Could a virtual life-coach program help young adults tame type 1 diabetes?
NCT ID NCT04023487
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This study tests a telehealth program called REAL-T, designed to help young adults with type 1 diabetes fit diabetes care into their daily habits and routines. Participants receive about 12 hours of virtual coaching from an occupational therapist over six months. The study compares this group to those receiving usual care, looking at changes in blood sugar control (HbA1c) and diabetes-related quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- REAL-T, a telehealth-delivered occupational therapy program that helps young adults with type 1 diabetes build daily habits and routines for diabetes self-care
- What this could lead to
- If effective, this program could offer a practical, home-based way to help young adults with type 1 diabetes better manage their blood sugar and improve their quality of life.
- What could go wrong
- This is a relatively small study, and the outcome depends on participants sticking with the program. Results may not apply to all young adults with diabetes, and the intervention requires access to telehealth and a licensed therapist.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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209 people
The number who actually took part.
- Started
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Oct 2019
- Finished
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Nov 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 30 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * T1D for ≥12 months * A1c ≥7.5% at time of study enrollment * Age 18-30 yrs. at time of study enrollment * English or Spanish speaking * Resides in a state where OT clinicians are licensed, in an area where the participant has access to a local healthcare provider in the event of emergency and can complete data collection in person (when permitted) or via mailings (when required during period of social distance or due to distance from study site) * Participant has access to a laptop or desktop computer, either their own or loaned by the study (if geographically feasible and permitted given COVID-19 social distancing distractions) * Willing to participate in 6-month intervention Exclusion Criteria: * Currently pregnant or planning to become pregnant within the next 12 months * Previously received REAL intervention * Cognitive impairment or severe disability limiting life expectancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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USC Center for Health Professionals
Los Angeles, California, 90033, United States
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Other studies related to the condition(s) this trial covers.
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