{"doi":"10.1093/jpepsy/jsae033","title":"The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes","abstract":"OBJECTIVE: Due to systemic inequities, Black adolescents with type 1 diabetes are more likely to have suboptimal glycemic control and high rates of diabetes distress, but tailored interventions for this population are lacking. In primary outcomes of a randomized clinical trial, a family-based eHealth intervention improved glycemic control in Black adolescents with type 1 diabetes and elevated depressive symptoms. The present study is a secondary analysis of these clinical trial data examining the moderating effect of diabetes distress on the efficacy of the intervention. METHODS: Using secondary data from a multicenter randomized clinical trial (Clinicaltrials.gov [NCT03168867]), caregiver-adolescent dyads were randomly assigned to either up to three sessions of an eHealth parenting intervention (n = 75) or a standard medical care control group (n = 74). Black adolescents (10 years, 0 months to 14 years, 11 months old) with type 1 diabetes and a caregiver willing to participate were eligible. Adolescents reported their diabetes distress at baseline, and hemoglobin A1c (HbA1c) data were collected at baseline, 6-, 13-, and 18-month follow-up. RESULTS: No between-group contrasts emerged in a linear mixed-effects regression (p's > .09). Within-group contrasts emerged such that adolescents assigned to the intervention who reported high diabetes distress had lower HbA1c at the 18-month follow-up relative to baseline (p = .004); the 18-month decrease in HbA1c was -1.03%. CONCLUSIONS: Black adolescents with type 1 diabetes and high levels of diabetes distress showed significant decreases in HbA1c following a family-based eHealth intervention, suggesting diabetes distress may be a key moderator of intervention efficacy within this population.","journal":"Journal of Pediatric Psychology","year":2024,"id":478780,"datarank":0.1693239594808007,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.004532116180584258,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.004532116180584258,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":2,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9479,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03168867"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":792352,"name":"Angela J. Jacques‐Tiura","orcid":"0000-0001-7032-1430","position":1,"is_corresponding":false},{"id":706134,"name":"April Idalski Carcone","orcid":"0000-0002-4731-1995","position":2,"is_corresponding":false},{"id":706909,"name":"Meredyth Evans","orcid":null,"position":3,"is_corresponding":false},{"id":706135,"name":"Jill Weissberg‐Benchell","orcid":"0000-0002-4396-6337","position":4,"is_corresponding":false},{"id":706136,"name":"Colleen Buggs‐Saxton","orcid":"0000-0002-9573-5717","position":5,"is_corresponding":false},{"id":706137,"name":"Claudia Boucher‐Berry","orcid":"0000-0003-1587-191X","position":6,"is_corresponding":false},{"id":706138,"name":"Jennifer L. Miller","orcid":"0000-0002-5207-8091","position":7,"is_corresponding":false},{"id":706139,"name":"Tina Drossos","orcid":"0000-0002-8668-2422","position":8,"is_corresponding":false},{"id":505460,"name":"Bassem Dekelbab","orcid":null,"position":9,"is_corresponding":false},{"id":706133,"name":"Deborah A. Ellis","orcid":"0000-0002-4879-6971","position":10,"is_corresponding":false},{"id":1153649,"name":"Katherine Knauft","orcid":"0000-0002-4017-6647","position":0,"is_corresponding":true}],"reference_count":52,"raw_metadata":null,"created_at":"2026-07-19T02:06:46.330532Z","pmid":"38775162","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}