Research Summary
Analyzed using Evidence Intelligence™

Peer-Created Videos Improve Psychological Outcomes in Type 1 Diabetes

Key finding

The intervention group demonstrated significant improvement in diabetes distress scores at two time points (immediately post-intervention, and one-month post-intervention) with p-values < 0.001.

This study evaluated the impact of peer-created digital storytelling videos on psychological outcomes in individuals with Type 1 diabetes. Significant improvements in diabetes distress, burnout, and depressive symptoms were observed in the intervention group.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Some Concerns bias
Last updated July 8, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T1 Diabetes

Intervention

Peer-created digital storytelling (DST) intervention, Routine care

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Primary outcome

Diabetes distress

Comparator

Routine care

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 peer-created digital storytelling videos on psychological outcomes in individuals with Type 1 diabetes. Significant improvements in diabetes distress, burnout, and depressive symptoms were observed in the intervention group.

Clinical relevance

The findings highlight the importance of addressing psychological well-being in individuals with Type 1 diabetes. By utilizing peer-created digital storytelling, healthcare providers can offer innovative support that may enhance patients' emotional health, potentially leading to better diabetes management and overall quality of life.

Keep in mind

The study's sample size may limit the generalizability of the findings. The control group did not receive any active intervention, which may affect comparative outcomes. Long-term effects beyond one month were not assessed.

Published in

Journal Reference

Publication details and source links for this paper.

Sheyda Z, Samereh A, Fataneh G, Leila MD. Effectiveness of Peer-Created Digital Storytelling Videos on Psychological Outcomes in Individuals with Type 1 Diabetes: A Randomized Controlled Trial. BMC Psychology. 2025;13:942. doi:10.1186/s40359-025-03258-y

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Main Effects

The intervention group demonstrated a significant reduction in diabetes distress scores (p < 0.001, effect size: -2.5).

The intervention group showed a significant decrease in diabetes burnout scores (p < 0.001, effect size: -2.3).

The intervention group experienced significant improvement in depressive symptoms scores (p < 0.001, effect size: -1.8).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Digital storytelling behavioral intervention, Usual care and Depression score, Diabetes burnout scores, Stress, and 3 more.

Primary intervention

Digital storytelling behavioral intervention

Primary outcomes

  • Depression score
  • Diabetes burnout scores
  • Stress

Evidence relationships

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

6
Evidence pairs
6
Relationships
1
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: 55

1

Related topics

6

Evidence pairs

67

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

Depression score

Digital storytelling behavioral intervention → Depression score

Digital storytelling behavioral intervention → Depression score

Evidence profile

StrongDecreasePatient-Reported
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StrongDecrease

Diabetes burnout scores

Digital storytelling behavioral intervention → Diabetes burnout scores

Digital storytelling behavioral intervention → Diabetes burnout scores

Evidence profile

StrongDecreasePatient-Reported
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StrongDecrease

Stress

Digital storytelling behavioral intervention → Stress

Digital storytelling behavioral intervention → Stress

Evidence profile

StrongDecreasePatient-Reported
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NoneNo Change

Depressive symptoms score in control group

Usual care → Depressive symptoms score in control group

Usual care → Depressive symptoms score in control group

Evidence profile

NoneNo ChangePatient-Reported
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NoneNo Change

Diabetes burnout (control group)

Usual care → Diabetes burnout (control group)

Usual care → Diabetes burnout (control group)

Evidence profile

NoneNo ChangeClinical Outcomes
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NoneNo Change

Diabetes distress scores

Usual care → Diabetes distress scores

Usual care → Diabetes distress scores

Evidence profile

NoneNo ChangePatient-Reported
Unlock full evidence details

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evidence suggest

Evidence Suggest

  • Diabetes distress decreased significantly in the intervention group (effect size: -2.5).
  • Diabetes burnout scores improved significantly (effect size: -2.3).
  • Depressive symptoms were significantly reduced (effect size: -1.8).
who this applies

Who this applies to

  • Individuals diagnosed with Type 1 diabetes.
  • Patients seeking support for psychological challenges related to diabetes management.
keep in mind

Keep in Mind

  • Results may not be applicable to individuals with Type 2 diabetes or other chronic conditions.
  • The intervention's effectiveness may vary based on individual differences in engagement with the storytelling content.
  • Further research is needed to explore long-term benefits and potential scalability of the intervention.
between the lines

Between the Lines

  • The study's sample size may limit the generalizability of the findings.
  • The control group did not receive any active intervention, which may affect comparative outcomes.
  • Long-term effects beyond one month were not assessed.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Digital storytelling behavioral intervention and Stress, Digital storytelling behavioral intervention and Mental Health.

Related evidence relationships

Explore in Evidence Archive

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

Questions answered by this study

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

Does Digital storytelling behavioral intervention improve stress?

Emerging Evidence

Digital storytelling behavioral intervention appears to improve Stress.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Stress

    EvidenceScore™ Emerging | EvidenceScore™ 55.3 | strong positive | ConsensusScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Digital storytelling behavioral intervention improve depression score?

Emerging Evidence

Digital storytelling behavioral intervention appears to improve Depression score.

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

Ranked evidence signals

  1. 1

    Depression score

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Digital storytelling behavioral intervention improve diabetes burnout scores?

Emerging Evidence

Digital storytelling behavioral intervention appears to improve Diabetes burnout scores.

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

Ranked evidence signals

  1. 1

    Diabetes burnout scores

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Usual care improve depressive symptoms score in control group?

Limited Evidence

Current evidence does not show a clear benefit of Usual care for Depressive symptoms score in control group.

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

Ranked evidence signals

  1. 1

    Depressive symptoms score in control group

    EvidenceScore™ Limited | EvidenceScore™ 33.0 | neutral | ConsensusScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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