Introduction: Caregiver diabetes distress (DD) consists of negative emotions about a child’s T1D diagnosis, associated with increased A1c and family conflict. We aimed to identify the feasibility of a multidisciplinary pilot intervention for caregiver DD in a diverse academic pediatric diabetes center.

Methods: We held 3 monthly, 1 hour educational/support group virtual sessions per cohort (6-8 caregivers) on Nutrition, Fear of Hypoglycemia, and Parent/Child Collaboration. Sessions were led by an endocrinologist and social work, dietician, and/or diabetes educator. Target enrollment was 30 caregivers with DD (PAID-PR/Problem Areas in Diabetes - Parent Revised score >56/100) of youth 5-17yo with T1D for > 6mo. Data include demographics, pre-/post- PAID-PR scores, and session satisfaction.

Results: Caregiver participants (table 1) were 85% female, ages 42.5 + 11.3y; child characteristics: 38% female, ages 10.9 + 2.1y, 47.6% Black, 33.3% Caucasian, 9.5% Hispanic, 9.6% other, 43% public insurance, Mdiabetes duration 4.3 + 0.18y, and MA1c 8.5 + 0.7 %. PAID-PR scores (Table 1) improved from 68 to 51 (p<.05). Satisfaction feedback included “No one has ever offered support like this in the 10 years since my son was diagnosed.”

Discussion: The pilot intervention was feasible, with 2/3 attending <u>></u>2 sessions. PAID-PR scores improved. Limitations are a small sample; future goals are incorporating into the clinical setting.

Disclosure

E. Alkhatib: None. M. Segawa: None. A. Danner: None. H. Kasper: None. E. Frymark: None. S. Roberts: None. L. Clary: None. R. Streisand: None. S. Majidi: Other Relationship; Sanofi.

Funding

(10300-30200-37600-30007021-2) Dauber-GenMed AWD2735

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