Leeds Institute of Health Sciences, University of Leeds, Leeds, Clarendon Way, UK.
Bradford District Care NHS Foundation Trust, Primary Care Wellbeing Service, Bradford, Victoria Road, Saltaire, UK.
Diabet Med. 2023 Aug;40(8):e15082. doi: 10.1111/dme.15082. Epub 2023 Apr 3.
People with type 2 diabetes (T2D) are more likely to experience binge eating than the general population, which may interfere with their diabetes management. Guided self-help (GSH) is the recommended treatment for binge-eating disorder, but there is currently a lack of evidenced treatment for binge eating in individuals living with T2D. The aims of the current study were to adapt an existing evidence-based GSH intervention using the principles of co-design to make it available online, suitable for remote delivery to address binge eating specifically in adults living with T2D. The Working to Overcome Eating Difficulties GSH intervention comprises online GSH materials presented in seven sections delivered over 12 weeks, supported by a trained Guide.
In order to adapt the intervention, we held four collaboration workshops with three expert patients recruited from diabetes support groups, eight healthcare professionals and an expert consensus group. We used thematic analysis to make sense of the data.
The main themes included; keeping the GSH material generic, adapting Sam the central character, tailoring the dietary advice and eating diary. The length of Guidance sessions was increased to 60 min, and Guide training was focussed around working with people with diabetes.
2 型糖尿病（T2D）患者比一般人群更容易出现暴食行为，这可能会干扰他们的糖尿病管理。指导性自助（GSH）是暴食症的推荐治疗方法，但目前针对 T2D 患者的暴食行为，缺乏循证治疗方法。本研究旨在使用共同设计原则改编现有的基于证据的 GSH 干预措施，使其可在线使用，便于远程提供，专门针对 T2D 成年人的暴食问题。“克服饮食困难的指导性自助干预”由七个部分的在线 GSH 材料组成，共 12 周，由经过培训的指导师提供支持。
为了改编干预措施，我们与来自糖尿病支持小组的三名专家患者、八名医疗保健专业人员和一个专家共识小组举行了四次合作研讨会。我们使用主题分析来理解数据。
主要主题包括：保持 GSH 材料的通用性、改编中心人物山姆、调整饮食建议和饮食日记。指导环节的时长增加到 60 分钟，指导师的培训重点是与糖尿病患者合作。
