The Acceptability of Self-Management Group Education to Reduce Fear of Hypoglycaemia as a Barrier to Physical Activity in People Living with Type 1 Diabetes: A Mixed Methods Approach.

BACKGROUND Adolescents with type 1 diabetes face various challenges which are often associated with poor blood glucose control during their transition to early adulthood. Using appropriate mobile applications for health management can improve the efficiency of disease self-management. OBJECTIVE To develop and test a mobile application that supports the disease self-management of adolescents with type 1 diabetes during their transition to early adulthood. METHODS A sequential mixed-methods design was employed. The application content was designed according to previously identified care needs and expectations, followed by application development on the Android operating system. From the outpatient clinic of the Department of Pediatric Endocrinology and Metabolism at a medical center in northern Taiwan, 35 individuals aged between 16 and 25 years participated in application testing. RESULTS The final application consisted of 11 interfaces, namely: CEO’s Profile, Health Tracking, CEO Knowledge Base, Barrier-free Communication, See Here: Diet and Exercise, Help Me, Detective!, CEO Chat Room, CEO's Secretary, SOS Calls, Q & A, and Who’s the Best CEO . The average user interaction satisfaction score of the application was 4.54 (± 0.41), indicating positive interaction satisfaction. CONCLUSIONS In this study, we developed the Healthcare Chief Executive Officer application tailored to the needs of patients with type 1 diabetes in the transition period. The application can support the disease self-management of adolescents with type 1 diabetes in the transition period, as well as provide references for clinical intervention. CLINICALTRIAL Future research will use a randomized controlled trial (RCT) design to evaluate the effectiveness of the application. Trial registration: listed on ClinicalTrials.gov, identifier: NCT05022875.

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Youth and Parent Perspectives on the Acceptability of a Group Physical Activity and Coping Intervention for Adolescents With Type 1 Diabetes

The Science of Diabetes Self-Management and Care ◽

10.1177/26350106211040429 ◽

2021 ◽

Vol 47 (5) ◽

pp. 367-381

Author(s):

Melissa DeJonckheere ◽

Kevin L. Joiner ◽

Garrett I. Ash ◽

Mary Savoye ◽

Mackenzie Adams ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Vigorous Physical Activity ◽

Qualitative Description ◽

Self Management ◽

Parent Perspectives ◽

Participant Engagement ◽

And Coping ◽

Management Behaviors

Purpose To examine youth and parent perspectives on the acceptability of Bright 1 Bodies, a group physical activity and coping intervention for adolescents with type 1 diabetes mellitus (T1DM). Methods Adolescents participated in 12 weekly sessions of moderate to vigorous physical activity and discussion with peers with T1DM. Adolescents completed an exit survey measuring satisfaction with the intervention on a 5-point Likert scale. Semistructured interviews were conducted with adolescents and at least one parent. Qualitative description was used to develop themes that summarize the acceptability of the intervention. Results Mean scores for survey subscales were: 4.5 (SD = 0.39) for program components and strategies, 4.4 (SD = 0.44) for comfort with the intervention, and 4.3 (SD = 0.62) for instructors. Themes included: (1) adolescents and parents valued being around others with T1DM and their families, (2) the intervention helped adolescents gain knowledge and reinforce diabetes self-management behaviors, (3) challenges included convenience and sustaining participant engagement, and (4) adolescents intended to sustain physical activity and diabetes self-management behaviors after the intervention. Conclusions Adolescents and parents viewed the intervention as acceptable across multiple domains. Participants valued the group aspect of the intervention, and future interventions would benefit from integrating social interactions with others with T1DM.

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Self-management of physical activity in adults with type 1 diabetes

Applied Nursing Research ◽

10.1016/j.apnr.2017.02.010 ◽

2017 ◽

Vol 35 ◽

pp. 18-23 ◽

Cited By ~ 7

Author(s):

Margaret M. McCarthy ◽

Robin Whittemore ◽

Georica Gholson ◽

Margaret Grey

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Self Management

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Development of an acceptable and feasible self-management group for children, young people and families living with Type 1 diabetes

Diabetic Medicine ◽

10.1111/dme.13341 ◽

2017 ◽

Vol 34 (6) ◽

pp. 813-820 ◽

Cited By ~ 5

Author(s):

R. A. Cai ◽

R. I. G. Holt ◽

L. Casdagli ◽

R. M. Viner ◽

R. Thompson ◽

...

Keyword(s):

Type 1 Diabetes ◽

Young People ◽

Self Management ◽

Management Group

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The impact of a social network based intervention on self-management behaviours among patients with type 2 diabetes living in socioeconomically deprived neighbourhoods: a mixed methods approach

Scandinavian Journal of Public Health ◽

10.1177/1403494817701565 ◽

2017 ◽

Vol 45 (6) ◽

pp. 569-583 ◽

Cited By ~ 7

Author(s):

Charlotte Vissenberg ◽

Vera Nierkens ◽

Irene van Valkengoed ◽

Giel Nijpels ◽

Paul Uitewaal ◽

...

Keyword(s):

Physical Activity ◽

Social Network ◽

Mixed Methods ◽

Medication Adherence ◽

Intervention Group ◽

Significant Others ◽

Self Management ◽

Control Group ◽

Mixed Methods Approach ◽

The Impact

Aims: This paper aims to explore the effect of the social network based intervention Powerful Together with Diabetes on diabetes self-management among socioeconomically deprived patients. This 10-month group intervention targeting patients and significant others aimed to improve self-management by stimulating social support and diminishing social influences that hinder self-management. Methods: This intervention was evaluated in a quasi-experimental study using a mixed methods approach. Of 131 socioeconomically deprived patients with suboptimal glycaemic control, 69 were assigned to the intervention group and 62 to the control group (standard diabetes education). 27 qualitative in-depth interviews with the participants and 24 with their group leaders were held to study the subjective impact of the intervention. Further, self-management behaviours (medication adherence, diet and physical activity) were assessed at baseline, 10 and 16 months. Data were analysed using framework analyses and a linear mixture model. Results: Qualitative data showed that the intervention group had a better understanding of the way self-management influences diabetes. The intervention group showed more complex self-management behaviours, such as planning ahead, seeking adequate food and physical activity alternatives, and consistently taking their diabetes into consideration when making choices. In participants with complete follow-up data, we found a significant increase in physical activity in the intervention group (3.78 vs. 4.83 days) and no changes in medication adherence and diet. Conclusions: This study indicates that an intensive support group and simultaneously involving significant others might improve diabetes self-management behaviours among socioeconomically deprived patients. More studies are needed to justify further implementation of the intervention. This study is registered in the Dutch Trial Register NTR1886. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1886

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Youth and parent perspectives on the acceptability of a group physical activity and coping intervention for adolescents with type 1 diabetes

10.31236/osf.io/p86gu ◽

2021 ◽

Author(s):

Melissa DeJonckheere ◽

Kevin Joiner ◽

Garrett I. Ash ◽

Mary Savoye ◽

Mackenzie Adams ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Intervention Program ◽

Qualitative Description ◽

Self Management ◽

Parent Perspectives ◽

And Coping ◽

Program Components ◽

Management Behaviors

Introduction: To maintain optimal glycemic levels and prevent long-term complications, adolescents with type 1 diabetes (T1DM) should engage in regular moderate to vigorous activity (MVPA) in addition to other diabetes self-care behaviors. Though interventions to prepare adolescents safely increase MVPA have been developed and tested, barriers continue to limit dissemination and engagement in clinical and community settings. Objective: To examine youth and parent perspectives on the acceptability of a group physical activity and coping intervention for adolescents with T1DM.Subjects: 18 adolescents (11-19 years) with T1DM who completed the intervention and at least one of their parents.Methods: Adolescents completed an exit survey measuring satisfaction with the intervention (program components, comfort, and instructors) on a 5-point scale. Semi-structured interviews were conducted with adolescents and at least one parent. Qualitative description was used to develop themes that summarize participant experiences during the intervention. Results: The intervention was rated highly: program components (M=4.5), comfort (M=4.4), and instructors (M=4.3). Themes included: (1) Adolescents and parents valued being around others with T1DM and their families; (2) The intervention helped adolescents gain knowledge and reinforce diabetes self-management behaviors; (3) Challenges included convenience and sustaining participant engagement; and (4) Adolescents intended to sustain physical activity and diabetes self-management behaviors after the intervention.Conclusions: Adolescents with T1DM and their parents viewed a group physical activity and discussion intervention as a positive experience. Because participants highly valued the group aspect of the intervention, future MVPA interventions would likely benefit from integrating social interactions with others with T1DM.

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