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Development and Theoretical Underpinnings of the PRIORITY Intervention: A Parenting Intervention to Prevent

Nicola R O'Donnell1, Rose-Marie Satherley1, Mary John1,2

  • 1School of Psychology, University of Surrey, Guildford, United Kingdom.

Frontiers in Clinical Diabetes and Healthcare
|March 30, 2023
PubMed

Insights

Children and young people with type 1 diabetes are at high risk for disordered eating. A new psychological intervention for parents aims to prevent this, improving health outcomes.

Area of Science:

  • Pediatric Endocrinology
  • Clinical Psychology
  • Behavioral Medicine

Background:

  • Children and young people (CYP) with type 1 diabetes (T1D) have double the risk of developing disordered eating (T1DE) and eating disorders.
  • T1DE in T1D is linked to severe health risks, including diabetic ketoacidosis and elevated HbA1c levels.
  • Limited psychological support exists for CYP with T1D and their families, despite evidence for preventative psychological interventions.

Purpose of the Study:

  • To describe the development and theoretical basis of a preventative psychological intervention for parents of CYP aged 11-14 with T1D.
  • To address the gap in psychological support for T1D and T1DE prevention.
  • To inform future integration into routine NHS diabetes care.

Main Methods:

  • Intervention development informed by the Information Motivation Behaviour Skills model and Behaviour Change Technique Taxonomy.
  • Co-development with an expert advisory group including clinicians and families affected by T1D.
  • Manualized intervention comprising two online group workshops and supplementary online materials.

Main Results:

  • The intervention is manualized and includes online group workshops and materials.
  • Feasibility findings are pending and will guide alignment with routine care.
  • The intervention is designed for parents of 11-14 year olds with T1D.

Conclusions:

  • Early detection and intervention are critical for preventing T1DE in CYP with T1D.
  • This psychological intervention for parents offers a potential strategy to improve well-being.
  • Further research and feasibility findings will refine the intervention for clinical practice.

Keywords:
Type 1 diabetesbehaviour change interventionschildren and young people (CYP)disordered eatingparents and caregiverspreventionpsychoeducation intervention

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