Seeking for challenges and trying new things is my own lifestyle. I’m into all kinds of activities in daily life: morning running, road cycling, writing calligraphy, photography is my favorite.
Mo, Y., Hernandez, R., Schneider, S., Gonzalez, J. S., Hoogendoorn, C. J., Tapia, V., & Pyatak, E. (2026). Activity disruption, illness intrusiveness, and life satisfaction in adults with Type 1 diabetes: An ecological momentary assessment study. Journal of Behavioral Medicine. Advance online publication. https://doi.org/10.1007/s10865-026-00643-9 Show abstract
Illness intrusiveness is a psychological process reflecting the perceived impact of illness-related disruptions on daily life in chronic conditions. Type 1 diabetes (T1D) disrupts daily activities through symptoms, self-care demands, and device use, yet little is known about how these disruptions shape psychosocial well-being. This study examined activity disruptions in adults with T1D using ecological momentary assessment (EMA) and tested whether illness intrusiveness mediates the relationship between activity disruptions and life satisfaction. A total of 196 adults with T1D completed 14 days of momentary activity disruption assessments and follow-up surveys assessing illness intrusiveness and life satisfaction. On average, participants reported disruptions in 11% of momentary daily activities, with notable variation across activity types, racial/ethnic groups, and treatment regimens. Activity disruption significantly predicted greater illness intrusiveness (β = 0.33, p < 0.001), which in turn predicted lower life satisfaction (β = -0.51, p < 0.001). Mediation analysis revealed that illness intrusiveness fully mediated the relationship when adjusted for income. Subtype analyses showed that device-related (indirect effect: β = -0.12, p < 0.001) and symptom-related disruptions (indirect effect: β = -0.12, p = 0.01) were fully mediated, whereas self-care disruptions were not associated with life satisfaction. Findings highlight the value of capturing real-time activity disruptions and suggest that illness intrusiveness may be a key explanatory mechanism linking activity disruption and psychosocial outcomes. Device burden and socioeconomic context emerged as factors shaping these relationships.
Keywords. activity disruption, illness intrusiveness, life satisfaction, type 1 diabetes
Pyatak, E. A., Lee, P.-J., Nnoli, N. D., Mo, Y., Khurana, A., Ali, A., Fox, D. S., Sideris, J., Díaz, J., Granados, G., Blanchard, J., Lee, E. S., & Raymond, J. K. (2025). Telehealth occupational therapy improves psychosocial well-being but not glycemia among young adults with type 1 diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) randomized controlled trial. Diabetes Research and Clinical Practice, 221, 112005. https://doi.org/10.1016/j.diabres.2025.112005 Show abstract
Background.
Young adults with type 1 diabetes mellitus often face challenges managing their condition, leading to elevated glucose and heightened psychosocial distress. Diabetes care traditionally focuses on biomedical outcomes, with less emphasis on well-being. Occupational therapy offers a holistic approach to managing diabetes by integrating changes to daily habits and routines and psychosocial support.
Methods.
This randomized controlled trial involved participants aged 18–30 with HbA1c ≥ 7.5 % (≥58 mmol/mol). Participants received either telehealth occupational therapy or usual care. The intervention addressed diabetes management, daily habits and routines, and emotional well-being. Data collected at baseline, 3 months, and 6 months included HbA1c, continuous glucose monitoring metrics, and psychosocial outcomes. Analyses employed intent-to-treat principles, using ANCOVA to evaluate between-group differences.
Results.
Participants (n = 209) were 24.3 (±3.7) years old, 59.8 % female, 44.5 % non-Hispanic White, and 47.4 % publicly insured. No significant differences were found in glycemic outcomes. Intervention participants had improved diabetes-related quality of life (DQoL; least-squares [LS] mean 0.67, 95 % CI 0.02 to 1.32, p = 0.045) and reduced diabetes distress (LS-mean −0.36, CI −0.65 to −0.07, p = 0.01).
Conclusion.
Generalizability may be impacted by external factors related to COVID-19. The findings suggest occupational therapy may be beneficial for young adults experiencing diabetes-related distress and poor DQoL.
