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Parenting Intervention to Improve Nutrition and Physical Activity for Preschoolers with Type 1 Diabetes: A
Insights
This study found a healthy lifestyle intervention for parents of young children with type 1 diabetes (T1D) to be feasible and acceptable. Preliminary results showed improved glycemic control in children, supporting further research.
Area of Science:
- Pediatric Endocrinology
- Behavioral Science
- Public Health
Background:
- Type 1 Diabetes (T1D) management in young children presents unique challenges for parents.
- Parental involvement in healthy eating and physical activity is crucial for T1D control.
- Behavioral interventions can support parents in managing T1D in their children.
Purpose of the Study:
- To assess the feasibility and acceptability of a behavioral intervention for parents of young children with T1D.
- To explore preliminary effects of the intervention on child health outcomes.
- To inform the design of a larger randomized controlled trial.
Main Methods:
- A pilot study involving ten parents of young children (age 2-5 years) with T1D.
- Intervention included behavioral sessions, diabetes nursing consultation, parent coaching, and digital support (text messages, website).
- Feasibility, acceptability, and preliminary outcomes were analyzed.
Main Results:
- High parent satisfaction indicated strong acceptability of the intervention.
- A doubling of participants achieving the American Diabetes Association's recommended glycemic range was observed.
- No significant changes were noted in hemoglobin A1c, diet, or physical activity levels.
Conclusions:
- The intervention demonstrated feasibility and acceptability among parents of young children with T1D.
- Initial positive trends in glycemic control suggest potential benefits.
- Minor modifications were incorporated for a subsequent larger randomized controlled trial.
Objective:
This study reports the feasibility and acceptability of a healthy eating and physical-activity-focused behavioral intervention for parents of young children with type 1 diabetes (T1D).
Methods:
Ten parents of young children (age 2-5 years) with T1D enrolled. The intervention included six behavioral sessions (five by telephone), diabetes nursing consultation, parent coach contact, text messages, and a study website. Analyses explored feasibility, acceptability, and preliminary findings.
Results:
There was evidence of high acceptability (mean parent satisfaction = 1.11, very satisfied). Although most participants completed all of the assessments, there were some barriers to data collection devices. The number of participants within the American Diabetes Association recommended glycemic range doubled; there was no significant change in hemoglobin A1c, diet, or physical activity.
Conclusion:
There was evidence of feasibility and acceptability and initial evidence of change in hypothesized directions. Minor changes were made for the larger randomized controlled trial.
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