Adapting an online guided self‐help intervention for the management of binge eating in adults with type 2 diabetes: The POSE‐D study

Abstract

Aims: 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. Methods: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. Results and Conclusions: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.

“I Haven’t Told Anyone but You”: Experiences and Biopsychosocial Support Needs of People With Type 2 Diabetes and Binge Eating

“…If BE is identified, proper support should be offered, and therefore, research-based interventions addressing various degrees of BE in T2D treatment should be developed. Such an intervention was described in a recent article by Coales et al (2023) from the United Kingdom. Using co-design, an existing and evidence-based guided self-help intervention for BED was adapted into an online and T2D-specific version ( Coales et al, 2023 ).…”

“…Such an intervention was described in a recent article by Coales et al (2023) from the United Kingdom. Using co-design, an existing and evidence-based guided self-help intervention for BED was adapted into an online and T2D-specific version ( Coales et al, 2023 ). According to the authors, the next steps are to conduct a pilot trial that will—in the case of promising results—be followed by a full-scale trial to test the effectiveness of the intervention ( Coales et al, 2023 ).…”

“…Using co-design, an existing and evidence-based guided self-help intervention for BED was adapted into an online and T2D-specific version ( Coales et al, 2023 ). According to the authors, the next steps are to conduct a pilot trial that will—in the case of promising results—be followed by a full-scale trial to test the effectiveness of the intervention ( Coales et al, 2023 ). If effective, this intervention may offer the support needed by PWT2D and BE, although translations and cultural adjustments are needed if the intervention is offered to non-English speakers and in other countries ( Heim & Weise, 2021 ).…”

Can guided self-help improve the management of binge eating in adults type 2 diabetes? Results of the POSE-D study

“…The aims of this pilot study were to test the feasibility and acceptability of recruiting and delivering a 12-week, online psychological GSH intervention which has been adapted in an earlier study to the needs of adults with T2 diabetes and binge eating (2) .…”