Group engagement in parent-focused telehealth interventions for families of children with type 1 diabetes.

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DOI: 10.1177/1357633X211067074


INTRODUCTION: Group engagement is an important component of video-based telehealth interventions, yet this construct remains understudied. In the present study, we applied a multidimensional conceptualization of group engagement in two video-based telehealth interventions that either aimed to reduce fear of hypoglycemia or diabetes distress in parents of children with type 1 diabetes. We examined variability in group engagement across parents and assessed the relationship between parents' level of group engagement and their treatment outcomes.

METHODS: Twenty-nine parents participated in one of two manualized, closed-group, telehealth interventions and completed outcome measures pre- and post-treatment. We behaviorally coded telehealth sessions based on six dimensions of group engagement using the Group Engagement Measure (inter-rater reliability = 0.94). We examined correlations between group engagement dimensions, parent psychosocial well-being, and child hemoglobin A1c. Further, we examined independent sample

RESULTS: Mean parent age was 37.69  ±  6.83 years, mean child age was 7.69  ±  3.76 years, and mean child hemoglobin A1c was 8.06  ±  1.27% (41.4% had a hemoglobin A1c was 8.06 ± 1.27% (41.4% had a hemoglobin A1c

DISCUSSION: We identify several dimensions of group engagement that are associate with improved parent psychosocial and child hemoglobin A1c outcomes. Intervention designs that use group engagement to guide treatment planning or inform treatment-related decisions in video-based telehealth interventions could help families achieve more optimal treatment outcomes.

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Journal of telemedicine and telecare





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MeSH Keywords

Child; Humans; Adult; Child, Preschool; Diabetes Mellitus, Type 1; Glycated Hemoglobin; Reproducibility of Results; Telemedicine; Hypoglycemia; Parents


Type 1 diabetes; group engagement; parents; pediatrics; telehealth.

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