568-P: Assessing Group Engagement during Parent-Focused Telehealth Interventions in Pediatric Type 1 Diabetes

Abstract

Objective: The impact of group engagement on the efficacy of group video-based telehealth interventions in type 1 diabetes (T1D) remains unknown. We sought to assess group engagement in two video-based telehealth interventions that either aimed to reduce fear of hypoglycemia (FH) or diabetes distress (DD) in parents of youth with T1D.Methods: Twenty-nine parents participated in 1 of our 2 two manualized, closed-group, telehealth interventions and completed depression, FH, and DD measures post-treatment. We digitally recorded telehealth sessions and then coded sessions based on 6 dimensions of group engagement using the Group Engagement Measure (Table 1; inter-rater reliability=0.94). We report on correlations between group engagement dimensions, parent psychosocial well-being, and child HbA1c.Results: Mean parent age was 37.69 ± 6.83 years, mean child age was 7.69 ± 3.76 years, and mean child HbA1c was 8.06 ± 1.27% (41.4% had an HbA1c <7.5%). Table 1 provides a summary of significant correlations.Conclusions: The present results identify several dimensions of group engagement that associate with improved parent psychosocial and child HbA1c outcomes. Intervention designs that maximize these group engagement dimension in video-based telehealth interventions could help families to achieve more optimal treatment outcomes.View largeDownload slideView largeDownload slide DisclosureA. Monzon: None. M. A. Clements: Consultant; Self; Eli Lilly and Company, Employee; Self; Glooko, Inc., Research Support; Self; Abbott Diabetes, Dexcom, Inc. S. R. Patton: None.FundingNational Institutes of Health (R01DK100779, R21HD081502)