TY  - JOUR
AU  - de Arriba Muñoz, Antonio
AU  - Civitani Monzon, Elisa
AU  - Ferrer, Maria Pilar
AU  - Ferrer-Lozano, Marta
AU  - Quer-Palomas, Silvia
AU  - Nuñez, Joia
AU  - Xifra-Porxas, Alba
AU  - Aimée Mees Mlatiati, Francesca
AU  - Bilionis, Ioannis
AU  - Berrios, Ricardo C
AU  - Fernández-Luque, Luis
PY  - 2025
DA  - 2025/7/9
TI  - Empowering Caregiver Well-Being With the Adhera Caring Digital Program for Family Caregivers of Children Living With Type 1 Diabetes: Mixed Methods Feasibility Study
JO  - JMIR Pediatr Parent
SP  - e66914
VL  - 8
KW  - type 1 diabetes
KW  - caregiver wellbeing
KW  - digital health
KW  - digital program
KW  - coaching
KW  - diabetic
KW  - diabetes
KW  - T1D
KW  - pediatrics
KW  - children
KW  - chronic
KW  - endocrinology
KW  - CGM
KW  - glucose
KW  - caregiving
KW  - caregiver
KW  - carer
KW  - informal care
KW  - family care
KW  - parents
KW  - parental
KW  - guardian
KW  - continuous glucose monitoring
AB  - 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 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2025/1/e66914
UR  - https://doi.org/10.2196/66914
DO  - 10.2196/66914
ID  - info:doi/10.2196/66914
ER  -