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Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A

Nicole A Kahhan1, MaryJane S Campbell2, Mark A Clements3

  • 1Division of Psychology, Nemours Children's Health-Jacksonville, 807 Children's Way, Jacksonville, FL 32207, USA.

Children (Basel, Switzerland)
|March 28, 2025
PubMed

Insights

Parents of young children with type 1 diabetes mellitus (T1DM) fear hypoglycemia. The REDCHiP intervention helped parents manage this fear, with most intending to use learned skills.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Psychology
  • Clinical Intervention Research

Background:

  • Severe hypoglycemia is a significant concern for young children with type 1 diabetes mellitus (T1DM).
  • Parents of these children frequently experience intense hypoglycemia fear (HF), potentially leading to maladaptive behaviors.
  • The REDCHiP intervention was developed to address HF in parents of young children with T1DM.

Purpose of the Study:

  • To qualitatively analyze parent feedback on the REDCHiP intervention.
  • To refine and optimize future iterations of the REDCHiP intervention for parents of young children with T1DM.
  • To understand parent perceptions of intervention components and their intention to apply learned skills.

Main Methods:

  • A randomized pilot study involved 73 parents of young children with T1DM participating in a 10-session video-based intervention.
  • Qualitative analysis of 21 recordings from the final intervention session, focusing on parent feedback.
  • Independent coding of sessions to identify themes related to active treatment components and process.

Main Results:

  • Coded themes identified the use of Cognitive Behavioral Therapy (CBT) skills, coping strategies, and behavioral parenting strategies as active treatment components.
  • Parents expressed appreciation for REDCHiP content and provided examples of applied skills.
  • Key challenges in applying REDCHiP strategies were also identified, alongside parents' intentions for future skill application.

Conclusions:

  • Qualitative analysis revealed parent perceptions of REDCHiP's active components, their acceptability, and the intention to integrate skills into daily T1DM care.
  • Findings offer insights for refining the intervention to better support parents.
  • Future research should explore alternative delivery formats to enhance accessibility and scalability.
Abstract

Keywords:
diabetesfearparentsqualitative

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