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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.
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.
Characteristics of effective consequences.
Session 6: Parent self-care Parent health and well-being.
Recognizing and accessing support.
Managing stress.