Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis
Objectives: Severe hypoglycemia is more common among young children with type 1 diabetes mellitus (T1DM) than older youth, and parents report significant hypoglycemia fear (HF). Parents experiencing HF describe constant and extreme worry about the occurrence of hypoglycemia and may engage in potenti...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/12/3/360 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849341771015782400 |
|---|---|
| author | Nicole A. Kahhan MaryJane S. Campbell Mark A. Clements Kimberly A. Driscoll Amy I. Milkes Holly K. O’Donnell Susana R. Patton |
| author_facet | Nicole A. Kahhan MaryJane S. Campbell Mark A. Clements Kimberly A. Driscoll Amy I. Milkes Holly K. O’Donnell Susana R. Patton |
| author_sort | Nicole A. Kahhan |
| collection | DOAJ |
| description | Objectives: Severe hypoglycemia is more common among young children with type 1 diabetes mellitus (T1DM) than older youth, and parents report significant hypoglycemia fear (HF). Parents experiencing HF describe constant and extreme worry about the occurrence of hypoglycemia and may engage in potentially risky behaviors to avoid hypoglycemia. Our team developed and tested a behavioral intervention, Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP), to decrease HF in parents of young children with T1DM. Here, we qualitatively analyzed parent feedback to refine and optimize future intervention iterations. Methods: The randomized pilot study included parents (<i>n</i> = 73) of young children with T1DM who participated in the 10-session video-based intervention. We qualitatively analyzed 21 recordings of the final intervention session, where parents provided feedback about intervention content. Trained coders independently reviewed each session. The frequency of parent quotes regarding active REDCHiP treatment components were calculated. Results: The coded themes reflected active treatment components [viz., Use of Cognitive Behavioral Therapy (CBT) Skills, Coping, Behavioral Parenting Strategies]. Also, two secondary process codes were identified: Appreciate REDCHiP Content and Challenges in Applying REDCHiP Strategies. Parents provided examples of skills or concepts they applied from REDCHiP, the challenges they encountered, and if they planned to apply these skills in the future. Conclusions: A qualitative analysis provided insight into parent perceptions of the active treatment components within the REDCHiP intervention, their acceptability, and parents’ intention to apply REDCHiP skills/concepts within daily T1DM cares. Future iterations of the intervention that trial alternative formats (i.e., individual vs. group and asynchronous vs. telehealth) may increase accessibility and scalability. |
| format | Article |
| id | doaj-art-4fc19294370f4a2cad2bc88c7c582c5e |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj-art-4fc19294370f4a2cad2bc88c7c582c5e2025-08-20T03:43:34ZengMDPI AGChildren2227-90672025-03-0112336010.3390/children12030360Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative AnalysisNicole A. Kahhan0MaryJane S. Campbell1Mark A. Clements2Kimberly A. Driscoll3Amy I. Milkes4Holly K. O’Donnell5Susana R. Patton6Division of Psychology, Nemours Children’s Health-Jacksonville, 807 Children’s Way, Jacksonville, FL 32207, USACenter for Healthcare Delivery Science–Florida, Nemours Children’s Health-Orlando, 13535 Nemours Pkwy, Orlando, FL 32827, USADivision of Endocrinology, Children’s Mercy Hospital, 2401 Gillham Road, Kansas, MO 64108, USADepartment of Clinical and Health Psychology, University of Florida, 1225 Center Drive, Gainesville, FL 32610, USACenter for Healthcare Delivery Science–Florida, Nemours Children’s Health-Jacksonville, 807 Children’s Way, Jacksonville, FL 32207, USADepartment of Pediatrics, Barbara Davis Center for Diabetes, School of Medicine, University of Colorado, 1775 Aurora Ct., Aurora, CO 80045, USACenter for Healthcare Delivery Science–Florida, Nemours Children’s Health-Jacksonville, 807 Children’s Way, Jacksonville, FL 32207, USAObjectives: Severe hypoglycemia is more common among young children with type 1 diabetes mellitus (T1DM) than older youth, and parents report significant hypoglycemia fear (HF). Parents experiencing HF describe constant and extreme worry about the occurrence of hypoglycemia and may engage in potentially risky behaviors to avoid hypoglycemia. Our team developed and tested a behavioral intervention, Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP), to decrease HF in parents of young children with T1DM. Here, we qualitatively analyzed parent feedback to refine and optimize future intervention iterations. Methods: The randomized pilot study included parents (<i>n</i> = 73) of young children with T1DM who participated in the 10-session video-based intervention. We qualitatively analyzed 21 recordings of the final intervention session, where parents provided feedback about intervention content. Trained coders independently reviewed each session. The frequency of parent quotes regarding active REDCHiP treatment components were calculated. Results: The coded themes reflected active treatment components [viz., Use of Cognitive Behavioral Therapy (CBT) Skills, Coping, Behavioral Parenting Strategies]. Also, two secondary process codes were identified: Appreciate REDCHiP Content and Challenges in Applying REDCHiP Strategies. Parents provided examples of skills or concepts they applied from REDCHiP, the challenges they encountered, and if they planned to apply these skills in the future. Conclusions: A qualitative analysis provided insight into parent perceptions of the active treatment components within the REDCHiP intervention, their acceptability, and parents’ intention to apply REDCHiP skills/concepts within daily T1DM cares. Future iterations of the intervention that trial alternative formats (i.e., individual vs. group and asynchronous vs. telehealth) may increase accessibility and scalability.https://www.mdpi.com/2227-9067/12/3/360diabetesqualitativeparentsfear |
| spellingShingle | Nicole A. Kahhan MaryJane S. Campbell Mark A. Clements Kimberly A. Driscoll Amy I. Milkes Holly K. O’Donnell Susana R. Patton Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis Children diabetes qualitative parents fear |
| title | Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis |
| title_full | Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis |
| title_fullStr | Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis |
| title_full_unstemmed | Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis |
| title_short | Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis |
| title_sort | parent feedback on the reducing emotional distress for childhood hypoglycemia in parents redchip intervention a qualitative analysis |
| topic | diabetes qualitative parents fear |
| url | https://www.mdpi.com/2227-9067/12/3/360 |
| work_keys_str_mv | AT nicoleakahhan parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT maryjanescampbell parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT markaclements parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT kimberlyadriscoll parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT amyimilkes parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT hollykodonnell parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis AT susanarpatton parentfeedbackonthereducingemotionaldistressforchildhoodhypoglycemiainparentsredchipinterventionaqualitativeanalysis |