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Using Qualitative Methods to Guide Clinical Trial Design: Parent Recommendations for Intervention Modification in Type 1 Diabetes

Abstract:

Parents of young children with Type 1 diabetes assume significant responsibility for a
complex daily illness regimen, yet little research has evaluated supportive interventions for
this population. This study presents mixed-methods program evaluation data from participants
who completed a five-session intervention designed to promote parent mastery of
diabetes-related tasks and increase social and emotional support. Twelve parents (75%
female) of young children with Type 1 diabetes completed a satisfaction survey following
intervention completion. Additionally, four parents were selected for completion of an
in-depth interview designed to elicit specific recommendations for program improvement.
Results suggested high levels of satisfaction with the intervention program. Thematic coding
of interview data revealed two clear directions for future research, including offering the
intervention program closer to the time of diagnosis and enhancing educational and supportive
offerings for parents and other caregivers. Incorporation of in-depth interviews and
subsequent qualitative data analyses in addition to a quantitative satisfaction survey provided
richly detailed data related to program evaluation and improvement. Results highlighted
critical components for intervention refinement and provided a unique window into the
experiences of parents of young children with Type 1 diabetes and the need for additional
support in the months following diagnosis, both for themselves and other caregivers.


Reference:

Monaghan, M., Sanders, R. E., Kelly, K., Cogen, F. R., & Streisand, R. (2011). Using
qualitative methods to guide clinical trial design: Parent recommendations for
intervention modification in Type 1 diabetes. Journal Of Family Psychology, 25(6),
868-872. doi:10.1037/a0024178


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