An Intervention to Reduce Hypoglycemia Fear in Parents of Young Kids with Type 1 Diabetes Through Video-Based Telemedicine (REDCHiP): Trial design, feasibility, and acceptability
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Background: Fear of hypoglycemia (FH) is common in parents of young children with type 1 diabetes (T1D) and problematically linked to maladaptive behaviors to avoid low blood glucose, parenting stress, and burnout. This study examined the feasibility and acceptability of a novel group-based telemedicine intervention to reduce FH in parents of young children with T1D. Materials and Methods: Forty-three families of a young child with T1D (1–6 years of age; diagnosed with T1D for at least 6 months) enrolled in the study and 36 completed the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) intervention. We assessed intervention feasibility with rates of attrition, intervention attendance, and fidelity to the treatment manual. We assessed acceptability with treatment satisfaction surveys and qualitative interviews (from a subset of completers; n = 10) about intervention acceptability, facilitators, and challenges. Results: Study attrition was 21%, including long-term follow-up (16% before or during the treatment phase). On average, parents attended 94% of intervention sessions and fidelity to the treatment manual was 89%. Intervention completers reported high satisfaction with the treatment groups (89% average satisfaction rating). Parent-reported positive influencers of the REDCHiP intervention were increased knowledge, fear awareness, coping strategies, confidence, behavioral parenting strategies, and support, whereas intervention challenges included feeling fearful or overwhelmed, family stress, lack of trust, and difficulty connecting with other group members. Conclusions: The REDCHiP intervention demonstrated initial feasibility and acceptability. Next steps include determining the intervention's impact on objective parent and child outcomes (e.g., glycemic control, parental FH, and parental stress/distress) as well as large-scale efficacy testing.
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Parents in the previous study noted the convenience of participating from home, work, or school.
“Specifically, with a telehealth treatment approach in our previous study parents attended 94% of treatment sessions and noted the convenience of participating from home, work, or school [11].”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [11]
In a previous group-based telehealth intervention targeting hypoglycemia fear in parents of preschoolers with type 1 diabetes (REDCHiP), parents attended 94% of treatment sessions.
“Specifically, with a telehealth treatment approach in our previous study parents attended 94% of treatment sessions and noted the convenience of participating from home, work, or school [11].”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [11]
Parents in the previous study noted that the group format facilitated a supportive environment that empowered parents to cope with the stressors of raising a child with type 1 diabetes.
“Parents also noted that the group format facilitated a supportive environment that empowered parents to cope with the stressors of raising a child with type 1 diabetes [11].”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [11]
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Self-citation
- Authors
- Marker, A. M., Monzon, A. D., Nelson, E.-L., Clements, M. A., & Patton, S. R.
- Affiliations
- Children's Mercy Hospital (US)
- Corresponding author
- Patton, Susana R.
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2020-01
- Volume
- 22
- Issue
- 1
- Pages
- 25-33
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- PMC
- PMC6945796
- OpenAlex
- W2973029347
- Cited by
- 37
- References
- 23
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 8
- FWCI
- 4.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD081502)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- fear of hypoglycemia, type 1 diabetes, young children, parents, telemedicine, video-based intervention, group intervention, feasibility, acceptability, parental stress, glycemic control
- MeSH terms
- Treatment Adherence and Compliance, Child, Child, Preschool, Diabetes Mellitus, Type 1, Feasibility Studies, Humans, Hypoglycemia, Hypoglycemic Agents, Infant, Insulin, Parents, Randomized Controlled Trials as Topic, Telemedicine
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