Improving mental health of adolescents with Type 1 diabetes: protocol for a randomized controlled trial of the Nothing Ventured Nothing Gained online adolescent and parenting support intervention

Naomi J Hackworth; Jan Matthews; Kylie Burke; Zvezdana Petrovic; Britt Klein; Elisabeth A Northam; Michael Kyrios; Lisa Chiechomski; Fergus J Cameron

doi:10.1186/1471-2458-13-1185

Table 1 Nothing ventured nothing gained Intervention overview

From: Improving mental health of adolescents with Type 1 diabetes: protocol for a randomized controlled trial of the Nothing Ventured Nothing Gained online adolescent and parenting support intervention

Session theme	Content
Adolescent intervention
Session 1: Adolescent development and diabetes management	● Adolescence: physical, cognitive and social changes during adolescence.
	● Challenges of managing T1D during adolescence.
	● Links to T1D management resources.
Session 2: Connection between thoughts, feelings and behavior	● Understanding the relationship between thoughts, feelings and behaviors.
	● Recognizing signs of stress, anxiety and depression.
	● Recognizing and challenging unhelpful thoughts.
	● Accessing support.
Session 3: Communication	● Communicating with parents and handling difficult conversations.
	● Importance of body language, assertiveness, and confidence.
	● Communicating when feeling angry and frustrated.
Session 4: Building strong relationships	● Identifying values relating to relationships.
	● Relationships with parents and friends.
	● Steps to effective problem solving.
	● The effects of and managing bullying.
Session 5: Staying healthy	● Finding the balance between diet, exercise, work, sleep and leisure time.
	● Barriers to a healthy balance: peer pressure, smoking, alcohol, and other drugs.
	● Maintenance: Setting goals and problem solving to maintain the balance.
Parent intervention
Session 1: Raising an adolescent with diabetes	● Adolescence: physical, cognitive and social changes during adolescence.
	● Adolescent cognitive processes and how they impact parent-adolescent interactions.
	● Challenges of managing T1D during adolescence.
	● Links to T1D management resources.
Session 2: Strengthening the parent-adolescent relationship	● Parenting values.
Session 2: Strengthening the parent-adolescent relationship	● Ways of connecting with adolescents.
Session 3: Adolescent independence and safety	● A model for adolescent autonomy granting.
	● How to effectively use praise.
	● Demonstrating acceptance.
Session 4: Communication and problem solving	● Listening and talking to adolescents.
	● Barriers to communication.
	● Problem solving.
Session 5: Setting boundaries	● Limit setting and rules.
Session 5: Setting boundaries	● Characteristics of effective consequences.
Session 6: Parent self-care	● Parent health and well-being.
	● Recognizing and accessing support.
	● Managing stress.

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