Last updated September 9, 2026
Key finding
Quality of life scores increased from 41.30 at baseline to 42.50 at 6 weeks.
This study evaluated the feasibility and acceptability of Acceptance and Commitment Therapy (ACT) for adolescents with Type 1 Diabetes. Results indicated improvements in quality of life and reductions in diabetes distress for the ACT group.
Quick read
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EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
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Study focus
This study evaluated the feasibility and acceptability of Acceptance and Commitment Therapy (ACT) for adolescents with Type 1 Diabetes. Results indicated improvements in quality of life and reductions in diabetes distress for the ACT group.
Improving mental health and quality of life is crucial for adolescents managing chronic conditions like Type 1 Diabetes. The findings suggest that incorporating therapeutic approaches like ACT could enhance overall well-being and potentially improve diabetes management outcomes.
Unclear effectiveness due to lack of statistical significance. Small sample size may limit generalizability. No long-term follow-up data to assess sustained effects.
Published in
Publication details and source links for this paper.
Kirsten RP, Keely B, Amy F, et al. Feasibility and Acceptability of Acceptance and Commitment Therapy for Adolescents with Type 1 Diabetes. Journal of Health Psychology. 2025;31(1):416-428. doi:10.1177/13591053251328961
Quality of life increased by 1.2 points in the ACT group.
Diabetes distress decreased by 2.1 points in the ACT group.
Quality of life decreased by 1.06 points in the control group.
Diabetes distress decreased by 3.09 points in the control group.
Evidence network
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This study contributes evidence to Acceptance and Commitment Therapy (ACT) and Diabetes distress scores, Mindfulness, Quality of life.
This study contributes evidence to
Primary intervention
Acceptance and Commitment Therapy (ACT)
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
2
Related topics
3
Evidence pairs
160
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
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Core evidence
The primary outcomes reported in this study.
Acceptance and Commitment Therapy (ACT) → Diabetes distress scores
Acceptance and Commitment Therapy (ACT) → Diabetes distress scores
Acceptance and Commitment Therapy (ACT) → Mindfulness
Acceptance and Commitment Therapy (ACT) → Mindfulness
Acceptance and Commitment Therapy (ACT) → Quality of life
Acceptance and Commitment Therapy (ACT) → Quality of life
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Acceptance and Commitment Therapy (ACT) and Diabetes Distress Measures, Acceptance and Commitment Therapy (ACT) and Mindfulness.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Acceptance and Commitment Therapy (ACT)
Contributes to Acceptance and Commitment Therapy (ACT) evidence base.
All studies measuring Diabetes Distress Measures
Measures Diabetes Distress Measures as a key outcome.
All studies measuring Mindfulness
Measures Mindfulness as a key outcome.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Acceptance and Commitment Therapy (ACT) appears to improve quality of life.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Quality of life
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Acceptance and Commitment Therapy (ACT) for diabetes distress scores.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes distress scores
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Acceptance and Commitment Therapy (ACT) for mindfulness.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Mindfulness
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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