Experiences of receiving and delivering a novel complex intervention for type 1 diabetes and disordered eating: Process evaluation of the Safe management of people with Type 1 diabetes and EAting Disorders studY ( STEADY )
Authors' conclusion
Our findings demonstrate that STEADY is acceptable, appropriate and feasible for individuals with mild to moderate severity T1DE. The substantial alignment between participant and therapist perspectives offers clear directions for refining the intervention and support implementation in a full-scale RCT.
Study context
- Population
- Individuals with T1D and disordered eating (T1DE) receiving a novel cognitive behaviour therapy (CBT) intervention (STEADY), and healthcare professionals delivering it
- Participants
- 13 vs 3
- Comparison
- Participants vs Healthcare professionals
- Participantsn = 13
- Healthcare professionalsn = 3
- Outcome
- Acceptability (AIM), appropriateness (IAM) and feasibility (FIM) of STEADY
Methodological detailsperson-reported outcome measures, semi-structured interviews, thematic analysis
- Person-reported outcome measures
- Semi-structured interviews
- Thematic analysis
Main finding
As reported in the abstract
PROM scores: acceptability (AIM), appropriateness (IAM), feasibility (FIM)
| Group | AIM | IAM | FIM |
|---|---|---|---|
| Participants | 18.36 ± 2.01 | 18.18 ± 2.64 | 18.00 ± 2.32 |
| Healthcare professionals | 17.67 ± 2.08 | 17.33 ± 2.31 | 17.67 ± 2.08 |
AIM
Participants18.36 ± 2.01
Healthcare professionals17.67 ± 2.08
IAM
Participants18.18 ± 2.64
Healthcare professionals17.33 ± 2.31
FIM
Participants18.00 ± 2.32
Healthcare professionals17.67 ± 2.08
Further findings
Thematic analysis of interviews
- Significant overlap in participant and therapist experiences
- Key themes: integrated T1DE-specific CBT delivery, specialist knowledge of T1DE, strong therapeutic alliance
- Both groups emphasised tailored delivery, therapist expertise in T1DE and structural adaptations to standard CBT models
- Participants: clear path of therapeutic growth and expectations of therapy
- Therapists: clinical safeguarding and organisational factors impacting wider implementation
Original publication
Experiences of receiving and delivering a novel complex intervention for type 1 diabetes and disordered eating: Process evaluation of the Safe management of people with Type 1 diabetes and EAting Disorders studY ( STEADY ). Diabet Med. Published 11 June 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →