Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible
Background Adolescents with type 1 diabetes are at significantly increased risk for eating disorders and few interventions exist. Objective This study examined the feasibility, acceptability, and preliminary effects of an internet‐based eating disorders prevention program adapted specifically for ad...
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| Veröffentlicht in: | Pediatric diabetes 2022-11, Vol.23 (7), p.1122-1132 |
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| container_title | Pediatric diabetes |
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| creator | Trojanowski, Paige J. Frietchen, Rachel E. Harvie, Blair Mehlenbeck, Robyn Fischer, Sarah |
| description | Background
Adolescents with type 1 diabetes are at significantly increased risk for eating disorders and few interventions exist.
Objective
This study examined the feasibility, acceptability, and preliminary effects of an internet‐based eating disorders prevention program adapted specifically for adolescent girls with type 1 diabetes.
Participants and Methods
Thirty‐five girls (16.2 ± 1.1 years) participated Body Project (T1D Style), a 4‐week program consisting of four adolescent sessions focused on promoting illness acceptance, challenging sociocultural body image pressures, increasing social support, and teaching assertive communication. Caregivers participated in one session focused on fostering body image positivity and a healthy relationship with food. Pre‐intervention, post‐intervention, and 3‐month follow‐up surveys assessed disordered eating, body dissatisfaction, thin‐ideal internalization, diabetes acceptance, diabetes distress, and quality of life. Cohen's d effect sizes were calculated at post‐intervention and follow‐up. Program acceptability was assessed at post‐intervention. Manual fidelity and homework completion were monitored.
Results
High manual fidelity, retention, and homework completion were achieved. Quantitative and qualitative feedback from teens and caregivers suggested high acceptability. Large effects (d = 1.35–0.83) were observed for dieting, body dissatisfaction, diabetes distress, diabetes acceptance, and diabetes‐related quality of life at post‐intervention, with large‐medium effects (d = 1.16–0.58) at follow‐up. Medium‐small effects (d = 0.49–0.78) at post‐intervention were observed for diabetes‐specific disordered eating and thin‐ideal internalization, with effects maintained at follow‐up.
Conclusions
Results support the acceptability and feasibility of this targeted eating disorders prevention program for adolescent girls with type 1 diabetes. Future clinical trials are warranted to determine its effectiveness compared to a control condition. |
| doi_str_mv | 10.1111/pedi.13395 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9804811</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2725221254</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3785-36e30b14082cf067888e470a8974449f8562307b4418b3d6474151d82fe597f53</originalsourceid><addsrcrecordid>eNp9kc-KFDEQxoMo7jp68QEk4EWEWfOvO4kHYVlXHVjQg4K3kO5Uz2bJJG3SM8vgxUfwGfdJNuOsg3qwLqlQv_r4ig-hp5Sc0FqvRnD-hHKum3vomHKt540Q6v6h51-P0KNSrgihUnPxEB3xRrVaKnWMvi_iBDnCdPPjp4PgN5DBYbCTj0vsfEnZQS54zLCBOPkUa5uW2a7wkDK2LgUofZ3gpc-h4Gs_XeJpOwKmddt2MEF5jU_7HsbJdgGwjQ4PYIuvn8fowWBDgSd37wx9eXf--ezD_OLj-8XZ6cW851I1c94CJx0VRLF-IG21rUBIYpWWQgg9qKZlnMhOCKo67lohBW2oU2yARsuh4TP0Zq87rrsVuJ3dbIMZs1_ZvDXJevP3JPpLs0wboxURitIq8OJOIKdvayiTWfl6dQg2QloXw1pdnVLZyoo-_we9Susc63mGSdYwRlkNZIZe7qk-p1IyDAczlJhdpmaXqfmVaYWf_Wn_gP4OsQJ0D1z7ANv_SJlP528Xe9Fbst2ucw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2725221254</pqid></control><display><type>article</type><title>Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Trojanowski, Paige J. ; Frietchen, Rachel E. ; Harvie, Blair ; Mehlenbeck, Robyn ; Fischer, Sarah</creator><creatorcontrib>Trojanowski, Paige J. ; Frietchen, Rachel E. ; Harvie, Blair ; Mehlenbeck, Robyn ; Fischer, Sarah</creatorcontrib><description>Background
Adolescents with type 1 diabetes are at significantly increased risk for eating disorders and few interventions exist.
Objective
This study examined the feasibility, acceptability, and preliminary effects of an internet‐based eating disorders prevention program adapted specifically for adolescent girls with type 1 diabetes.
Participants and Methods
Thirty‐five girls (16.2 ± 1.1 years) participated Body Project (T1D Style), a 4‐week program consisting of four adolescent sessions focused on promoting illness acceptance, challenging sociocultural body image pressures, increasing social support, and teaching assertive communication. Caregivers participated in one session focused on fostering body image positivity and a healthy relationship with food. Pre‐intervention, post‐intervention, and 3‐month follow‐up surveys assessed disordered eating, body dissatisfaction, thin‐ideal internalization, diabetes acceptance, diabetes distress, and quality of life. Cohen's d effect sizes were calculated at post‐intervention and follow‐up. Program acceptability was assessed at post‐intervention. Manual fidelity and homework completion were monitored.
Results
High manual fidelity, retention, and homework completion were achieved. Quantitative and qualitative feedback from teens and caregivers suggested high acceptability. Large effects (d = 1.35–0.83) were observed for dieting, body dissatisfaction, diabetes distress, diabetes acceptance, and diabetes‐related quality of life at post‐intervention, with large‐medium effects (d = 1.16–0.58) at follow‐up. Medium‐small effects (d = 0.49–0.78) at post‐intervention were observed for diabetes‐specific disordered eating and thin‐ideal internalization, with effects maintained at follow‐up.
Conclusions
Results support the acceptability and feasibility of this targeted eating disorders prevention program for adolescent girls with type 1 diabetes. Future clinical trials are warranted to determine its effectiveness compared to a control condition.</description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/pedi.13395</identifier><identifier>PMID: 35869788</identifier><language>eng</language><publisher>Former Munksgaard: John Wiley & Sons A/S</publisher><subject>Adolescent ; adolescents ; Behavioral Aspects of Diabetes ; Body Image ; Caregivers ; Clinical trials ; Diabetes ; diabetes distress ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - therapy ; Eating disorders ; Feasibility studies ; Feeding and Eating Disorders - prevention & control ; Female ; Girls ; Humans ; Internalization ; Internet ; Intervention ; prevention ; Prevention programs ; Quality of Life ; Self image ; Social interactions ; Teenagers ; type 1 diabetes</subject><ispartof>Pediatric diabetes, 2022-11, Vol.23 (7), p.1122-1132</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2022 The Authors. Pediatric Diabetes published by John Wiley & Sons Ltd.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3785-36e30b14082cf067888e470a8974449f8562307b4418b3d6474151d82fe597f53</citedby><cites>FETCH-LOGICAL-c3785-36e30b14082cf067888e470a8974449f8562307b4418b3d6474151d82fe597f53</cites><orcidid>0000-0002-4118-9087</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpedi.13395$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpedi.13395$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35869788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trojanowski, Paige J.</creatorcontrib><creatorcontrib>Frietchen, Rachel E.</creatorcontrib><creatorcontrib>Harvie, Blair</creatorcontrib><creatorcontrib>Mehlenbeck, Robyn</creatorcontrib><creatorcontrib>Fischer, Sarah</creatorcontrib><title>Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description>Background
Adolescents with type 1 diabetes are at significantly increased risk for eating disorders and few interventions exist.
Objective
This study examined the feasibility, acceptability, and preliminary effects of an internet‐based eating disorders prevention program adapted specifically for adolescent girls with type 1 diabetes.
Participants and Methods
Thirty‐five girls (16.2 ± 1.1 years) participated Body Project (T1D Style), a 4‐week program consisting of four adolescent sessions focused on promoting illness acceptance, challenging sociocultural body image pressures, increasing social support, and teaching assertive communication. Caregivers participated in one session focused on fostering body image positivity and a healthy relationship with food. Pre‐intervention, post‐intervention, and 3‐month follow‐up surveys assessed disordered eating, body dissatisfaction, thin‐ideal internalization, diabetes acceptance, diabetes distress, and quality of life. Cohen's d effect sizes were calculated at post‐intervention and follow‐up. Program acceptability was assessed at post‐intervention. Manual fidelity and homework completion were monitored.
Results
High manual fidelity, retention, and homework completion were achieved. Quantitative and qualitative feedback from teens and caregivers suggested high acceptability. Large effects (d = 1.35–0.83) were observed for dieting, body dissatisfaction, diabetes distress, diabetes acceptance, and diabetes‐related quality of life at post‐intervention, with large‐medium effects (d = 1.16–0.58) at follow‐up. Medium‐small effects (d = 0.49–0.78) at post‐intervention were observed for diabetes‐specific disordered eating and thin‐ideal internalization, with effects maintained at follow‐up.
Conclusions
Results support the acceptability and feasibility of this targeted eating disorders prevention program for adolescent girls with type 1 diabetes. Future clinical trials are warranted to determine its effectiveness compared to a control condition.</description><subject>Adolescent</subject><subject>adolescents</subject><subject>Behavioral Aspects of Diabetes</subject><subject>Body Image</subject><subject>Caregivers</subject><subject>Clinical trials</subject><subject>Diabetes</subject><subject>diabetes distress</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Eating disorders</subject><subject>Feasibility studies</subject><subject>Feeding and Eating Disorders - prevention & control</subject><subject>Female</subject><subject>Girls</subject><subject>Humans</subject><subject>Internalization</subject><subject>Internet</subject><subject>Intervention</subject><subject>prevention</subject><subject>Prevention programs</subject><subject>Quality of Life</subject><subject>Self image</subject><subject>Social interactions</subject><subject>Teenagers</subject><subject>type 1 diabetes</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc-KFDEQxoMo7jp68QEk4EWEWfOvO4kHYVlXHVjQg4K3kO5Uz2bJJG3SM8vgxUfwGfdJNuOsg3qwLqlQv_r4ig-hp5Sc0FqvRnD-hHKum3vomHKt540Q6v6h51-P0KNSrgihUnPxEB3xRrVaKnWMvi_iBDnCdPPjp4PgN5DBYbCTj0vsfEnZQS54zLCBOPkUa5uW2a7wkDK2LgUofZ3gpc-h4Gs_XeJpOwKmddt2MEF5jU_7HsbJdgGwjQ4PYIuvn8fowWBDgSd37wx9eXf--ezD_OLj-8XZ6cW851I1c94CJx0VRLF-IG21rUBIYpWWQgg9qKZlnMhOCKo67lohBW2oU2yARsuh4TP0Zq87rrsVuJ3dbIMZs1_ZvDXJevP3JPpLs0wboxURitIq8OJOIKdvayiTWfl6dQg2QloXw1pdnVLZyoo-_we9Susc63mGSdYwRlkNZIZe7qk-p1IyDAczlJhdpmaXqfmVaYWf_Wn_gP4OsQJ0D1z7ANv_SJlP528Xe9Fbst2ucw</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Trojanowski, Paige J.</creator><creator>Frietchen, Rachel E.</creator><creator>Harvie, Blair</creator><creator>Mehlenbeck, Robyn</creator><creator>Fischer, Sarah</creator><general>John Wiley & Sons A/S</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4118-9087</orcidid></search><sort><creationdate>202211</creationdate><title>Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible</title><author>Trojanowski, Paige J. ; Frietchen, Rachel E. ; Harvie, Blair ; Mehlenbeck, Robyn ; Fischer, Sarah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3785-36e30b14082cf067888e470a8974449f8562307b4418b3d6474151d82fe597f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>adolescents</topic><topic>Behavioral Aspects of Diabetes</topic><topic>Body Image</topic><topic>Caregivers</topic><topic>Clinical trials</topic><topic>Diabetes</topic><topic>diabetes distress</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Eating disorders</topic><topic>Feasibility studies</topic><topic>Feeding and Eating Disorders - prevention & control</topic><topic>Female</topic><topic>Girls</topic><topic>Humans</topic><topic>Internalization</topic><topic>Internet</topic><topic>Intervention</topic><topic>prevention</topic><topic>Prevention programs</topic><topic>Quality of Life</topic><topic>Self image</topic><topic>Social interactions</topic><topic>Teenagers</topic><topic>type 1 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trojanowski, Paige J.</creatorcontrib><creatorcontrib>Frietchen, Rachel E.</creatorcontrib><creatorcontrib>Harvie, Blair</creatorcontrib><creatorcontrib>Mehlenbeck, Robyn</creatorcontrib><creatorcontrib>Fischer, Sarah</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trojanowski, Paige J.</au><au>Frietchen, Rachel E.</au><au>Harvie, Blair</au><au>Mehlenbeck, Robyn</au><au>Fischer, Sarah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2022-11</date><risdate>2022</risdate><volume>23</volume><issue>7</issue><spage>1122</spage><epage>1132</epage><pages>1122-1132</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract>Background
Adolescents with type 1 diabetes are at significantly increased risk for eating disorders and few interventions exist.
Objective
This study examined the feasibility, acceptability, and preliminary effects of an internet‐based eating disorders prevention program adapted specifically for adolescent girls with type 1 diabetes.
Participants and Methods
Thirty‐five girls (16.2 ± 1.1 years) participated Body Project (T1D Style), a 4‐week program consisting of four adolescent sessions focused on promoting illness acceptance, challenging sociocultural body image pressures, increasing social support, and teaching assertive communication. Caregivers participated in one session focused on fostering body image positivity and a healthy relationship with food. Pre‐intervention, post‐intervention, and 3‐month follow‐up surveys assessed disordered eating, body dissatisfaction, thin‐ideal internalization, diabetes acceptance, diabetes distress, and quality of life. Cohen's d effect sizes were calculated at post‐intervention and follow‐up. Program acceptability was assessed at post‐intervention. Manual fidelity and homework completion were monitored.
Results
High manual fidelity, retention, and homework completion were achieved. Quantitative and qualitative feedback from teens and caregivers suggested high acceptability. Large effects (d = 1.35–0.83) were observed for dieting, body dissatisfaction, diabetes distress, diabetes acceptance, and diabetes‐related quality of life at post‐intervention, with large‐medium effects (d = 1.16–0.58) at follow‐up. Medium‐small effects (d = 0.49–0.78) at post‐intervention were observed for diabetes‐specific disordered eating and thin‐ideal internalization, with effects maintained at follow‐up.
Conclusions
Results support the acceptability and feasibility of this targeted eating disorders prevention program for adolescent girls with type 1 diabetes. Future clinical trials are warranted to determine its effectiveness compared to a control condition.</abstract><cop>Former Munksgaard</cop><pub>John Wiley & Sons A/S</pub><pmid>35869788</pmid><doi>10.1111/pedi.13395</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4118-9087</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric diabetes, 2022-11, Vol.23 (7), p.1122-1132 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent adolescents Behavioral Aspects of Diabetes Body Image Caregivers Clinical trials Diabetes diabetes distress Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - therapy Eating disorders Feasibility studies Feeding and Eating Disorders - prevention & control Female Girls Humans Internalization Internet Intervention prevention Prevention programs Quality of Life Self image Social interactions Teenagers type 1 diabetes |
| title | Internet‐delivered eating disorders prevention program for adolescent girls with type 1 diabetes: Acceptable and feasible |
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