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Engaging Families of Children with Type 1 Diabetes into a Randomised Controlled Trial of a Brief Parenting Group Program

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Abstract

Objective

Parenting interventions have demonstrated some potential for effectiveness in improving psychosocial and health outcomes for children with type 1 diabetes (T1D) and their families. However, most interventions have been tested with parents of adolescents, and engagement of parents of younger children into parenting interventions remains problematic. This study aimed to assess the feasibility and acceptability of the Positive Parenting for Healthy Living program for parents of children with T1D.

Methods

We describe our experiences with engagement and recruitment of parents of 2- to 10-year-old children with T1D into a randomised controlled trial of a brief parenting intervention. Engagement, including rates of enrolment, assessment completion and session participation, as well as feasibility were assessed at multiple time points during the trial using multiple measures.

Results

We share our learnings in delivering and evaluating a parenting intervention for this population. In particular, we explore reasons for the low rate of enrolment, parents’ resistance in opening up about their problems, possible discrepancies between parent and practitioner views on the nature and extent of emotional and behavioural problems, and how better to target engagement efforts in the future.

Conclusions

We offer recommendations for engaging parents in future trials and parenting intervention initiatives.

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Author Contributions

All authors contributed to study design. A.E.M. and A.L. implemented the study including participant recruitment and data collection. A.E.M. and A.M. conducted the analyses. All authors contributed to manuscript writing and revisions.

Funding

This work was supported by the Australian Research Council (grant number DP140100781) and a Children’s Hospital Foundation Early Career Fellowship (A.E.M.; award ref. 50223).

Author information

Authors and Affiliations

  1. Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, 4072, Australia

    Alina Morawska & Amy E. Mitchell

  2. Relationships Australia Queensland, Brisbane, QLD, Australia

    Aditi Lohan

Authors
  1. Alina Morawska
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  2. Amy E. Mitchell
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  3. Aditi Lohan
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Corresponding author

Correspondence to Alina Morawska.

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Conflict of Interest

The Parenting and Family Support Centre is partly funded by royalties stemming from published resources of the Triple P—Positive Parenting Program, which is developed and owned by The University of Queensland (UQ). Royalties are also distributed to the Faculty of Health and Behavioural Sciences at UQ and contributory authors of published Triple P resources. Triple P International (TPI) Pty Ltd is a private company licensed by UQ, to publish and disseminate Triple P worldwide. The authors of this report have no share or ownership of TPI. A.M. has received royalties from TPI. TPI had no involvement in the study design, collection, analysis or interpretation of data, or writing of this report. A.M. and A.E.M. are employees at UQ.

Ethical Approval

Ethical approval was provided by the Queensland Children’s Hospital and Health Services District Human Research Ethics Committee (HREC/14/QRCH/1) and the University of Queensland Behavioural and Social Sciences Ethical Review Committee (2013001357).

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Morawska, A., Mitchell, A.E. & Lohan, A. Engaging Families of Children with Type 1 Diabetes into a Randomised Controlled Trial of a Brief Parenting Group Program. J Child Fam Stud 29, 1301–1311 (2020). https://doi.org/10.1007/s10826-019-01648-6

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  • DOI: https://doi.org/10.1007/s10826-019-01648-6

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