Resumen de Investigación
Analyzed using Evidence Intelligence™

Caregiver diabetes distress is linked to family conflict and adolescent self-management

Última actualización 9 de septiembre de 2026

Key finding

Higher diabetes-related family conflict and lower adolescent diabetes self-management behaviors were associated with significantly higher caregiver DD.

This study examined caregiver diabetes distress and its correlates, focusing on a positive psychology text message intervention.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined caregiver diabetes distress and its correlates, focusing on a positive psychology text message intervention.

Clinical relevance

Understanding caregiver diabetes distress is crucial as it can impact both the caregiver's well-being and the adolescent's diabetes management. Addressing these factors through targeted interventions could improve outcomes for families dealing with diabetes.

Keep in mind

The effectiveness of the intervention remains unclear. The study had a single-arm design, limiting comparative analysis. Generalizability may be limited due to the specific population studied.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Tabitha M, Hailey I, Randi S, et al. Caregiver Diabetes Distress: Correlates and Implications for Interventions. Journal of Pediatric Psychology. 2025;50(9):880-886. doi:10.1093/jpepsy/jsaf051

Efectos Principales

Caregiver diabetes distress scores were significantly associated with demographic and diabetes-related factors.

Higher diabetes-related family conflict was associated with significantly higher caregiver diabetes distress.

Lower adolescent diabetes self-management behaviors were linked to significantly higher caregiver diabetes distress.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to SMS text messaging behavioral intervention for health promotion and Caregiver demographic factors, Diabetes distress scores, Diabetes self-management behaviors, and 1 more.

Primary intervention

SMS text messaging behavioral intervention for health promotion

Primary outcomes

  • Caregiver demographic factors
  • Diabetes distress scores
  • Diabetes self-management behaviors

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
6
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

6

Related topics

4

Evidence pairs

729

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 6 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy

Evidencia relacionada

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Distress Measures

Guardar evidencia

Tema de evidencia

Diabetes Self-Management Education

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Caregiver demographic factors

SMS text messaging behavioral intervention for health promotion → Caregiver demographic factors

SMS text messaging behavioral intervention for health promotion → Caregiver demographic factors

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Diabetes distress scores

SMS text messaging behavioral intervention for health promotion → Diabetes distress scores

SMS text messaging behavioral intervention for health promotion → Diabetes distress scores

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Diabetes self-management behaviors

SMS text messaging behavioral intervention for health promotion → Diabetes self-management behaviors

SMS text messaging behavioral intervention for health promotion → Diabetes self-management behaviors

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Improvement in diabetes-related helpful family involvement

SMS text messaging behavioral intervention for health promotion → Improvement in diabetes-related helpful family involvement

SMS text messaging behavioral intervention for health promotion → Improvement in diabetes-related helpful family involvement

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

La Evidencia Sugiere

  • Caregiver diabetes distress decreased by 7.91 points, p = 0.001.
  • Higher family conflict correlated with increased caregiver distress.
  • Lower adolescent self-management linked to higher caregiver distress.
who this applies

A quién se aplica

  • Caregivers of adolescents with diabetes.
  • Individuals experiencing diabetes-related family conflict.
keep in mind

Tener en Cuenta

  • The study's findings may not apply to all caregiver demographics.
  • The intervention's impact is still uncertain and requires further investigation.
  • Results are based on self-reported measures, which may introduce bias.
between the lines

Entre Líneas

  • The effectiveness of the intervention remains unclear.
  • The study had a single-arm design, limiting comparative analysis.
  • Generalizability may be limited due to the specific population studied.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy, Diabetes Self-Management Education and Support (DSMES) Programs and Caregiver demographic factors.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Incluido en estas colecciones de evidencia

Curated evidence collections and hubs this study is part of.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Do Diabetes Self-Management Education and Support (DSMES) Programs improve diabetes management self-efficacy?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appear to improve diabetes management self-efficacy.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 20 supporting studies with consistent results and a positive effect signal.

20 supporting studies

Do Diabetes Self-Management Education and Support (DSMES) Programs improve diabetes distress measures?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve diabetes distress measures.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes distress scores

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

5 supporting studies

Does SMS text messaging behavioral intervention for health promotion improve caregiver demographic factors?

Emerging Evidence

Current evidence does not show a clear benefit of SMS text messaging behavioral intervention for health promotion for caregiver demographic factors.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Caregiver demographic factors

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on SMS text messaging behavioral intervention for health promotion and improvement in diabetes-related helpful family involvement?

Emerging Evidence

Current evidence does not show a clear benefit of SMS text messaging behavioral intervention for health promotion for improvement in diabetes-related helpful family involvement.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Improvement in diabetes-related helpful family involvement

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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