The Promoting Resilience in Stress Management for Parents (PRISM-P) Intervention: A Pilot Randomised Controlled Trial in Parents of Young Children With Type 1 Diabetes

Objective Parents of young children with type 1 diabetes (T1D) are at risk of experiencing elevated stress due to their responsibilities as caregivers. Despite this, there are limited interventions designed to enhance resilience in this population of parents. This pilot randomised controlled trial aimed to examine the acceptability, appropriateness, and feasibility of the Promoting Resilience in Stress Management for Parents (PRISM-P) intervention in parents of young children with T1D. Method Parents of children (aged 11 years and younger) with T1D participated in this study ( N = 30). Participants were randomised (1:1) to a waitlist control or intervention group, with the intervention group participating in three one-on-one sessions via telemedicine with a trained coach. Intervention acceptability and appropriateness were assessed through a survey and semistructured interview. Feasibility was defined by a minimum study enrolment rate of 50% and a minimum retention rate of 70%. Validated instruments to assess psychosocial wellbeing were completed as secondary outcomes. Results Results provided strong support for the acceptability and appropriateness of PRISM-P. The enrolment rate for the study was 27% and the retention rate was 87%. The direction of change across psychosocial outcomes also provided preliminary support for the efficacy of the intervention. Conclusions PRISM-P was deemed an acceptable and appropriate intervention, as it was met with high satisfaction among the participants who completed it. There was mixed support for the feasibility of PRISM-P as completion was high, but enrolment rates were modest. Future large-scale trials should employ additional recruitment strategies to increase study enrolment rates. Implications for Impact Parents and caregivers play an essential role in the medical management and health outcomes of young children living with type 1 diabetes. This pilot trial highlights the potential value of the Promoting Resilience in Stress Management for Parents (PRISM-P) intervention in supporting the psychological wellbeing of parents. With further large-scale evaluation, interventions such as PRISM-P could serve as an accessible adjunct to paediatric diabetes care by providing targeted psychosocial support for parents and caregivers.