Parallel Group, Pragmatic Randomized Controlled Trial
Primary result · Change in diabetes distress (PAID)Result — go to the resultMean difference −7.2 95% CI −11.6 to −2.8Authors' conclusion
LISTEN is an effective, low-intensity program, addressing the unmet needs of adults with type 1 and type 2 diabetes experiencing mild-to-moderate diabetes distress.
Study context
- Population
- Adults with T1D or T2D and diabetes distress (PAID score ≥25, or ≥2 on ≥3 items), recruited via the National Diabetes Services Scheme; 59% women, median age 54 (IQR 42.0–63.5); 37% T1D, 63% T2Drandomized 1:1
- Participants
- 429 adults
- Comparison
- LISTEN vs usual care
- LISTENn = 216
- Usual caren = 213reference
- Primary endpoint
- Change in diabetes distress (PAID)
- Follow-up
- Baseline to 26 weeks
Methodological detailstwo-arm, parallel group, pragmatic, central computer randomization (1:1)
- Two-arm
- Parallel group
- Pragmatic
- Central computer randomization (1:1)
Primary result
As reported in the abstract
26 weeks
Mean difference
−7.2
95% CI −11.6 to −2.8
P < 0.001
LISTENvs Usual care
mean difference −7.2 (95% CI −11.6 to −2.8); P < 0.001
Secondary outcomes
General emotional well-being (WHO-5) and coping self-efficacy · over 26 weeks
- Greater improvements in general emotional well-being and coping self-efficacy with LISTEN vs control
Safety
- No adverse events were reported
Original publication
Effectiveness of Low Intensity Mental Health Support via a Telehealth Enabled Network (LISTEN) for Adults With Diabetes Distress: A Parallel Group, Pragmatic Randomized Controlled Trial. Diabetes Care. Published 20 May 2025. doi:10.
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