94 Participants Needed

Telemedicine-Delivered Cognitive Behavioral Therapy + CGM for Type 1 Diabetes & Mental Health

(UP-CBT Trial)

Recruiting at 1 trial location
JG
MF
SA
Overseen ByShivani Agarwal, MD/MPH
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Albert Einstein College of Medicine
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests if using mental health support along with a blood sugar monitoring device helps adults with type 1 diabetes manage their condition better. The study focuses on those who struggle with both mental health and blood sugar control.

Will I have to stop taking my current medications?

The trial protocol does not specify if you need to stop taking your current medications, but you must be on a stable dose of any psychotropic medication for at least 6 weeks before joining.

Is the Unified Protocol for Cognitive Behavioral Therapy safe for humans?

The Unified Protocol (UP) for Cognitive Behavioral Therapy has been studied for treating emotional disorders and is generally considered safe for humans, with studies showing improvements in mental health conditions like depression and anxiety.12345

How is the treatment Unified Protocol for Cognitive Behavioral Therapy (UP-CBT) unique for type 1 diabetes and mental health?

The Unified Protocol for Cognitive Behavioral Therapy (UP-CBT) is unique because it is a flexible therapy that can be delivered via telemedicine and targets a wide range of emotional disorders, making it adaptable for individuals with type 1 diabetes who may also experience mental health challenges. This approach combines cognitive behavioral therapy with continuous glucose monitoring (CGM) to address both psychological and diabetes management needs.13678

What data supports the effectiveness of the treatment Telemedicine-Delivered Cognitive Behavioral Therapy + CGM for Type 1 Diabetes & Mental Health?

Research shows that the Unified Protocol (UP), a flexible form of cognitive behavioral therapy, is effective for treating various emotional disorders, including anxiety and mood disorders, when delivered virtually. This suggests that UP could be beneficial for mental health in people with Type 1 Diabetes when combined with continuous glucose monitoring.12345

Who Is on the Research Team?

JG

Jeffrey Gonzalez, PhD

Principal Investigator

Albert Einstein College of Medicine

Are You a Good Fit for This Trial?

This trial is for English or Spanish-speaking young adults aged 18-35 with Type 1 diabetes and HbA1c levels between 7.5% and 14%. Participants must have had diabetes for at least six months and be diagnosed with anxiety or depression. It's not open to those with certain disabilities, pregnant women, recent users of psychotropic medications without a stable dose, or individuals who've recently used CBT.

Inclusion Criteria

I have had Type 1 diabetes for at least 6 months.
I have been diagnosed with anxiety or depression.
Your HbA1c levels are between 7.5% and 14%.

Exclusion Criteria

I have been on the same dose of my mental health medication for at least 6 weeks.
I am not on medications or have had procedures that affect my blood sugar levels or use of a CGM.
You have been diagnosed with severe mental health conditions like bipolar disorder, psychotic disorder, severe eating disorder, or substance abuse disorder.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either Unified Protocol for Cognitive Behavioral Therapy (UP-CBT) with Continuous Glucose Monitoring (CGM) or CGM only for the first 6 months

6 months
Virtual visits for therapy sessions and CGM data review

Follow-up

Participants are monitored for safety and effectiveness after treatment, including assessments of anxiety, depression, and glycemic control

6 months
Virtual assessments

What Are the Treatments Tested in This Trial?

Interventions

  • Continuous Glucose Monitoring (CGM)
  • Unified Protocol for Cognitive Behavioral Therapy (UP-CBT)
Trial Overview The study tests telemedicine-delivered UP-CBT combined with continuous glucose monitoring (CGM) to improve mental health symptoms and blood sugar control in young adults with Type 1 diabetes. The therapy aims to help manage anxiety and depression while monitoring glucose levels.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Unified Protocol for Cognitive Behavioral Therapy (UP-CBT) with Continuous Glucose MonitoringExperimental Treatment2 Interventions
Group II: Continuous Glucose Monitoring (CGM) OnlyActive Control1 Intervention

Unified Protocol for Cognitive Behavioral Therapy (UP-CBT) is already approved in United States, European Union for the following indications:

๐Ÿ‡บ๐Ÿ‡ธ
Approved in United States as Unified Protocol for:
๐Ÿ‡ช๐Ÿ‡บ
Approved in European Union as Unified Protocol for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Albert Einstein College of Medicine

Lead Sponsor

Trials
302
Recruited
11,690,000+

Juvenile Diabetes Research Foundation

Collaborator

Trials
237
Recruited
142,000+

DexCom, Inc.

Industry Sponsor

Trials
151
Recruited
35,700+
Kevin Sayer profile image

Kevin Sayer

DexCom, Inc.

Chief Executive Officer since 2015

Bachelorโ€™s and Masterโ€™s degrees in Accounting and Information Systems from Brigham Young University

Dr. Shelly Lane profile image

Dr. Shelly Lane

DexCom, Inc.

Chief Medical Officer since 2023

MD from University of California, San Diego

Published Research Related to This Trial

A brief online version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders was tested with 19 young adults, showing that 72% attended at least four out of five sessions, indicating good feasibility for this format.
Participants reported that key concepts from the therapy, like understanding emotions and mindfulness, were useful in their daily lives, and there was a significant reduction in anxiety-related life impairment at the 12-week follow-up compared to baseline.
Feasibility and acceptability of a brief, online transdiagnostic psychotherapy for young adults.Dimitropoulos, G., Lindenbach, D., Rowbotham, M., et al.[2023]
The Unified Protocol (UP) for treating emotional disorders has shown promising results in a virtual group format, with significant improvements in depression, emotional regulation, and quality of life in a previous pilot study of 7 subjects.
After three months, the positive effects of the UP were maintained, indicating its potential for long-term efficacy in teletherapy settings, although more extensive research is needed to confirm these findings.
Unified Protocol for the transdiagnostic treatment of emotional disorders in virtual and group format in Argentina: three months follow-up of a pilot studyCelleri, M., Cremades, CF., Rojas, L., et al.[2023]
The Unified Protocol (UP) is an emotion-focused cognitive-behavioral treatment that is being tested in an ongoing randomized controlled trial, showcasing its potential as a transdiagnostic approach for various emotional disorders.
The case example demonstrates how the UP's modular structure allows for tailored treatment, applying specific principles to address the individual needs of the patient, which may enhance its effectiveness across different diagnoses.
The Development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study.Boisseau, CL., Farchione, TJ., Fairholme, CP., et al.[2022]

Citations

Feasibility and acceptability of a brief, online transdiagnostic psychotherapy for young adults. [2023]
Unified Protocol for the transdiagnostic treatment of emotional disorders in virtual and group format in Argentina: three months follow-up of a pilot study [2023]
The Development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study. [2022]
A preliminary examination of unified protocol for transdiagnostic treatment of emotional disorders in patients with panic disorder: a single-case experimental design in Iran. [2022]
Efficacy of the Unified Protocol for transdiagnostic treatment of comorbid psychopathology accompanying emotional disorders compared to treatments targeting single disorders. [2019]
Feasibility study of real-time online text-based CBT to support self-management for people with type 1 diabetes: the Diabetes On-line Therapy (DOT) Study. [2022]
Psychological aspects of continuous glucose monitoring in pediatric type 1 diabetes. [2022]
The effects of multisystemic therapy on diabetes stress among adolescents with chronically poorly controlled type 1 diabetes: findings from a randomized, controlled trial. [2022]
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of ServiceยทPrivacy PolicyยทCookiesยทSecurity