{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:17:25Z","timestamp":1793830645322,"version":"4.6.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","award":["2015-PG-T1D059"],"award-info":[{"award-number":["2015-PG-T1D059"]}],"id":[{"id":"10.13039\/100007028","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to analyze the impact of virtual group appointments (VGA) on self-reported health-related outcomes and care activities for young adults (YA) with type 1 diabetes (T1D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Fifty-three YA (ages 18-25\u2009years) with T1D participated in a randomized controlled trial (RCT) of the Colorado Young Adults with T1D (CoYoT1) Clinic intervention, encompassing telehealth (TH) with or without VGA. Both new patients ( n\u2009=\u200932) and those who participated in a pilot phase ( n\u2009=\u200926) were randomized to CoYoT1 Clinic (TH+VGA; n\u2009=\u200923) or TH-only ( n\u2009=\u200935) and followed for 1 year. YA completed the Diabetes Distress Scale (DDS), Diabetes Strengths and Resilience (D-STAR), Self-Efficacy in Diabetes (SED), Self-Management of Type 1 Diabetes in Adolescence (SMOD-A), Center for Epidemiologic Studies Depression (CES-D), and EuroQol (EQ-5D) scales at baseline and study end.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>YA were 67% female, 84% white, 10% Latinx, and the mean age was 20.4\u2009years old. At study end, participants in CoYoT1 Clinic reported significantly reduced diabetes distress compared to those in TH-only, who reported increased levels [Effect Size (ES)\u2009=\u2009\u22120.40, P\u2009=\u2009.02]. Specifically, CoYoT1 Clinic participants reported relative reductions in Physician (ES\u2009=\u2009\u22122.87, P\u2009=\u2009.02) and Regimen-related distress (ES\u2009=\u2009\u22120.35, P\u2009=\u2009.01). In addition, participants in CoYoT1 Clinic reported improved self-management of T1D-related problem solving (ES\u2009=\u20090.47, P\u2009=\u2009.051) and communication with care providers (ES\u2009=\u20090.39, P\u2009=\u2009.07).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Virtual group attendance in CoYoT1 Clinic was associated with significant improvements in diabetes-related distress. Long-term exposure to VGA should be investigated in YA with T1D and other pediatric chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968211035768","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T06:38:40Z","timestamp":1627627120000},"page":"1419-1427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":50,"title":["Virtual Group Appointments Reduce Distress and Improve Care Management in Young Adults with Type 1 Diabetes"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4440-7366","authenticated-orcid":false,"given":"Daniel I.","family":"Bisno","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1942-225X","authenticated-orcid":false,"given":"Mark W.","family":"Reid","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Fogel","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Pyatak","sequence":"additional","affiliation":[{"name":"Chan Division of Occupational Science and Occupational Therapy, University of Southern California, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shideh","family":"Majidi","sequence":"additional","affiliation":[{"name":"The Barbara Davis Center for Diabetes, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1866-4932","authenticated-orcid":false,"given":"Jennifer K.","family":"Raymond","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Los Angeles, CA, USA"},{"name":"The Barbara Davis Center for Diabetes, Aurora, CO, USA"},{"name":"Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"bibr1-19322968211035768","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsq104"},{"key":"bibr2-19322968211035768","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.12.014"},{"key":"bibr3-19322968211035768","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2017.05.014"},{"key":"bibr4-19322968211035768","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.045369"},{"key":"bibr5-19322968211035768","first-page":"5","author":"Varni JW","year":"2007","journal-title":"Health Qual Life 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