Check It! Positive Psychology Intervention to Improve Adherence in Adolescents With T1D

Problems with diabetes management in adolescents with type 1 diabetes are common - occurring
at rates as high as 93% - and have serious health consequences, including poor blood sugar
control and risk for later complications. Therefore, the investigators proposed to test a
positive psychology intervention for adolescents with type 1 diabetes aimed at increasing
motivation for diabetes management; specifically, to increase the frequency of blood glucose
monitoring. This intervention will boost positive mood in adolescents (age 13-17) through
tailored exercises in gratitude, self-affirmation, small gifts, and parent affirmation as a
way to improve motivation for diabetes management. In addition, this study will explore the
use of technology, by comparing telephone-administered vs. automated text-messaging versions
of the intervention, to determine which mode of delivery is more appealing, convenient, and
beneficial for adolescents in managing their diabetes.

Participants and parents will complete questionnaires on mood and diabetes management during
a routine clinic visits at baseline, 3 months, and 6 months. Clinical measures of diabetes
management will be collected from participants' electronic medical records.