{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:12Z","timestamp":1787014092800,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      This paper describes the protocol to test the feasibility of the\n                      <jats:styled-content>S<\/jats:styled-content>\n                      afe management of people with\n                      <jats:styled-content>T<\/jats:styled-content>\n                      ype 1 diabetes and\n                      <jats:styled-content>EA<\/jats:styled-content>\n                      ting\n                      <jats:styled-content>D<\/jats:styled-content>\n                      isorders stud\n                      <jats:styled-content>Y<\/jats:styled-content>\n                      (STEADY) intervention. STEADY is a novel complex intervention for people with type 1 diabetes and disordered eating (T1DE) of mild to moderate severity. The STEADY intervention integrates cognitive behavioural therapy (CBT) with diabetes education, and was developed using Experience\u2010Based Co\u2010Design.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The feasibility of STEADY will be tested using a randomised controlled feasibility trial. Forty adults with T1DE will be recruited and randomised into the STEADY intervention or treatment as usual control group. We will collect demographic, biomedical and psychometric data, routine glucose metrics and conduct the Structured Clinical Interview for DSM\u20105. Participants randomised to the STEADY intervention will receive 12 STEADY therapy sessions with a diabetes specialist nurse trained in CBT, delivered via videoconference and an optional smartphone app. The main outcome at 6\u2009months will be the feasibility of STEADY (recruitment, dropout rates, feasibility of delivery). The secondary outcomes are biomedical (HbA1c and glucose time in range) and psychological (person\u2010reported outcome measures in disordered eating, diabetes distress, depression and anxiety). A process evaluation will evaluate the fidelity, feasibility, acceptability and appropriateness of STEADY, and participant experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The protocol was approved by the East of England\u2014Essex Research Ethics Committee (21\/EE\/0235). Study findings will be shared with study participants and disseminated through peer\u2010reviewed publications and conference presentations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.15273","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T23:05:07Z","timestamp":1704755107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Protocol for the\n                    <scp>STEADY<\/scp>\n                    intervention for type 1 diabetes and disordered eating: Safe management of people with Type 1 diabetes and\n                    <scp>EAting<\/scp>\n                    Disorders\n                    <scp>studY<\/scp>"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1720-1621","authenticated-orcid":false,"given":"Natalie","family":"Zaremba","sequence":"first","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3771-9735","authenticated-orcid":false,"given":"Amy","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Department of Psychological Medicine, Diabetes, Psychology and Psychiatry Research Group King's College London  London UK"},{"name":"Department of Psychology and Human Development Institute of Psychiatry, University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Diabetes Centre King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Allan","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divina","family":"Pillay","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"Ayis","sequence":"additional","affiliation":[{"name":"School Population Health and Environmental Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0451-0900","authenticated-orcid":false,"given":"David","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Life Course Sciences King's College London  London UK"},{"name":"Institute of Diabetes, Endocrinology and Obesity King's Health Partners  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalida","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Diabetes, Psychology and Psychiatry Research Group King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6869-9960","authenticated-orcid":false,"given":"Marietta","family":"Stadler","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Department of Psychological Medicine, Diabetes, Psychology and Psychiatry Research Group King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13509"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7249.1563"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.7.1654"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1057"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0131027"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22463"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13289"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-2026"},{"key":"e_1_2_9_10_1","first-page":"99","article-title":"Understanding poor outcomes in women with type 1 diabetes and eating disorders","volume":"19","author":"Allan J","year":"2015","journal-title":"J Diabetes Nurs"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-0753"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573399810666141113115026"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14207"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14749"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1655"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13700"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14578"},{"key":"e_1_2_9_18_1","volume-title":"Structured Clinical Interview for DSM\u20105 Research Version SCID\u20105\u2010RV","author":"First MB","year":"2015"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1890"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0635-3"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.139.3.181"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2015.01.012"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1343"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.67.2.319"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0152744"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.03.020"},{"key":"e_1_2_9_30_1","unstructured":"BeechamJ KnappM.Costing psychiatric interventions. In:ThornicroftG ed.Gaskell;2001:200\u2010224."},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291798006667"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22023"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.15273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:24:36Z","timestamp":1710375876000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.15273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,8]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/dme.15273"],"URL":"https:\/\/doi.org\/10.1111\/dme.15273","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,8]]},"assertion":[{"value":"2023-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15273"}}