A Novel Miniature Equine-Assisted Diabetes Education Program for Youth: Evaluating the Diabetes Equine Empowerment Program (DEEP).

Inclusion Criteria: * Age 8 to 20 years * Diagnosis of type 1 or type 2 diabetes * Most recent HbA1c greater than 9.0% OR no diabetes clinic follow-up for more than 6 months * English-speaking participant and caregiver * Receiving diabetes care at the participating study site * Willing and able to participate in the DEEP intervention * Able to attend all four study sessions * Able to provide informed consent/assent, as applicable * Caregiver willing to participate in study activities and assessments Exclusion Criteria: * Non-English-speaking participant or caregiver * Medical, physical, cognitive, or behavioral condition that would prevent safe participation in study activities * Significant fear of horses that would limit participation * Allergy to horses that would limit participation * Previous participation in the DEEP intervention * Inability or unwillingness to complete study procedures or follow-up assessments * Any condition that, in the opinion of the investigators, would make participation unsafe or interfere with study completion