The goal of this clinical trial is to learn if the REAL-Fam occupational therapy intervention is feasible to study in a larger-scale randomized controlled trial. It will also seek to understand how the intervention influences how a rural family participates in and manages their child's type 1 diabetes, their family quality of life, and the child's health outcomes. The main questions it aims to answer are: * Primary Aim 1: Evaluate the recruitment capability, participant inclusion criteria, assessment selection and process, and data. * Primary Aim 2: Evaluate the participant acceptability of and interventionist fidelity to the intervention. * Secondary Aim: Evaluate families' preliminary outcomes to the REAL-Fam on family quality of life and participation, diabetes management self-efficacy, and child blood glucose stability. Researchers will compare the REAL-Fam intervention to the Attention Group to see if there are changes in family diabetes-related health routines and psychosocial aspects of managing a child's type 1 diabetes. Participants will: * Children will wear continuous glucose monitors for study period * Caregiver participants will complete baseline and post-intervention surveys * Intervention Group: engage in 12 audio/video telehealth sessions with REAL-Fam intervention * Attention Group: engage in 3 audio/video Zoom meetings without specialized services * Complete a post-study interview
Age range
2 Years – 99 Years
Sex
ALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Percentage of Families Consented Versus Approached
Timeframe: 12-week post treatment initiation
Number and Percentage of Standard of Care Condition Participants Retained vs Enrolled
Timeframe: 12-week post treatment initiation
Number and Percentage of Intervention Group Condition Participants Retained vs Enrolled
Timeframe: 12-week post treatment initiation
Number and Percentage of Surveys Completed by Participants Who Completed the Study
Timeframe: 12-week post treatment initiation
Number and Percentage of attendance at telehealth sessions
Timeframe: 12-week post treatment initiation
Number and percentage of dyads enrolled for the different recruitment strategies
Timeframe: 12-week post treatment initiation
Telehealth Satisfaction Survey
Timeframe: 12-week post treatment initiation
Training Satisfaction Rating Scale
Timeframe: 12-week post treatment initiation
Study Specific Interview Guide
Timeframe: 12-week post treatment initiation