Feasibility of a psychological intervention for rDKA
Research type
Research Study
Full title
A pilot study to assess the feasibility of an attachment focused psychological intervention for patients with recurrent diabetic ketoacidosis (rDKA)
IRAS ID
193405
Contact name
CJ Garrett
Contact email
Sponsor organisation
King's College London
ISRCTN Number
ISRCTN33956728
Duration of Study in the UK
1 years, 3 months, 20 days
Research summary
For a small, but high risk sub-population of type 1 diabetes patients, diabetes self-management is extremely difficult and characterised by recurrent admissions with diabetic ketoacidosis (DKA), which is an acute, potentially life-threatening presentation with hyperglycaemia and ketosis. Most of these admissions are related to patients omitting their insulin either as primary or secondary factor. This study aims to assess the feasibility of using mentalization based therapy (an attachment focused psychological treatment) for patients with recurrent diabetic ketoacidosis (rDKA) due to insulin omission. Eight patients will be given 40 sessions of individual once weekly therapy.\nFeasibilty will be assessed in 2 parts. Part A) will assess whether a randomised controlled trial would get sufficient referrals from units in a 10 mile catchment area. Using contacts with diabetes departments in London we will ask for their participation in counting the numbers of potential subjects and ask them to fill a questionnaire about participation on willingness to refer patients to a psychological intervention to reduce insulin omission and rDKA admissions. Part B) will assess the feasibility of the psychological intervention through questionnaires for potential subjects, effect size of intervention, attendance rate and a recorded semi-structured interview before and after therapy.
REC name
West Midlands - South Birmingham Research Ethics Committee
REC reference
16/WM/0288
Date of REC Opinion
28 Jun 2016
REC opinion
Favourable Opinion