Telehealth occupational therapy improves psychosocial well-being but not glycemia among young adults with type 1 diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) randomized controlled trial
Authors' conclusion
Generalizability may be impacted by external factors related to COVID-19. The findings suggest occupational therapy may be beneficial for young adults experiencing diabetes-related distress and poor DQoL.
Study context
- Population
- Young adults aged 18–30 with T1D and HbA1c ≥ 7.5 % (≥58 mmol/mol); mean age 24.3 (±3.7) years, 59.8 % female, 44.5 % non-Hispanic White, 47.4 % publicly insured
- Participants
- 209 adults
- Comparison
- Telehealth occupational therapy vs usual care
Methodological detailstelehealth
- Telehealth
Primary result
As reported in the abstract
Glycemic outcomes:
- HbA1c
- CGM metrics
- No significant differences in glycemic outcomes
- Intent-to-treat
Further findings
Diabetes-related quality of life (DQoL)
- Improved DQoL in intervention participants, LS mean
- 0.67 (95% CI 0.02 to 1.32; p = 0.045)
- ITT; ANCOVA
Diabetes distress
- Reduced diabetes distress in intervention participants, LS mean
- −0.36 (CI −0.65 to −0.07; p = 0.01)
- ITT; ANCOVA
Original publication
Telehealth occupational therapy improves psychosocial well-being but not glycemia among young adults with type 1 diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) randomized controlled trial. Diabetes Res Clin Pract. Published 28 January 2025. doi:10.
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