Optimising the Delivery of Diabetes Distress Informed Care for Its Prevention, Detection, and Management in Adults With Type 1 Diabetes: a Feasibility Study (D-stress Study)

Inclusion Criteria: Adults with type 1 diabetes * People aged 18 years old and older * With a T1DM diagnosis of more than one year * Who used a Continuous Glucose Monitoring device 3 months prior to trial entry Health care professionals * Members of the multidisciplinary diabetes team * Who would like and be able to undertake training in Enhanced Usual Care (EUC) Family or friend * People aged 18 years or older * Is involved with the care of the participant * The participant has consented to the family member or friend to be involved in the study REDUCE Facilitators • Eligibility as per the role specification in Section 6.2.2 of study Protocol Exclusion Criteria: Adults with type 1 diabetes * Exclusion criteria will include those adults diagnosed less than one year ago. This is because the first 12 months following a diagnosis of T1DM is a period of unique stress due to the diagnosis, the acute onset, and requirement to learn complex new skills. Additionally, due to the honeymoon period, which can typically last up to a year, there is variety in the physiological trajectory which might have an impact that would be difficult to measure and account for in this study(Sokołowska, Chobot et al. 2016). * Women who are pregnant. This is because the additional burdens and anxieties this population is confronted with may risk confounding the trial findings * Exclusion of adults with current mental health diagnoses with current symptoms (e.g. psychosis or substance abuse or severe depression), will be evaluated and determined on a case-by-case basis by clinical care teams. Health care professionals • People who are unwilling or unable to take on additional workload associated with D-stress e-learning and delivery of Enhanced Usual Care. Family or friend • Participant with type 1 diabetes has not given consent for a family member or friend to participate in the study REDUCE Facilitators * • Professional accreditation with one of the following professional bodies: Nursing \& Midwifery Council, Health \& Care Professionals Council, British Association for Counselling \& Psychotherapy, and UK Council for Psychotherapy. * Professional or personal understanding of Type 1 diabetes * Professional or personal understanding of NHS diabetes care and guidelines * Professional or personal understanding of diabetes distress * Professional understanding of mental and emotional health * Professional experience of in-person and/or online group facilitation especially in managing diverse needs within a group and the expression of strong emotions * Willingness to be a research participant