Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Starship Children's Health, Auckland City Hospital, Auckland, New Zealand.
Diabet Med. 2020 Nov;37(11):1854-1860. doi: 10.1111/dme.14352. Epub 2020 Jul 11.
To examine the feasibility and acceptability of a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating behaviour.
Twenty-seven adolescents with type 1 diabetes were recruited and randomized to receive the brief (two 2.5-h sessions) self-compassion intervention, either in the intervention group (n=11) or in a waitlist control group (n=8). The intervention was adapted from the standardized eight-session 'Making Friends with Yourself' programme, and sessions were delivered 1 week apart. Acceptability was assessed through qualitative questionnaires and feasibility was assessed based on session attendance and recruitment metrics. Possible changes to disordered eating behaviour, self-care behaviours, diabetes-related distress, self-compassion, stress and glycaemic control were also assessed.
Nineteen participants completed the study, and they reported an increased sense of common humanity (acknowledging that we are not alone), mindfulness, and coping resources. In terms of feasibility, recruitment took longer than expected (8 months) and not all participants were able to attend both sessions (nine could only attend one of the two sessions).
While self-compassion is a strong conceptual fit for the issues of type 1 diabetes and disordered eating behaviour in adolescence, and the intervention content appears acceptable, feasibility issues were such that brief self-compassion programmes will probably need to be adapted into digital interventions for future research. (Trial registration number: ANZCTR 12619000541101).
考察针对 1 型糖尿病伴饮食障碍青少年的简短自我同情干预的可行性和可接受性。
招募了 27 名 1 型糖尿病青少年，并将他们随机分为接受简短（两阶段，每次 2.5 小时）自我同情干预的干预组（n=11）或等待名单对照组（n=8）。该干预改编自标准化的八阶段“与自己做朋友”计划，两个阶段间隔一周进行。通过定性问卷评估可接受性，根据出席率和招募指标评估可行性。还评估了饮食障碍行为、自我护理行为、糖尿病相关困扰、自我同情、压力和血糖控制可能发生的变化。
19 名参与者完成了研究，他们报告说普遍人性意识（承认我们并不孤单）、正念和应对资源有所增强。就可行性而言，招募时间比预期长（8 个月），并非所有参与者都能参加两个阶段的全部课程（9 名参与者只能参加其中一个阶段）。
虽然自我同情与 1 型糖尿病和青少年饮食障碍行为的问题在概念上非常契合，且干预内容似乎可以接受，但可行性问题使得简短的自我同情计划可能需要适应为未来研究的数字干预措施。（试验注册号：ANZCTR 12619000541101）。
