Providing Online guided Self-help for the management of binge Eating in adults with type 2 Diabetes: The POSE-D pilot study and process evaluation.

IF 3 3区 医学 Q2 NUTRITION & DIETETICS British Journal of Nutrition Pub Date : 2024-12-14 Epub Date: 2024-11-11 DOI:10.1017/S0007114524002599
Gemma Traviss-Turner, Eleanor Bowes, Andrew Hill, Suzanne Heywood-Everett, Jinan Rabbee, Robert West, Michael Mansfield, Clare Grace, Ian Beeton
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Abstract

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 one of the recommended treatment options for binge eating disorder, but there is currently a lack of evidenced treatment for binge eating in individuals living with T2D. The aims of this pilot study were to test the feasibility and acceptability of recruiting and delivering the adapted, online Working to Overcome Eating Difficulties GSH intervention to adults with T2D and binge eating. The intervention comprises GSH materials presented online in seven sections delivered over 12 weeks, supported by a trained Guide. Twenty-two participants were recruited in a case series design to receive the intervention and we interviewed four Guides and five participants afterwards. We measured binge eating, mental wellbeing, quality of life and weight at pre-post and 12-week follow-up. Results showed a significant reduction in binge eating at the end of the intervention, which continued to improve at follow-up. Before the programme, 92 % of participants scored above cut-off for binge eating. This reduced to 41 % post-intervention and no-one at follow-up. These changes were accompanied by significant improvements in depression, anxiety and small changes in eating disorder symptoms. Participants reported making better lifestyle choices, eating more mindfully and having increased self-confidence. The study shows preliminary evidence for online GSH tailored to the needs of individuals with T2D as a feasible and acceptable approach to improving binge eating, diabetes management and mental wellbeing.

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糖尿病患者暴饮暴食的指导性自助疗法 暴饮暴食与 2 型糖尿病:POSE-D 试验。
与普通人相比,2 型糖尿病患者更容易暴饮暴食,这可能会影响他们的糖尿病管理。指导自助(GSH)是暴食症的推荐治疗方案之一,但目前还缺乏针对 2 型糖尿病患者暴食症的循证治疗方法。本试点研究旨在测试招募并向患有暴食症的 2 型糖尿病成人提供经过改编的在线 "努力克服进食困难 "GSH 干预疗法的可行性和可接受性。该干预措施包括在线提供的 GSH 材料,分为 7 个部分,在训练有素的 "指导者 "的支持下进行,为期 12 周。我们以案例系列设计的方式招募了 22 名参与者接受干预,并在干预后对 4 名指导者和 5 名参与者进行了访谈。我们对干预前和干预后 12 周的暴食、心理健康、生活质量和体重进行了测量。结果显示,在干预结束后,暴食现象明显减少,而且在随访中继续得到改善。在干预前,92% 的参与者在暴食方面的得分超过了临界值。干预后这一比例下降到了 41%,在随访中没有人出现这一情况。伴随这些变化的是抑郁、焦虑症状的明显改善和饮食失调症状的轻微变化。参与者表示,他们选择了更好的生活方式,吃得更用心了,自信心也增强了。这项研究初步证明,根据患有 T2D 的个人需求量身定制的在线 GSH 是改善暴饮暴食、糖尿病管理和心理健康的一种可行且可接受的方法。
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来源期刊
British Journal of Nutrition
British Journal of Nutrition 医学-营养学
CiteScore
6.60
自引率
5.60%
发文量
740
审稿时长
3 months
期刊介绍: British Journal of Nutrition is a leading international peer-reviewed journal covering research on human and clinical nutrition, animal nutrition and basic science as applied to nutrition. The Journal recognises the multidisciplinary nature of nutritional science and includes material from all of the specialities involved in nutrition research, including molecular and cell biology and nutritional genomics.
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