Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Oct 1, 2024
Date Accepted: Mar 18, 2025
Empowering Caregiver Well-being: Findings from the Feasibility Study of the Adhera Caring Digital Program for Family Caregivers of Children living with Type 1 Diabetes
ABSTRACT
Background:
Caregivers of children with Type 1 Diabetes (T1D) face multiple challenges that significantly impact their mental health and quality of life. Moreover, the well-being of caregivers directly affects the management of the child’s condition. The Adhera ® Caring Digital Program (ACDP) is a comprehensive, digitally delivered program designed to support family caregivers in enhancing self-management and well-being.
Objective:
This study aims to assess how the ACDP® influences caregivers' mood, emotional well-being, health-related quality of life, and behaviors within the context of T1D. The primary objective is to improve the overall well-being of both caregivers and children.
Methods:
This two-step prospective mixed-method study targets caregivers of children with T1D under supervision at Miguel Servet Children’s University Hospital in Zaragoza, Spain. The objective is to assess the positive mood states of caregivers before and after using the optimized digital intervention for three months. Participants are legal guardians of children with T1D who used continuous glucose monitors (CGM) and are willing to share data. Psychometric assessments are recorded at baseline and at the end of the study.
Results:
Participants reported significant benefits in managing stress and anxiety, suggesting improvements such as enhanced questionnaire options and additional psychological support. We included 90 caregivers and employed pre- and post-intervention assessments to quantify improvements in mood states, quality of life, diabetes knowledge, and dietary habits. The results indicated positive changes across various measured outcomes, suggesting that the ACDP® potentially benefits caregiver wellbeing and strategies for managing T1D.
Conclusions:
The ACDP® intervention for caregivers of children with T1D has produced positive outcomes after 3 months of intervention, with notable improvements in overall well-being. Clinical Trial: ClinicalTrials: NCT05483803 Universal Trial Number (UTN) is U1111-1280-9100
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