None listed
Conditions
Brief summary
Adolescents with type 1 diabetes are at an increased risk for developing disordered eating behaviours. Using a pilot randomised controlled trial, we would like to examine the feasibility of a brief self-compassion intervention (two 2-hour sessions) and examine any improvements in disordered eating behaviour, self-compassion, self-care behaviours, diabetes-related distress, stress and glycaemic control four weeks after the intervention. We also plan to measure the prevalence of disordered eating behaviour in the clinic population. At least fifty adolescents will be recruited from the diabetes outpatient clinic at Greenlane Clinical Centre. Once participants have consented/assented to participate they will complete a survey measuring disordered eating behaviours. If they score above the cut-off score they will be invited to participate in the intervention and either be randomised into the intervention group (self-compassion intervention) or the waitlist control group (who will receive the intervention four weeks after the intervention group). The intervention will occur in groups of 10-14 and involve group exercises, meditations and individual reflections to teach teens to be more kind to themselves. Participants will complete questionnaires before the intervention and immediately after. We will also examine baseline glycaemic control (HbA1c) when participants are recruited and three months later at their next clinic appointment.
Interventions
The study is a randomised controlled trial where participants will participate in a brief self-compassion intervention, either starting straight away (intervention group) or starting the following weekend after the intervention group finishes (wait-list control group). The brief self-compassion intervention will involve two 2.5 hour sessions (one week apart) in groups of 14 participants and will include group activities, meditations and individual reflections. Themes and topics of these activities will include: mindful self-compassion, mindfulness, adolescent brain development and self-esteem vs self-compassion. These activities are taken from the 'Making Friends with Yourself' self-compassion 8-week program for teens teacher manual, with permission given from the developer, Karen Bluth. As per the standardised 8-week program, participants will be given the standardised handout booklet (only including activities that are incorporated in this brief version) and audio recordings of meditations (made available by Karen Bluth's 'Making Friends with Yourself' program). Participants are given examples of situations to use these resources (e.g., mindfulness activities, meditations) and encouraged to try out the different activities to find ones that work well for them. The sessions will be conducted at the University of Auckland Grafton Campus, face-to-face. The sessions will be conducted by a trained teacher of the 'Making Friends with Yourself' self-compassion program for teens, who is also a PhD candidate.
Sponsors
Study design
Eligibility
Inclusion criteria
Adolescents will be eligible if they score both moderate (scoring 10 and above) and high (scoring 20 or above) levels of disordered eating behaviour.
Exclusion criteria
Exclusion criteria include: (1) non-English speaking adolescents, (2) children with developmental disorders (e.g. Autism Spectrum Disorder, ADHD), (3) children diagnosed with a serious mental disorder requiring ongoing treatment (e.g. psychosis, diagnosed eating disorder), (4) children with untreated hypothyroidism, and (5) children recently (in previous 48 hours) diagnosed with DKA or severe hypoglycaemia.