Abstract: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 plu… Show more
“…Our findings suggest that childhood physical activity experiences of adults diagnosed with T1D as a child, align with current experiences of adolescents with T1D 15 . Psychosocial barriers, diabetes care patterns, lack of understanding and knowledge to regulate glycaemia in the context of managing T1D and physical activity were reported.…”
Challenges exist in facilitating engagement with physical activity for adolescents living with type 1 diabetes. These are known to include both physical and psychosocial barriers. Exploring retrospective reflections of lived experiences of adults growing up with diabetes may provide meaningful insights into these challenges, to help inform future interventions that aim to increase physical activity in adolescents living today with type 1 diabetes (T1D).The aim of this study was to understand adults' experiences of physical activity as a child living with T1D.Social media were used (Twitter and Facebook) to allow adults to share their experiences of engaging in physical activity as a child with T1D. The digital stories (posts) were then thematically analysed to understand underlying factors affecting engagement (both positively and negatively) with physical activity as a child living with diabetes.A total of 42 individual participants took part, providing 68 posts (44 replies from Twitter, 24 from Facebook). The six key themes generated as contributing factors that affected engagement with physical activity as a child living with T1D were: (1) Acceptance; (2) Education and knowledge; (3) Support; (4) Coping behaviours; (5) Identity; and (6) Perceptions of control.Our childhood experiences may influence later behaviours as an adult. It is important to understand what factors adults identify retrospectively as influencing their engagement with physical activity as a child. Using social media to capture childhood experiences enabled the identification of six key themes for consideration in the design of interventions to support physical activity in adolescents living with T1D.
“…Our findings suggest that childhood physical activity experiences of adults diagnosed with T1D as a child, align with current experiences of adolescents with T1D 15 . Psychosocial barriers, diabetes care patterns, lack of understanding and knowledge to regulate glycaemia in the context of managing T1D and physical activity were reported.…”
Challenges exist in facilitating engagement with physical activity for adolescents living with type 1 diabetes. These are known to include both physical and psychosocial barriers. Exploring retrospective reflections of lived experiences of adults growing up with diabetes may provide meaningful insights into these challenges, to help inform future interventions that aim to increase physical activity in adolescents living today with type 1 diabetes (T1D).The aim of this study was to understand adults' experiences of physical activity as a child living with T1D.Social media were used (Twitter and Facebook) to allow adults to share their experiences of engaging in physical activity as a child with T1D. The digital stories (posts) were then thematically analysed to understand underlying factors affecting engagement (both positively and negatively) with physical activity as a child living with diabetes.A total of 42 individual participants took part, providing 68 posts (44 replies from Twitter, 24 from Facebook). The six key themes generated as contributing factors that affected engagement with physical activity as a child living with T1D were: (1) Acceptance; (2) Education and knowledge; (3) Support; (4) Coping behaviours; (5) Identity; and (6) Perceptions of control.Our childhood experiences may influence later behaviours as an adult. It is important to understand what factors adults identify retrospectively as influencing their engagement with physical activity as a child. Using social media to capture childhood experiences enabled the identification of six key themes for consideration in the design of interventions to support physical activity in adolescents living with T1D.
“…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.…”
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.
“…This paper presents 1 key theme identified from the qualitative data; components of the intervention perceived as most effective in supporting an active lifestyle. A comprehensive qualitative paper exploring motivations for PA participation for youth with T1Dhas been published separately 32. 3 | DATA ANALYSIS3.1 | Statistical analysisAs this was a feasibility and pilot study, quantitative outcomes provide preliminary evidence of effect of the intervention on PA, sedentary behavior, and QoL.…”
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