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Background This study aimed to assess the effects of digital storytelling on the self-management behavior of adolescents with type 1 diabetes (TID). Methods In this pilot randomized controlled clinical trial, 60 adolescents with TID were randomly allocated into two parallel groups: intervention (training with digital storytelling method,  n  = 33) or control (training with a conventional method,  n  = 33). The primary outcome was assessing the Self-Management behavior of adolescents with TID (SMOD-A) at baseline and three months after the intervention. Results The results revealed that digital storytelling could significantly improve self-management behaviors amongst adolescents with TID ( P  = 0.005). In contrast, in the control group, no significant changes were observed ( P  &gt; 0.05). Furthermore, the mean score of Collaboration with Parents subscale was significantly higher in the digital storytelling group than in the control group after the intervention ( p  = 0.022). The results also showed that the level of Collaboration With Parents' subscale scores had a meaningful reverse relationship with the adolescent age after digital storytelling ( p  = 0.048). Repeated measures ANOVAs showed that there were significant main effects of time and group on collaboration with parents( p  = 0.002) and goal subscales ( p  = 0.035). With respect to HbA1c levels, significant changes were not observed in any of the groups ( P  &gt; 0.05). Conclusions Digital storytelling is practicable and a potentially beneficial training modality for adolescents with TID. Trial registration This trial was respectively registered. ClinicalTrials.gov Identifier:  IRCT20191220045828N1 . Date of registration: Oct 29. 2020.

Promoting self-management behaviors in adolescents with type 1 diabetes, using digital storytelling: a pilot randomized controlled trial