Last updated September 9, 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
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
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.
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.
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
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
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
Understand where this research contributes within the broader evidence network.
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.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
Evidence topics
Primary intervention
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.
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Evidence pairs
708
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Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
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Evidence topic
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Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → Caregiver demographic factors
SMS text messaging behavioral intervention for health promotion → Caregiver demographic factors
SMS text messaging behavioral intervention for health promotion → Diabetes distress scores
SMS text messaging behavioral intervention for health promotion → Diabetes distress scores
SMS text messaging behavioral intervention for health promotion → Diabetes self-management behaviors
SMS text messaging behavioral intervention for health promotion → Diabetes self-management behaviors
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 Library
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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.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Diabetes Management Self-Efficacy
Measures Diabetes Management Self-Efficacy as a key outcome.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring Caregiver demographic factors
Measures Caregiver demographic factors as a key outcome.
Latest published studies
Published within the last 2 years.
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2 results
1 results
2 results
2 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs appear to improve diabetes management self-efficacy.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
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.
Diabetes Self-Management Education and Support (DSMES) Programs may improve diabetes distress measures.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
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.
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
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
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
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
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