一项可行性研究方案：针对 1 型糖尿病伴饮食失调的青少年的简短自我同情干预。

Protocol for a feasibility study: a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating.

机构信息

Department of Psychological Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand

Department of Psychological Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand.

出版信息

BMJ Open. 2020 Feb 9;10(2):e034452. doi: 10.1136/bmjopen-2019-034452.

DOI:10.1136/bmjopen-2019-034452

PMID:32041861

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7044828/

Abstract

INTRODUCTION

Adolescents with type 1 diabetes are at a higher risk of developing psychiatric disorders, particularly eating disorders, compared with their healthy peers. In turn, this increases the risk for sub-optimal glycaemic control and life-threatening diabetes-related complications. Despite these increased risks, standard diabetes care does not routinely provide psychological support to help prevent or reduce mental health risks. There is an urgent need to develop 'clinically usable' psychosocial interventions that are acceptable to patients and can be realistically integrated into clinical care. This study aims to examine the feasibility and acceptability of a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating behaviour.

METHODS AND ANALYSIS

This feasibility study will examine the effectiveness of a brief self-compassion intervention, compared with a waitlist control group. Participants aged 12-16 years will be recruited from three diabetes outpatient clinics in Auckland, New Zealand. The brief self-compassion intervention is adapted from the standardised 'Making Friends with Yourself' intervention and will be delivered in a group format over two sessions. Apart from examining feasibility and acceptability through the flow of participants through the study and qualitative questions, we will assess changes to disordered eating behaviour (primary outcome), self-care behaviours, diabetes-related distress, self-compassion, stress and glycaemic control (secondary outcomes). Such data will be used to calculate the required sample size for a fully powered randomised controlled trial.

ETHICS AND DISSEMINATION

This trial has received ethics approval from the Health and Disability Ethics Committee (research project number A+8467). Study results will be disseminated through peer-reviewed journals and conferences.

TRIAL REGISTRATION NUMBER

ANZCTR (12619000541101).

摘要

简介

与健康同龄人相比，1 型糖尿病青少年患精神障碍的风险更高，尤其是饮食障碍。反过来，这会增加血糖控制不佳和危及生命的糖尿病相关并发症的风险。尽管存在这些增加的风险，但标准的糖尿病护理通常不提供心理支持，以帮助预防或降低心理健康风险。迫切需要开发“临床可用”的心理社会干预措施，这些措施既被患者接受，又能切实融入临床护理。本研究旨在探讨针对 1 型糖尿病伴饮食障碍行为的青少年进行简短的自我同情干预的可行性和可接受性。

方法和分析

本可行性研究将比较简短的自我同情干预与候补对照组，来评估其对 12-16 岁参与者的效果。参与者将从新西兰奥克兰的三个糖尿病门诊诊所招募。简短的自我同情干预是从标准化的“与自己做朋友”干预措施改编而来，将以小组形式分两次进行。除了通过研究参与者的流程和定性问题来评估可行性和可接受性之外，我们还将评估饮食障碍行为的变化（主要结果）、自我护理行为、与糖尿病相关的困扰、自我同情、压力和血糖控制（次要结果）。这些数据将用于计算完全随机对照试验所需的样本量。