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A thesis of clinical research and practice: Part A: Exploring the psychological experiences of early motherhood in people with Type 1 diabetes using photovoice; Part B: A scoping review of psychological experiences of global majority families in neonatal care settings; Part C: Summary of clinical practice assessments
Doctoral Thesis

A thesis of clinical research and practice: Part A: Exploring the psychological experiences of early motherhood in people with Type 1 diabetes using photovoice; Part B: A scoping review of psychological experiences of global majority families in neonatal care settings; Part C: Summary of clinical practice assessments

Megan Leah Tongs
University of Surrey
Doctor of Psychology (PsychD), University of Surrey
30/09/2026
DOI:
https://doi.org/10.15126/thesis.902181

Abstract

Type 1 diabetes Early motherhood Lived experiences Photovoice Global majority Families NICU Racism Scoping review Discrimination

Although often a desired life event, the transition to parenthood is associated with new stressors, strains on physical and mental health, and changes to identity. This portfolio presents two papers exploring the psychological experiences of individuals and families navigating this journey whilst juggling additional layers of vulnerability. Both projects centre voices that are often marginalised in healthcare research and aim to inform more equitable, psychologically informed practice.

Part A of this portfolio presents an empirical qualitative study examining the lived experiences of early motherhood among mothers with Type 1 diabetes (T1D) in the United Kingdom (UK) using photovoice methodology and Interpretative Phenomenological Analysis (IPA). The study identified three themes: the internal conflict between maternal and diabetic instincts, the challenges of living with an ‘invisible’ condition, and the work involved in creating a new ‘normal’ for the whole family. These findings highlighted gaps in postnatal support, and the need for integrated care pathways, tailored emotional and practical support, signposting to community resources and peer support spaces, and family-inclusive education.

Part B is a scoping review exploring the psychological experiences of global majority families with infants admitted to neonatal care units. The findings of this review highlighted negative emotional experiences, some linked to social vulnerability factors and racial discrimination. Barriers to positive experiences included racial microaggressions, cultural beliefs and stigma, communication issues, and practical barriers. Facilitators included relationship‑building and communication, and culturally adapted care. This holds implications for UK clinical practice in neonatal intensive care units where there is currently a paucity of research in this area.

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Megan Tongs E-Thesis2.73 MB
Version of Record (ETD) Embargoed Access, Embargo ends: 01/09/2027 CC BY-NC-SA V4.0

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