Resumen de Investigación
Analyzed using Evidence Intelligence™

Emotion-focused strategies reduce diabetes distress and improve HbA1c

Última actualización 9 de septiembre de 2026

Key finding

Cohen's d = 0.58–1.14

This study evaluated the impact of three pharmaceutical interventions on diabetes distress and HbA1c levels in adults with type 1 diabetes.

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 evaluated the impact of three pharmaceutical interventions on diabetes distress and HbA1c levels in adults with type 1 diabetes.

Clinical relevance

These findings are significant for clinicians managing type 1 diabetes, as they highlight effective strategies to reduce diabetes-related stress and improve glycemic control, which can lead to better overall health outcomes for patients.

Keep in mind

Effectiveness of interventions remains unclear due to unspecified p-values. Results may not be generalizable beyond the study population. Limited information on long-term effects beyond 12 months.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Danielle MH, Lawrence F, Susan G, et al. Diabetes Distress Reduction and HbA1c Improvement in Adults with Type 1 Diabetes: A Randomized Controlled Trial. Diabetes Care. 2024;47(8):1370-1378. doi:10.2337/dc23-2452

Efectos Principales

All three programs demonstrated reductions in diabetes distress (Cohen's d = 0.58–1.14) at 12-month follow-up.

All three programs showed reductions in HbA1c levels (range, -0.4 to -0.72) at 12-month follow-up.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to FixIt, Streamline, TunedIn and Diabetes distress scores, HbA1c.

Primary intervention

FixIt

Primary outcomes

  • Diabetes distress scores
  • HbA1c

Primary intervention

Evidence relationships

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

6
Evidence pairs
6
Relationships
2
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: 64

2

Related topics

6

Evidence pairs

643

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Diabetes Distress

matched_outcome

Evidencia relacionada

Tema de evidencia

HbA1c Reduction

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes distress scores

FixIt → Diabetes distress scores

FixIt → 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

HbA1c

FixIt → HbA1c

FixIt → HbA1c

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 distress scores

Streamline → Diabetes distress scores

Streamline → 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

HbA1c

Streamline → HbA1c

Streamline → HbA1c

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 distress scores

TunedIn → Diabetes distress scores

TunedIn → 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

HbA1c

TunedIn → HbA1c

TunedIn → HbA1c

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

Evidence Library

Build your evidence library

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

evidence suggest

La Evidencia Sugiere

  • Diabetes distress decreased significantly across all interventions (Cohen's d = 0.58–1.14).
  • HbA1c levels reduced by up to 0.72% across all interventions.
who this applies

A quién se aplica

  • Adults diagnosed with type 1 diabetes.
  • Individuals experiencing diabetes-related distress.
keep in mind

Tener en Cuenta

  • Further research is needed to confirm long-term effectiveness.
  • The study's findings may not apply to all demographics.
  • Effect sizes should be interpreted with caution due to unclear statistical significance.
between the lines

Entre Líneas

  • Effectiveness of interventions remains unclear due to unspecified p-values.
  • Results may not be generalizable beyond the study population.
  • Limited information on long-term effects beyond 12 months.

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 FixIt and Diabetes Distress Measures, FixIt and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

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

Behavioral & Lifestyle

FixIt → HbA1c

Behavioral & Lifestyle

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
View evidence

Questions answered by this study

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

Does FixIt improve diabetes distress scores?

Emerging Evidence

FixIt appears to improve diabetes distress scores.

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

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 a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does FixIt lower HbA1c?

Emerging Evidence

FixIt appears to lower HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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

Does Streamline improve diabetes distress scores?

Emerging Evidence

Streamline appears to improve diabetes distress scores.

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

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 a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Streamline lower HbA1c?

Emerging Evidence

Streamline appears to lower HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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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