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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.