Behavioral Approaches to Reduce Diabetes Distress in Adults With Type 1 Diabetes: A Pragmatic SMART

This study is designed to compare two behavioral approaches to reduce diabetes distress (\"the expected burdens, concerns, fears, and threats that arise from the challenges of living with diabetes\") in adults with type 1 diabetes. At the study baseline, participants will be randomized to take part in one of two virtual, group-based interventions (the \"Primary\" intervention) utilizing either an emotions-focused or a problem-solving approach to reduce diabetes distress. After the initial intervention, participants will complete surveys to assess their response to the material. Participants who are determined to be \"non-responders\" (i.e., the Primary intervention was not effective) will be re-randomized to one of two \"Supplementary\" interventions, which will include individualized sessions to learn and/or practice strategies related to either the psychological or problem-solving approach.