None listed
Conditions
Brief summary
Adolescents living with type 1 diabetes (T1D) are 2-3 times more likely to develop disordered eating behaviours (DEB) than their peers without T1D. T1D guidelines recommend routine screening for DEB from 10-12 years, yet an early intervention model for treating DEB in adolescents is lacking. The Diabetes Body Project (DBP) is a virtual care early intervention model for treating DEB. The DBP has been developed and piloted internationally in a cohort of adolescent and young adult females with T1D, showing promising patient experience and clinical outcomes such as reduced DEBs. This project seeks to be the first to adapt the DBP for implementation in an Australian paediatric clinic and evaluate its’ acceptability, feasibility, and preliminary efficacy in an exclusively adolescent population. Additionally in line with model of care we seek to evaluate a parent/carer group to support the adolescent intervention.
Interventions
The proposed study is a single-site pilot study to be conducted at John Hunter Children’s Hospital (JHCH) Diabetes service.
Five health care professionals (diabetes dietitians, mental health dietitian and diabetes nurse educators) from JHCH will participate in 6 hours of Diabetes Body Project (BDP) facilitator training provided by the DBP team at Oslo University Hospital to enable delivery. Facilitator training will be conducted 6 weeks prior to anticipated commencement of the intervention. Th
The proposed study is a single-site pilot study to be conducted at John Hunter Children’s Hospital (JHCH) Diabetes service. Five health care professionals (diabetes dietitians, mental health dietitian and diabetes nurse educators) from JHCH will participate in 6 hours of Diabetes Body Project (BDP) facilitator training provided by the DBP team at Oslo University Hospital to enable delivery. Facilitator training will be conducted 6 weeks prior to anticipated commencement of the intervention. The DBP consists of 6, 1-hour virtual sessions, each group consists of 8 participants, led by 2 trained facilitators. The sessions will be delivered via Zoom and will occur once a week for 6 consecutive weeks. In these sessions, participants explore the negative effects of pursuing the thin ideal, benefits of insulin use and diabetes self-care. Caregivers will also attend a 1-hour virtual group session via Zoom, facilitated by the diabetes social worker and dietitian, focused on providing an overview of the DPB content and supporting a healthy relationship with food, body image and diabetes management during week 1 of the program. Facilitators will record attendance and adherence to tasks during each session.
Sponsors
John Hunter Children's Hospital
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Eligibility
Sex/Gender
All
Age
13 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
Female, aged 13-17, diagnosed with T1D more than 6 month, Internet access
Exclusion criteria
Clinically diagnosed ED, uncontrolled coeliac disease (determined by elevated TTGs)
Outcome results
None listed