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PaRent InterventiOn to pRevent dIsordered eating in children with TYpe 1 diabetes (PRIORITY): Study protocol for a
Christina J Jones1, Nicola O'Donnell1, Mary John1,2
1School of Psychology, University of Surrey, Guildford, UK.
Insights
This study co-develops a psycho-education intervention for parents of children with type 1 diabetes (T1D) to prevent disordered eating. The feasibility trial assesses intervention acceptability and effectiveness for improving child and parental wellbeing.
Area of Science:
- Pediatric Endocrinology
- Behavioral Science
- Clinical Psychology
Background:
- Children and young people with type 1 diabetes (T1D) exhibit a higher risk of disordered eating compared to their peers.
- Disordered eating in T1D is associated with adverse outcomes, including diminished wellbeing, increased healthcare utilization, and premature mortality.
- The Information Motivation Behavioural Skills (IMB) model provides a theoretical framework for understanding and intervening in health behaviors.
Purpose of the Study:
- To co-develop a psycho-education intervention for parents of children and young people with T1D, focusing on disordered eating prevention.
- To assess the feasibility and acceptability of this intervention through a randomized controlled trial (RCT) design.
- To gather preliminary data on the intervention's potential impact on eating habits, diabetes management, and parental wellbeing.
Main Methods:
- A feasibility RCT involving 70 parents of children and young people (11-14 years) with T1D, randomized to an intervention or waitlist control group.
- The intervention group will receive two 2-hour workshops.
- Outcome measures include questionnaires on eating habits, diabetes management, IMB model constructs (administered at baseline, 1, and 3 months), and qualitative interviews with parents in the intervention arm.
Main Results:
- The study is designed to determine the feasibility and acceptability of the psycho-education intervention.
- Data will be collected to inform the design of a definitive RCT to test intervention effectiveness.
- Qualitative feedback will guide the refinement of the intervention and research protocols.
Conclusions:
- The psycho-education intervention is anticipated to help prevent disordered eating in children with T1D and enhance parental wellbeing.
- Findings from this feasibility trial will ascertain the intervention's acceptability to T1D families and justify a larger RCT.
- Qualitative data will be instrumental in optimizing the intervention and study procedures for future research.
Aims:
Increasing evidence suggests that children and young people with type 1 diabetes (T1D) are at greater risk of disordered eating compared to children without T1D. Disordered eating in T1D has been linked to impaired wellbeing, increased health service use and early mortality. To address this problem, we will co-develop a psycho-education intervention for parents of children and young people with T1D, informed by the Information Motivation Behavioural Skills model.
Methods:
The objective of this study is to assess the feasibility and acceptability of the intervention compared to a waitlist control group using a feasibility randomised controlled trial (RCT) design. We aim to recruit 70 parents of children and young people with T1D (11-14 years), 35 in each arm. Those assigned to the intervention will be invited to participate in two workshops of 2 h each. Parents will be asked to complete outcome measures regarding eating habits, diabetes management, as well as a questionnaire based on the Information Motivation Behavioural Skills model which provides a theoretical foundation for the intervention. These will be completed at baseline, 1- and 3-month post-intervention. Children and young people will be asked to complete questionnaires on their eating behaviours at the same time intervals. Parents randomised to receive the intervention will be invited to take part in interviews to feedback on the intervention and research protocol acceptability.
Conclusion:
It is anticipated that the psycho-education intervention aimed at parents will help prevent the development of disordered eating in children and young people with T1D and improve parental wellbeing. The results of this feasibility trial will determine whether this intervention approach is acceptable to families living with T1D, and whether a definitive RCT of intervention effectiveness is justified. Qualitative findings will be used to refine the intervention and study protocols.
Trial Registration:
This protocol has been registered with ClinicalTrials.gov [Identifier: NCT04741568].
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