Developing a novel intervention for type 1 diabetes and disordered eating using a participatory action design process: Safe management of people with Type 1 diabetes and EAting Disorders studY (STEADY)

Natalie Zaremba, Glenn Robert, Jacqueline Allan, Amy Harrison, Jennie Brown, Emmanouela Konstantara, Miranda J. Rosenthal, Divina Pillay, Anita Beckwith, Janet Treasure, David Hopkins, Khalida Ismail, Marietta Stadler*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
156 Downloads (Pure)

Abstract

Aim: To develop a cognitive behavioural therapy based intervention for people with type 1 diabetes and disordered eating using Experience-Based Co-Design as part of the Safe management of people with Type 1 diabetes and EAting Disorders studY (STEADY).

Methods: Fifteen people with type 1 diabetes and experience of disordered eating (33±11 years old, 22±12 years diabetes duration) and 25 healthcare professionals working in type 1 diabetes or eating disorders (44±9 years old; 14±10 years of professional experience) attended six Experience-Based Co-Design workshops from July 2019-March 2020 to collaboratively develop intervention content.

Results: We developed a cognitive behaviour therapy intervention “toolkit” that can be tailored for individual patient needs. Participants designed and revised toolkit materials to ensure acceptability and relevance for people with diabetes and disordered eating by engaging in guided discussion, brainstorming, and rapid testing to review toolkit prototypes in an iterative process. Workshop themes were ‘Insulin titration’; ‘Hypoglycaemia’; ‘Coming to terms with diabetes’; ‘Fear of weight gain’; ‘Toolkit revision’; and ‘Practical elements of STEADY therapy’. The intervention is focussed on improving diabetes self-care and embedded in a multidisciplinary healthcare approach. The intervention will be delivered in 12 sessions by a diabetes specialist nurse trained in cognitive behavioural therapy.

Conclusions: Through an iterative co-design process, people with type 1 diabetes and healthcare professionals collaboratively developed a novel intervention toolkit that can be used with a wide range of disordered eating presentations. The intervention will be tested in the STEADY feasibility randomized controlled trial.
Original languageEnglish
Article numbere14749
Number of pages33
JournalDiabetic Medicine
Volume39
Issue number4
Early online date23 Dec 2021
DOIs
Publication statusPublished - 1 Apr 2022

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