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T2DM (Type 2 Diabetes Mellitus)NCT06912737

Group Emotion-Focused Behavioral Intervention for Diabetes Distress/A1c in T2D.

A study testing Group Emotion Focused Behavioral Intervention (G-EFBI) and Group - With Every Heartbeat is Life (G-WEHL) in people with T2DM (Type 2 Diabetes Mellitus), run by Ohio State University at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

T2D is a major public health problem and is currently the 7th leading cause of death in the US. Despite a range of efficacious treatments, less than 50% of patients achieve a glycemic target of A1c < 7.0%, suggesting that this is due to difficulty with following medical regimens to reduce A1C levels. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
T2DM (Type 2 Diabetes Mellitus)
What is being tested?
Group Emotion Focused Behavioral Intervention (G-EFBI) and Group - With Every Heartbeat is Life (G-WEHL)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteUnited States
Study dates
1 Sep 2025to 31 Jan 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female adults with documented diagnosis of T2D for at least one year.
  • Age > 18 years of age.
  • Diabetes Distress Scale score > 2.0 on any DDS subscale.
  • A1c > 7.5 (with hemoglobin in the normal range).
  • PHQ-9 Depression score < 15.
  • Stable medical co-morbid conditions.
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  • Absence of a psychotic disorder or an intellectual disability.
  • Able to read English.
  • Able to give informed consent.

Who cannot join

  • Male and female adults with documented diagnosis of T2D for less than one year.
  • Age < 18 years of age.
  • Diabetes Distress Scale score < 2.0 on all DDS subscales.
  • A1c < 7.5 (with hemoglobin in the normal range).
  • PHQ-9 Depression score > 15.
  • Unstable medical co-morbid conditions (e.g., hospitalization in past three months).
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  • Presence of a psychotic disorder or an intellectual disability.
  • Initiation of psychotherapy or pharmacotherapy for emotional issues within three months of study entry.
  • Unable to read English.
  • Unable to give informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Julian Roberts, R.N. contact

614-257-2086

julian.roberts@osumc.edu

United States1 site
  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

Other trials in United States

About this study

Official title: Development of a Group Emotion-Focused Behavioral Intervention for Diabetes Distress and Glycemic Management in Patients With T2D.

T2D is a major public health problem and is currently the 7th leading cause of death in the US. Despite a range of efficacious treatments, less than 50% of patients achieve a glycemic target of A1c < 7.0%, suggesting that this is due to difficulty with following medical regimens to reduce A1C levels. While a range of factors have been identified in this regard, we posit that a barrier to treatment are broad difficulty with emotional regulation that are not diagnosis-specific but lead to Diabetes Distress (DD) and difficulty in coping with medical regimens, and other aspects of diabetes self-care, in the context of the psychosocial stressors associated with T2D. Extant data suggests that sub-optimal emotional regulation (experience of intense emotion and skill at regulating emotion) is related to elevated DD and A1c levels, and that an Emotion-Focused Behavioral Intervention (EFBI) can reduce both DD and A1c levels in PWD with T2D. In this project we seek to take our one-to-one intervention, now adapted to a group intervention (G-EFBI) and collect feasibility, acceptability, and preliminary efficacy data to determine if G-EFBI is a feasible, acceptable and, possibly, efficacious intervention compared to an "Attentional Control" intervention in PWD with T2D and elevated DD and A1c levels.

Read the detailed description

This is an early-stage treatment development project proposing to conduct a modest randomized clinical trial of Group EFBI, vs. a Group Attentional Control Intervention, to collect feasibility, acceptability, and preliminary efficacy data in study participants with poorly controlled T2D (A1c > 7.5) and high Diabetes Distress Scale (DDS) scores (= or > 2 on any DDS subscale). This study will seek to study up to one hundred and twenty (120) study participants with T2D and elevated A1c and DDS scores will be recruited for about twelve (12) groups of seven to ten (7-10) to obtain feasibility, acceptability, and preliminary efficacy data. Participants will be randomized to ten 75-minute sessions of G-EFBI or of the Attentional Control Group Intervention, "With Every Heartbeat Is Life" (WEHL). WEHL is a psychoeducational intervention designed to increase awareness and prevention of cardiovascular disease and contains no ER related content. Study groups of patients with T2D will be recruited as above. This study will have 16 visits. Visit #1. Informed Consent and final assessment for study entry. Study participants must have a current A1c > 7.5%, a current DDS score > 2.0 on any DDS subscale, and be medically stable (e.g., without chronic renal failure). Assessments are listed below: 1. Glycemic Control. A1c using a DCA Vantage (Siemens) "point of contact" (POC) instrument. Blood (< 1 cc) is taken from a fingerstick. The total number of finger sticks in this study is four for a total blood collection volume of < 5 cc. 2. Diabetes Related Distress. Diabetes Distress Scale (DDS) 3. ER-Experience and ER-Skill. ER-Experience from the Affect Lability Scales (ALS); ER-Skill from the Trait-Meta-Mood (TMM) questionnaire. 4. Diabetes Self-Care and Engagement/Motivation. The Self-Care Inventory-Revised (SCI-R) and the Patient Activation Measure (PAM). 5. Depression, Anxiety, Stress, and Quality of Life (Q-LES-Q). State Depression/State Anxiety be assessed by PHQ-9 and GAD-7; Psychosocial stress assessed by the Perceived Stress Scale (PSS); Q-LES-Q will be assessed by Quality-of-Life Experience and Satisfaction. Visit #2: This is a 30-60 minute preparation session prior to the participant starting group intervention. Visit #3-7: Start G-EFBI or G-WEHL Sessions 1-5. Visit #8 (Mid-Point Assessment): A1c / DDS / AIM / ALS / TMM / SCI-R / PHQ-9 / GAD-7 / PSS / QOL. Visits 10-14: G-EFBI or G-WEHL Sessions 6-10. Visit #15 (End-Point Assessment): A1c / DDS / AIM / ALS / TMM / SCI-R / PHQ-9 / GAD-7 / PSS / Q-LES-Q. Visits #16 Post-Rx Assessment at Six Month F/U). Same as Visit #15.

Being tested
Group Emotion Focused Behavioral Intervention (G-EFBI), Group - With Every Heartbeat is Life (G-WEHL)
Keywords
T2D, Diabetes Distress, HbA1c
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group Emotion Focused Behavioral Intervention (G-EFBI)Behavioural

    Group EFBI (G-EFBI) is aimed at assisting people with T2D to gain knowledge about emotions and improve their ability to regulate and manage their emotions.

  • Group - With Every Heartbeat is Life (G-WEHL)Behavioural

    G-WEHL is an educational intervention designed to increase awareness and prevention of cardiovascular disease.

Study groups in NCT06912737
Study groupRoleWhat they receive
Group Emotion Focused Behavioral Intervention (G-EFBI)ExperimentalGroup EFBI (G-EFBI) is a 10-session, 75-minute, program aimed at assisting people with T2D to gain knowledge about emotions and improve their ability to regulate and manage their emotions. G-EFBI begins with discussions regarding the relationship between events, feelings, and behaviors/actions and how this relates to diabetes management. The intervention moves to teaching participants: (1) how to identify emotions and understand their purpose; (2) learn how identifying the physiological/behavioral pattern of their own emotions; (3) learn the importance of recognizing emotions in themselves and in others; (4) learn strategies aimed at helping them to better cope and manage their emotions; (5) learn to use specific emotional restructuring strategies (i.e., reframing, finding the evidence) to change their negative emotional responses to daily stressors and events as it relates to diabetes management.
Receives: Behavioral: Group Emotion Focused Behavioral Intervention (G-EFBI)
G-WEHLActive comparatorTo control for the effect of attention given to participants in G-EFBI that can result in psychosocial improvements, participants will be randomized to either G-EFBI or Group-With Every Heartbeat is Life (G-WEHL). G-WEHL is an educational intervention designed to increase awareness and prevention of cardiovascular disease. This intervention has ten 75-minute content sessions covering cardiovascular risk reduction in terms of diet, physical activity, and smoking cessation; the G-WEHL manual is provided in the Clinical Trials Section of this application; G-WEHL has no elements relevant to emotion regulation. The use of WEHL in this study is relevant because cardiovascular disease affects one-third of PWD, is a major cause of mortality (~ 50%), and impact (20-49%) on direct medical costs of T2D.
Receives: Behavioral: Group - With Every Heartbeat is Life (G-WEHL)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diabetes Distress Scale (DDS)

    The Diabetes Distress Scale (DDS) will be used to assess psychological distress associated with the care and management of T2D; assessment of DD is critical for T2D intervention studies. The 17-item DDS has four subscales: regimen-related distress, emotional burden, physician distress, and interpersonal distress. Respondents have six options for each item ranging from "1" (not a problem) to "6" (a very serious problem). Mean Scores > 2.0 are at threshold for clinically meaningful DD.

    Measured: Week 0, Week 5, Week 10 and Month 6

  2. HbA1c Level

    A1c is measured at Visit #1 (Pre-Intervention) Visit #8 (Mid-Point), Visit #14 (After End of Intervention) and at Visit #15 (Six Month Follow-Up). A DCA Vantage (Siemens) "point of contact" (POC) instrument will be used for A1c levels. The research assistant will be trained in obtaining the fingerstick sample by the PI/Co-I (Drs. Coccaro and Joseph) and in how to operate the instrument. Our POC method displays a "unity" correlation with commercial assays (Roche Labs): r =.993 (p < .001) and bias of 0.03%.

    Measured: Week 0, Week 5, Week 10 and Month 6

Secondary outcomes (9)
  1. Emotion Regulation Skill (ER-Skill)

    The "Clarity of Emotion" and "Repair of Emotion" scores from the Trait Meta-Mood (TMM) scale will constitute ER-Skill score.

    Measured: Week 0, Week 5, Week 10 and Month 6

  2. Emotion Regulation Experience (ER-Exp)

    The "Negative Emotional Intensity" score from the Affect Intensity Measure (AIM) and "Anxiety/Depression Lability" score from the Affect Lability Scales (ALS) will constitute the ER-Exp score.

    Measured: Week 0, Week 5, Week 10 and Month 6

  3. Self-Care Inventory-Revised (SCI-R)

    The Self-Care Inventory-Revised (SCI-R), included in our previous studies, will be used to assesses how well patients have followed self-care recommendations in the past month.

    Measured: Week 0, Week 5, Week 10 and Month 6

  4. Patient Activation Measure (PAM) for Engagement/Motivation

    The Patient Activation Measure (PAM), assessing skill/confidence for self-management will be used to assess engagement/motivation.

    Measured: Week 0, Week 5, Week 10 and Month 6

  5. PHQ-9 for State Depression

    State Depression will be assessed by commonly used PHQ-9 which is a nine-item screening assessment of current symptoms of depression.

    Measured: Week 0, Week 5, Week 10 and Month 6

  6. GAD-7 for State Anxiety

    State Anxiety will be assessed by GAD-7, a commonly used 7-item screening measure of state anxiety.

    Measured: Week 0, Week 5, Week 10 and Month 6

  7. Perceived Stress Scale (PSS) for Perceived Psychosocial Stress

    Perceived psychosocial stress will be assessed by the Perceived Stress Scale (Past Month). This is a ten item scale.

    Measured: Week 0, Week 5, Week 10 and Month 6

  8. Quality of Life Experience and Satisfaction (Q-LES-Q)

    Q=LES-Q is a 16-item QOL scale that assesses quality of life experience and satisfaction across several domains.

    Measured: Week 0, Week 5, Week 10 and Month 6

  9. Assessment of Acceptance, Appropriateness, and Feasibility of Intervention.

    Acceptability, Appropriateness, and Feasibility of Intervention (AAFI), as developed by Weiner et al. will be done at post-intervention (end of trial and six month follow-up). The AAFI comprises of three (3) four item Likert scale (1-5: strongly disagree to strongly agree) questionnaires with good internal (α's: 0.85 to 0.91) and test-retest (r=0.73 to 0.88), reliability known-groups validity, and sensitivity to change in both directions. These are Acceptability of Intervention Measure AIM), Intervention Appropriate Measure (IAM), and Feasibility of Intervention Measure (FIM).

    Measured: Week 10 and Month 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Apr 2025
  2. Study start1 Sep 2025 (estimated)
  3. Primary completion31 Jan 2028 (estimated)
  4. Study completion31 Jan 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Half of the study participants will be randomized to G-EFBI and half to G-WEHL.
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06912737
Sponsor's protocol ID
2024H0014
Other IDs
R01DK135948
Status last verified
Apr 2025
First submitted
27 Dec 2024
Last updated
6 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Demographic, clinical, and clinical trial data will be acquired from up to 120 individuals with Type 2 Diabetes. All data will be de-identified prior to receipt by the repository, but the information needed to generate a global unique identifier will be collected for each subject.

Questions about this trial

What is this clinical trial studying?

A study testing Group Emotion Focused Behavioral Intervention (G-EFBI) and Group - With Every Heartbeat is Life (G-WEHL) in people with T2DM (Type 2 Diabetes Mellitus), run by Ohio State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 6 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Julian Roberts, R.N. (614-257-2086, julian.roberts@osumc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diabetes Distress Scale (DDS) (time frame: Week 0, Week 5, Week 10 and Month 6). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2025.

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