Evidence map›Paper›PMID 41159277›Full record

Trial reportDiabetic medicine : a journal of the British Diabetic Association2026

An RCT of a family intervention for adolescents living with type 1 diabetes: Who benefits most?

Jessie J Wong, Selma A Alamarie, Sarah J Hanes, Haley Flores, Jessica Ngo, Aika K Schneider-Utaka, Korey K Hood

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jessie J WongDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0003-2093-4647
Selma A AlamarieDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0009-0009-2984-493X
Sarah J HanesDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0001-9930-0350
Haley FloresDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.
Jessica NgoDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.
Aika K Schneider-UtakaDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-6348-1521
Korey K HoodDepartment of Pediatrics, Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0001-5730-7749

Funding

Family Matters: Optimizing Family-Based Interventions for Adolescents with Type 1 DiabetesK23DK121771 · NIDDK · STANFORD UNIVERSITY · PI WONG, JESSIE J. · 2020 to 2024
$811k
NIDDK NIH HHS K23 DK121771Stanford Maternal and Child Health Research Institute
6 · The paper itself

Abstract

aimsThe current study sought to evaluate a family-based programme designed for adolescents with type 1 diabetes and their parents and identify which families benefited most.

methodsA randomized controlled trial with a waitlist control with 157 parent-adolescent dyads collected data via online surveys and glycaemic measures at baseline and 3- and 6-month post-baseline. Regression models tested main and moderated effects on primary outcomes of percent time-in-range (% TIR) and diabetes health-related quality of life (HRQOL) and secondary outcomes of HbA1c and adolescent and parent diabetes distress.

resultsBeneficial intervention effects included improved parent report of supportive parenting (β = 0.151, p = 0.007, d = 0.31) and both parent (β = -0.177, p = 0.002, d = -0.36) and adolescent (β = -0.150, p = 0.024, d = -0.30) report of unsupportive parenting immediately after the intervention for the full sample. Improvements in HRQOL (β = 0.308, p = 0.002, d = 0.81) at 3-month post-baseline among racial and ethnic minoritized adolescents, HRQOL at 3-month (β = 0.261, p = 0.003, d = 0.94) and 6-month (β = 0.220, p = 0.005, d = 0.58) post-baseline among adolescents not using automated insulin delivery systems. The intervention also reduced parent diabetes distress among parents with high baseline distress (β = -0.200, p = 0.006, d = -0.54).

conclusionsWhile family dynamics improved for all, adolescents' quality of life improved among youth with fewer resources and from marginalized racial and ethnic backgrounds, whereas parents with higher distress benefited most. For adolescents, socioeconomic context may drive intervention response.

Indexed as

Diabetes Mellitus, Type 1Family TherapyParentsAdolescentAdultFemaleGlycated HemoglobinHumansMaleParent-Child RelationsParentingQuality of LifeGlycated Hemoglobinadolescentsdiabetes managementparent–adolescent relationshipspsychosocial interventiontype 1 diabetes

Identifiers

PMID41159277
PMCPMC12766931

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.