Feasibility and pilot study of an intervention to support active lifestyles in youth with type 1 diabetes: The ActivPals study

Mitchell, Fiona; Wilkie, Louise; Robertson, Kenneth; Reilly, John J.; Kirk, Alison

doi:10.1111/pedi.12615

Cited by 11 publications

(49 citation statements)

References 35 publications

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“…The need for self‐blood glucose regulation is currently an unavoidable aspect of type 1 diabetes management and creates apparent barriers to the participation of children and adolescents in physical activity [6]. Despite this, the present review suggests that this barrier could be reduced through the provision of sufficient education or technologies that could help facilitate children and adolescents with type 1 diabetes to participate in physical activity; however, studies evaluating the effectiveness of this theory appear only to be in early stages [27,37]. Other controllable factors highlighted within the present review are the apparent fear of hypoglycaemia, especially amongst parents, and the lack of current education provision which can potentially be associated with the fear of hypoglycaemia.…”

Section: Discussionmentioning

confidence: 92%

“…Citation tracking and hand‐searching of references for the included studies identified an additional 737 studies, of which three met the inclusion criteria on review of the full texts. At the end of the study selection process a total of 14 studies met the inclusion criteria; of these studies, 13 were qualitative research only, and one represented mixed‐methods research [22,27‐39] (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Eight sample populations of children or adolescents with type 1 diabetes discussed the factors affecting their participation in physical activity [28‐33,35‐38]. The requirement for self‐blood glucose regulation, including the need for regular insulin injections, managing dietary sugar intake, and the fear of hypoglycaemia, appear to be barriers to participation in physical activity.

I check my own blood sugar and then, during exercise, I pause every half an hour to an hour to eat some extra carbohydrate food, whether a muesli bar or jelly beans or something, as you’re running around.…”

Section: Resultsmentioning

confidence: 99%

“…Six sample populations discussed the factors affecting participation in physical activity from the perspective of family members of children or adolescents with type 1 diabetes [27,31,34‐39]. Family members appear to experience anxiety around children or adolescents participating in physical activities when not under their supervision.…”

Section: Resultsmentioning

confidence: 99%

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A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes

2020

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AimsTo explore the qualitative literature on the perceived factors, positive and negative, affecting participation by children and adolescents with type 1 diabetes in physical activity, from the perspective of children and adolescents with type 1 diabetes, their family members, teachers or sports coaches, and healthcare professionals.Methods MEDLINE, SPORTDiscus, PsycINFO, CINAHL and Scopus were systematically searched in July 2019. Eligible studies included any that reported qualitative findings on the perceived factors that affect participation in physical activity from either the perspective of children or adolescents with type 1 diabetes, their family members, teachers or coaches, and healthcare professionals. ResultsThe literature search yielded a total of 7859 studies, of which 14 (13 qualitative studies and one mixed-methods study) met the review inclusion criteria. In total there were 12 unique populations containing 270 individuals, 105 children or adolescents with type 1 diabetes,108 family members, 37 teachers and 20 healthcare professionals. The main factors thought to influence physical activity for this population were the individual characteristics of children and adolescents, the requirement for self-blood glucose regulation, support systems including friends, family, teachers and professionals, education and knowledge, and communication.Conclusions This review synthesizes views on the perceived factors from several different perspectives. The findings suggest that it is important to consider the needs of the wider support network, as well as the child's or adolescent's concerns and preferences, when developing new or existing strategies and programmes to promote physical activity in children and adolescents with type 1 diabetes.Diabet. Med. 37, 934-944 (2020) DIABETICMedicinePhysical activity in young people with type 1 diabetes K. Dash et al.

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Section: Discussionmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes

2020

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“…Participants were recruited from the ActivPals Pilot Study which aimed to explore the acceptability and feasibility of a four‐week PA intervention for youth with type 1 diabetes. Following the ActivPals intervention, 16 participant and parent pairs gave informed consent to be interviewed for this qualitative study on motivations.…”

Section: Methodsmentioning

confidence: 99%

Motivations for physical activity in youth with type 1 diabetes participating in the ActivPals project: a qualitative study

et al. 2017

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Around two‐thirds of 5–18 year olds fail to meet physical activity (PA) recommendations. Children with type 1 diabetes tend to be less active and more sedentary than non‐diabetic peers. Research into motivations for PA in this population is lacking. We aimed to investigate motivating factors for PA in youth with type 1 diabetes participating in a four‐week PA intervention (ActivPals study) to inform the practice of health care professionals promoting PA. Sixteen semi‐structured interviews with participants plus a parent (n = 32) were carried out between May and July 2016. Following completion of the ActivPals intervention, participants who agreed to interview were recruited to this study. Interviews were recorded, transcribed verbatim and analysed thematically. Factors contributing to motivation to participate in PA are presented as six key themes and nine sub‐themes. The six themes were: ‘motivators related to health’, ‘enjoyment’, ‘self‐efficacy’, ‘family and friends participating’, ‘contribution of third parties’ and ‘good weather’. It was concluded that enjoyment was key to participation in PA and could be increased by goal setting and the involvement of friends and family. Education and support to manage diabetes for PA are crucial in developing self‐efficacy to enable sustained behaviour change and health care professionals play a key role in providing this support, as well as having the potential to be a motivating role model. Subjective improvement in blood glucose readings and psychological benefits were also acknowledged to provide motivation for further PA. These motivating factors should be applied in supporting children with type 1 diabetes to engage in PA. Copyright © 2017 John Wiley & Sons.

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Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review

et al. 2023

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Feasibility and pilot study of an intervention to support active lifestyles in youth with type 1 diabetes: The ActivPals study

Abstract: A larger trial with longer follow-up should be conducted to explore the effect of the intervention on PA in youth with T1D.

Cited by 11 publications

References 35 publications

A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes

A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes

Motivations for physical activity in youth with type 1 diabetes participating in the ActivPals project: a qualitative study

Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review

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