{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T15:01:56Z","timestamp":1781276516995,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To develop a cognitive behavioural therapy\u2010based intervention for people with type 1 diabetes and disordered eating using Experience\u2010Based Co\u2010Design as part of the Safe management of people with Type 1 diabetes and EAting Disorders studY (STEADY).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen people with type 1 diabetes and experience of disordered eating (33\u00a0\u00b1\u00a011\u00a0years old, 22\u00a0\u00b1\u00a012\u00a0years diabetes duration) and 25 healthcare professionals working in type 1 diabetes or eating disorders (44\u00a0\u00b1\u00a09\u00a0years old; 14\u00a0\u00b1\u00a010\u00a0years of professional experience) attended six Experience\u2010Based Co\u2010Design workshops from July 2019 to March 2020 to collaboratively develop intervention content.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We developed a cognitive behaviour therapy intervention \u2018toolkit\u2019 that can be tailored for individual patient needs. Participants designed and revised toolkit materials to ensure acceptability and relevance for people with diabetes and disordered eating by engaging in guided discussion, brainstorming, and rapid testing to review toolkit prototypes in an iterative process. Workshop themes were \u2018Insulin titration\u2019; \u2018Hypoglycaemia\u2019; \u2018Coming to terms with diabetes\u2019; \u2018Fear of weight gain\u2019; \u2018Toolkit revision\u2019; and \u2018Practical elements of STEADY therapy\u2019. The intervention is focussed on improving diabetes self\u2010care and embedded in a multidisciplinary healthcare approach. The intervention will be delivered in 12 sessions by a diabetes specialist nurse trained in cognitive behavioural therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Through an iterative co\u2010design process, people with type 1 diabetes and healthcare professionals collaboratively developed a novel intervention toolkit that can be used with a wide range of disordered eating presentations. The intervention will be tested in the STEADY feasibility randomised controlled trial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14749","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T16:40:54Z","timestamp":1637858454000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Developing a novel intervention for type 1 diabetes and disordered eating using a participatory action design process: Safe management of people with Type 1 diabetes and EAting Disorders studY (STEADY)"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1720-1621","authenticated-orcid":false,"given":"Natalie","family":"Zaremba","sequence":"first","affiliation":[{"name":"Department of Diabetes Faculty of Life Sciences and Medicine King's College London  London 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