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Randomized Controlled Trial
. 2023 Dec:206:110997.
doi: 10.1016/j.diabres.2023.110997. Epub 2023 Nov 10.

Evaluation of a novel eating disorder prevention program for young women with type 1 diabetes: A preliminary randomized trial

Eric Stice  1 , Line Wisting  2 , Christopher David Desjardins  3 , Korey K Hood  4 , Sarah Hanes  4 , Laura Rubino  4 , Heather Shaw  4
Affiliations
Randomized Controlled Trial

Evaluation of a novel eating disorder prevention program for young women with type 1 diabetes: A preliminary randomized trial

Eric Stice et al. Diabetes Res Clin Pract. 2023 Dec.

Abstract

Objective: Evaluate whether the Body Project prevention program adapted for young women with type 1 diabetes (Diabetes Body Project) reduces eating disorder (ED) risk factors and symptoms.

Methods: Young women (aged 15-30) at high-risk for EDs due to having type 1 diabetes and body image concerns (N = 55) were randomized to virtually delivered Diabetes Body Project groups or an educational control condition, completing measures at pretest, posttest, and 3-month follow-up.

Results: Diabetes Body Project versus the control participants showed significantly greater reductions in thin-ideal internalization, body dissatisfaction, diabetes distress, diabetes eating pathology, and ED symptoms by posttest, and greater reductions in diabetes eating pathology and ED symptoms, and greater improvements in quality of life by 3-month follow-up, which were medium to large effects (d's ranged from -0.43 to -0.90). Although control participants showed a worsening of glycemic control (time in range) verses Diabetes Body Project participants, this difference was non-significant (d = 0.26).

Conclusions: Virtually delivered Diabetes Body Project decreased ED risk factors and symptoms in young women with type 1 diabetes. A well powered randomized controlled trial is warranted to evaluate this intervention over longer follow-up.

Keywords: Body dissatisfaction; Body image; Eating disorder; Prevention; Type 1 diabetes; Virtual.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1.
Fig. 1.
Difference in Adjusted Means by Outcome by Session by Condition. Note. Error bar corresponds to 95% confidence interval. Bars overlapping with 0 indicate no significant difference by condition at that session. Eating disorder symptoms was square root transformed.
See this image and copyright information in PMC

References

    1. Colton PA, Olmsted MP, Daneman D, Farquhar JC, Wong H, Muskat S, et al. Eating disorders in girls and women with type 1 diabetes: a longitudinal study of prevalence, onset, remission, and recurrence. Diabetes Care 2015;38(7):1212–7. - PubMed
    1. Young V, Eiser C, Johnson B, Brierley S, Epton T, Elliott J, et al. Eating problems in adolescents with Type 1 diabetes: a systematic review with meta-analysis. Diabet Med 2013;30(2):189–98. 10.1111/j.1464-5491.2012.03771.x. - DOI - PubMed
    1. Stice E, Marti CN, Rohde P. Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol 2013;122(2):445. - PMC - PubMed
    1. Olmsted MP, Colton PA, Daneman D, Rydall AC, Rodin GM. Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes. Diabetes Care 2008;31(10):1978–82. - PMC - PubMed
    1. Rodin G, Olmsted MP, Rydall AC, Maharaj SI, Colton PA, Jones JM, et al. Eating disorders in young women with type 1 diabetes mellitus. J Psychosom Res 2002;53(4):943–9. - PubMed

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