%0 Journal Article
%@ 2561-6722
%I JMIR Publications
%V 8
%N 
%P e66914
%T Empowering Caregiver Well-Being With the Adhera Caring Digital Program for Family Caregivers of Children Living With Type 1 Diabetes: Mixed Methods Feasibility Study
%A de Arriba Muñoz,Antonio
%A Civitani Monzon,Elisa
%A Ferrer,Maria Pilar
%A Ferrer-Lozano,Marta
%A Quer-Palomas,Silvia
%A Nuñez,Joia
%A Xifra-Porxas,Alba
%A Aimée Mees Mlatiati,Francesca
%A Bilionis,Ioannis
%A Berrios,Ricardo C
%A Fernández-Luque,Luis
%K type 1 diabetes
%K caregiver wellbeing
%K digital health
%K digital program
%K coaching
%K diabetic
%K diabetes
%K T1D
%K pediatrics
%K children
%K chronic
%K endocrinology
%K CGM
%K glucose
%K caregiving
%K caregiver
%K carer
%K informal care
%K family care
%K parents
%K parental
%K guardian
%K continuous glucose monitoring
%D 2025
%7 9.7.2025
%9 
%J JMIR Pediatr Parent
%G English
%X Background: Caregivers of children living with type 1 diabetes (T1D) face multiple challenges that significantly impact their mental health and quality of life. The well-being of caregivers directly affects the management of the child’s condition. The Adhera Caring Digital Program (ACDP) is a comprehensive, digitally delivered program, designed to support family caregivers in enhancing self-management and well-being. This study aims to assess how the ACDP influences caregivers’ mood, emotional well-being, and health-related quality of life within the context of T1D. Objective: This study aimed to evaluate the impact of ACDP on caregivers’ psychological well-being and caregiving outcomes. Methods: This was a two-step, prospective, mixed methods study targeting caregivers of children living with T1D who were under the care of a pediatric endocrinologist at Miguel Servet Children’s University Hospital in Zaragoza, Spain. In substudy 1 (SS1), qualitative and quantitative data were collected to optimize the ACDP. In substudy 2 (SS2), caregivers used the optimized ACDP for three months. Psychometric assessments were conducted at baseline and follow-up to evaluate positive mood states, general well-being, self-efficacy, and lifestyle behaviors. This paper focuses on SS2. Results: Ninety caregivers participated in SS2. Positive affect significantly increased (P<.001), and negative affect decreased (P<.001) on the Positive and Negative Affect Schedule (PANAS). Depression, anxiety, and stress scores were reduced (P<.001) on the Depression, Anxiety and Stress Scale-21 Items (DASS-21). General well-being, measured by the Mental Health Continuum-Short Form (MHC-SF) and self-efficacy, assessed using General Self-Efficacy Scale (GSE), improved significantly (P<.001). Health-related quality of life (HrQoL) scores and Mediterranean Diet Quality Index scores increased modestly (P=.03, and P=.04, respectively). Conclusions: The ACDP intervention improved caregivers’ psychological well-being and self-efficacy. These findings highlight the potential of digital solutions to support caregiver mental health and positively influence diabetes management. Future research should explore long-term outcomes and scalability. Trial Registration: ClinicalTrials.gov NCT05483803; https://clinicaltrials.gov/ct2/show/NCT05483803 
%R 10.2196/66914
%U https://pediatrics.jmir.org/2025/1/e66914
%U https://doi.org/10.2196/66914