{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:03:04Z","timestamp":1785229384173,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100022725","name":"Healthcare Otago Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A minority of young adults with type 1 diabetes achieve &gt;\u200970% time in range (TIR; 70\u2013180\u2009mg\/dL [3.9\u201310\u2009mmol\/L]), as recommended. Self\u2010management goals based on self\u2010chosen values (whatever is most important to an individual) may motivate engagement in self\u2010management tasks that could improve TIR. This study explored the acceptability, feasibility, and potential outcomes of values\u2010guided self\u2010management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A single\u2010arm quasi\u2010experimental pilot study was conducted with 14 participants aged 18\u201325\u2009years and HbA\n                      <jats:sub>1c<\/jats:sub>\n                      \u2009\u2265\u200958\u2009mmol\/mol (7.5%). The intervention consisted of a single 1:1 session (&lt;\u200960\u2009min) grounded in Acceptance and Commitment Therapy and a 2\u2010week follow\u2010up. The session consisted of a semi\u2010structured discussion of self\u2010management behaviour, behavioural alignment with personally chosen values, barriers to behaviour change, and action planning. TIR was determined by glucose levels measured with a blinded interstitial continuous glucose monitoring sensor. Participants self\u2010reported adherence to self\u2010management tasks, psychological flexibility, valued living and acceptance of living with diabetes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen participants received the intervention. The intervention was acceptable and feasible to implement. The mean change (95% CI) between pre\u2010 and post\u2010intervention TIR was an increase of 2.2 (\u22121.2, 5.7) percentage points, mostly through a decrease in time above range. The standardized mean change (95% CI) in progress towards valued living was 0.72 (0.27, 1.16) with small improvements in diabetes\u2010specific acceptance and carrying out valued actions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      A brief values\u2010guided self\u2010management intervention shows promise to improve time in range among emerging adults with type 1 diabetes and above recommended HbA\n                      <jats:sub>1c<\/jats:sub>\n                      . Further investigation of values\u2010guided self\u2010management is warranted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      Australian New Zealand Clinical Trials Registry (ACTRN12620000200987;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.anzctr.org.au\/ACTRN12620000200987.aspx\">https:\/\/www.anzctr.org.au\/ACTRN12620000200987.aspx<\/jats:ext-link>\n                      )\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/edm2.70255","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:48:48Z","timestamp":1780501728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary Outcomes of a Brief Values\u2010Guided Self\u2010Management Intervention to Improve Glucose Levels Among Emerging Adults With Type 1 Diabetes and Above\u2010Recommended\n                    <scp>\n                      HbA\n                      <sub>1c<\/sub>\n                    <\/scp>\n                    : A Pilot Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-881X","authenticated-orcid":false,"given":"Sara E.","family":"Styles","sequence":"first","affiliation":[{"name":"Department of Human Nutrition University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian J.","family":"Haszard","sequence":"additional","affiliation":[{"name":"Haszard Biostatistics  Balclutha New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuzana","family":"Oravcova\u2010Wheeler","sequence":"additional","affiliation":[{"name":"Zivio Health  Dunedin New 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