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Aims: To develop a cognitive behavioural therapy‐based intervention for people with type 1 diabetes and disordered eating using Experience‐Based Co‐Design as part of the Safe management of people with Type 1 diabetes and EAting Disorders studY (STEADY). Methods: Fifteen people with type 1 diabetes and experience of disordered eating (33 ± 11 years old, 22 ± 12 years diabetes duration) and 25 healthcare professionals working in type 1 diabetes or eating disorders (44 ± 9 years old; 14 ± 10 years of professional experience) attended six Experience‐Based Co‐Design workshops from July 2019 to March 2020 to collaboratively develop intervention content. Results: We developed a cognitive behaviour therapy intervention 'toolkit' that can be tailored for individual patient needs. Participants designed and revised toolkit materials to ensure acceptability and relevance for people with diabetes and disordered eating by engaging in guided discussion, brainstorming, and rapid testing to review toolkit prototypes in an iterative process. Workshop themes were 'Insulin titration'; 'Hypoglycaemia'; 'Coming to terms with diabetes'; 'Fear of weight gain'; 'Toolkit revision'; and 'Practical elements of STEADY therapy'. The intervention is focussed on improving diabetes self‐care and embedded in a multidisciplinary healthcare approach. The intervention will be delivered in 12 sessions by a diabetes specialist nurse trained in cognitive behavioural therapy. Conclusions: Through an iterative co‐design process, people with type 1 diabetes and healthcare professionals collaboratively developed a novel intervention toolkit that can be used with a wide range of disordered eating presentations. The intervention will be tested in the STEADY feasibility randomised controlled trial. [ABSTRACT FROM AUTHOR]

Aims: This qualitative study aimed to develop the first cognitive behavioural therapy model outlining the development and maintenance of disordered eating in type 1 diabetes and report on recovery strategies and resilience factors to improve previous theoretical models of type 1 diabetes and disordered eating. Methods: Twenty‐three women (n = 9 with type 1 diabetes and disordered eating, n = 5 with type 1 diabetes recovering from disordered eating, and n = 9 with type 1 diabetes without disordered eating) participated in semi‐structured interviews. Data were analysed using grounded theory and individual cognitive–behavioural formulations were developed for each participant to inform the development/maintenance and resilience models. Results: The development/maintenance model summarises commonly experienced vicious cycles of thoughts, feelings and behaviours in type 1 diabetes and disordered eating. The resilience model summarises strategies and knowledge acquired by those with type 1 diabetes in recovery from disordered eating and individuals with type 1 diabetes who did not develop disordered eating. Early adverse life events, past psychiatric history, perfectionist personality traits, difficult experiences around type 1 diabetes diagnosis and its relentless daily management sensitise individuals to eating, weight and shape cues. Alongside physical symptoms/complications, unhelpful interpersonal reactions and inadequate healthcare, vicious cycles of thoughts, feelings and behaviours develop. 'Good enough' psychological adaptation to type 1 diabetes, integrating type 1 diabetes into one's identity, self care and compassion around eating, weight and shape were key protective/post‐traumatic resilience factors. Conclusions: This first cognitive behavioural therapy model of type 1 diabetes and disordered eating informed by personal experience will inform an intervention for type 1 diabetes and disordered eating. [ABSTRACT FROM AUTHOR]

In 1979 Reeder and Brewer reported that people make stronger attributions for negative behaviors than for positive ones, following Hastorf and Cantril's statement that people are motivated to maintain positive self-views. The present study tested whether 67 participants would make stronger self-attributions for negative behaviors than for positive ones by having them indicate the number of times that they had to engage in a specific behavior before it would become a trait they possess. Analysis confirmed that participants make stronger self-attributions for negative behaviors than for positive behaviors.

A 9-item scale designed to measure perceived relationships of girls and their fathers is internally consistent ([alpha] = .89) and showed clear factor structure.

The use of low-carbohydrate diets in children and young people with type 1 diabetes is receiving increased interest, particularly online; however, it is controversial due to a lack of evidence and concerns about safety. This article provides a detailed review of the current evidence regarding low-carbohydrate diets and the potential risks associated with their use in young people, as well as advice on supporting and monitoring those patients who choose to follow this dietary approach. [ABSTRACT FROM AUTHOR]

The use of low-carbohydrate diets in children and young people with type 1 diabetes is receiving increased interest, particularly online; however, it is controversial due to a lack of evidence and concerns about safety. This article provides a detailed review of the current evidence regarding low-carbohydrate diets and the potential risks associated with their use in young people, as well as advice on supporting and monitoring those patients who choose to follow this dietary approach. [ABSTRACT FROM AUTHOR]

It is recommended that all young people should do at least 60 minutes of physical activity each day. NICE guidance suggests that exercise should be encouraged on a regular basis in young people with diabetes to reduce the risk of developing cardiovascular disease. However, physical activity can pose additional challenges for the management of glycaemia. Following reports that young people had been unsuccessfully trying to access gym facilities independently in the local area, the authors developed evidence-based guidelines and a training package for gym staff to improve opportunities for young people with diabetes to participate in physical fitness programmes. This article outlines the background and development of these guidelines in addition to the training process. [ABSTRACT FROM AUTHOR]

The article presents an interview with teacher-author Jason Griffith. Topics discussed include sources of knowledge about the teaching of writing which includes theory and research, analysis of practice and experience of writing; reaction of his students on news regarding his book deal and distribution, and impact of writing a book on development of teaching of writing and knowledge of middle level students.