家长对“减轻儿童低血糖家长情绪困扰”（REDCHiP）干预措施的反馈：一项定性分析
Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis.
作者信息
Kahhan Nicole A, Campbell MaryJane S, Clements Mark A, Driscoll Kimberly A, Milkes Amy I, O'Donnell Holly K, Patton Susana R
机构信息
Division of Psychology, Nemours Children's Health-Jacksonville, 807 Children's Way, Jacksonville, FL 32207, USA.
Center for Healthcare Delivery Science-Florida, Nemours Children's Health-Orlando, 13535 Nemours Pkwy, Orlando, FL 32827, USA.
出版信息
Children (Basel). 2025 Mar 14;12(3):360. doi: 10.3390/children12030360.
OBJECTIVES
Severe hypoglycemia is more common among young children with type 1 diabetes mellitus (T1DM) than older youth, and parents report significant hypoglycemia fear (HF). Parents experiencing HF describe constant and extreme worry about the occurrence of hypoglycemia and may engage in potentially risky behaviors to avoid hypoglycemia. Our team developed and tested a behavioral intervention, Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP), to decrease HF in parents of young children with T1DM. Here, we qualitatively analyzed parent feedback to refine and optimize future intervention iterations.
METHODS
The randomized pilot study included parents ( = 73) of young children with T1DM who participated in the 10-session video-based intervention. We qualitatively analyzed 21 recordings of the final intervention session, where parents provided feedback about intervention content. Trained coders independently reviewed each session. The frequency of parent quotes regarding active REDCHiP treatment components were calculated.
RESULTS
The coded themes reflected active treatment components [viz., Use of Cognitive Behavioral Therapy (CBT) Skills, Coping, Behavioral Parenting Strategies]. Also, two secondary process codes were identified: Appreciate REDCHiP Content and Challenges in Applying REDCHiP Strategies. Parents provided examples of skills or concepts they applied from REDCHiP, the challenges they encountered, and if they planned to apply these skills in the future.
CONCLUSIONS
A qualitative analysis provided insight into parent perceptions of the active treatment components within the REDCHiP intervention, their acceptability, and parents' intention to apply REDCHiP skills/concepts within daily T1DM cares. Future iterations of the intervention that trial alternative formats (i.e., individual vs. group and asynchronous vs. telehealth) may increase accessibility and scalability.
目的
重度低血糖在1型糖尿病（T1DM）幼儿中比大龄青少年更常见，且家长报告有明显的低血糖恐惧（HF）。经历HF的家长描述了对低血糖发生的持续且极度担忧，并且可能会采取潜在危险行为来避免低血糖。我们的团队开发并测试了一种行为干预措施，即减少家长儿童期低血糖情绪困扰（REDCHiP），以降低T1DM幼儿家长的HF。在此，我们对家长反馈进行了定性分析，以完善和优化未来的干预迭代。
方法
这项随机试点研究纳入了T1DM幼儿的家长（n = 73），他们参与了为期10节的视频干预。我们对最后一次干预 session 的21份记录进行了定性分析，家长在其中提供了关于干预内容的反馈。训练有素的编码员独立审查了每个session。计算了家长提及REDCHiP积极治疗成分的频率。
结果
编码主题反映了积极治疗成分[即认知行为疗法（CBT）技能的使用、应对、行为育儿策略]。此外，还确定了两个次要过程代码：欣赏REDCHiP内容和应用REDCHiP策略的挑战。家长提供了他们从REDCHiP应用的技能或概念的示例、遇到的挑战，以及他们是否计划在未来应用这些技能。
结论
定性分析深入了解了家长对REDCHiP干预中积极治疗成分的看法、其可接受性，以及家长在日常T1DM护理中应用REDCHiP技能/概念的意图。试验替代形式（即个体vs.小组以及异步vs.远程医疗）的干预未来迭代可能会提高可及性和可扩展性。
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