{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:11:28Z","timestamp":1789186288127,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To test the feasibility of a group\u2010based psychological intervention for young adults with type 1\u2010diabetes and elevated diabetes distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Young adults (18\u201330\u2009years), screened for diabetes distress using the Type 1 Diabetes Distress Scale (T1\u2010DDS), participated in six group sessions led by a psychologist and a diabetes nurse. The intervention was based on Acceptance and Commitment Theory (ACT) and focused on reducing diabetes distress. Feasibility was assessed through trial recruitment, intervention completion, intervention acceptability and preliminary estimates of effect size (T1\u2010DDS, HbA\n                      <jats:sub>1c<\/jats:sub>\n                      , continuous glucose measurement), using descriptive statistics,\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test and systematic text condensation of interviews.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During May 2023\u2013December 2023, 22 young adults were recruited; 20 completed the intervention with high acceptability. Participants (85% women, mean age 23.6\u2009years) showed significant reductions in diabetes distress (T1\u2010DDS: 1.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). No changes were found in HbA\n                      <jats:sub>1c<\/jats:sub>\n                      or glucose time\u2010in\u2010range. Qualitative analyses highlighted benefits of sharing experiences with peers, gaining clarity and practicing coping strategies, supporting the intervention's feasibility and potential effectiveness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The intervention is feasible and acceptable with encouraging diabetes distress improvements. Minor adjustments will optimize the intervention for the upcoming RCT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70357","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:24:49Z","timestamp":1780039489000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["D\u2010\n                    <scp>ACTnow<\/scp>\n                    \u2014A diabetes\u2010specific group\u2010based psychological intervention for young adults with type 1 diabetes and elevated diabetes distress: Results from a single\u2010arm pilot study"],"prefix":"10.1111","volume":"43","author":[{"given":"Tanja","family":"Schmidt","sequence":"first","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Just\u2010\u00d8stergaard","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie Drotner","family":"Mouritsen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grete Sk\u00f8tt","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8172-9818","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Pouwer","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"},{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"Department of Health and Caring Sciences Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus Bogh","family":"Juhl","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"},{"name":"Department of Endocrinology University Hospital of Southern Denmark  Esbjerg Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14157"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12641"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-1001"},{"key":"e_1_2_12_5_1","unstructured":"RimdalB 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