Abstract
Background: Evidence suggests youth with type 1 diabetes (T1D) have lower levels of physical activity (PA) than the general population. The ActivPals intervention aimed to support youth with T1D to lead an active lifestyle.
Methods: Twenty youth aged 7 to 16 years with T1D were recruited to a pilot randomized controlled trial. PA and quality of life (QoL) were measured using Actigraph GT3X+ monitor and Pediatric QoL scales at baseline and 1-month follow-up. A two-way, mixed ANOVA showed indicative effects of the intervention. Qualitative interviews were carried out with 16 participants to explore perceptions of the intervention.
Results: An increase in moderate to vigorous PA was reported in intervention and control groups from baseline to follow-up (F(1, 14) = 5.83; P = .03), with no significance between group differences. Participants in both groups reported significantly less overall diabetes “problems” (F(1, 16) = 7.93; P = .012) and significantly less lifestyle “problems” (F(1, 16) = 7.39; P = .015) at follow-up. However, both groups also reported significant increases in “problems” with the day-to-day diabetes routine (F(1,16) = 6.48; P = .022) at follow-up. Parents reported significant increased worry about their child's diabetes at follow-up, in both groups (F(1, 14) = 5.83; P = .046). There was no significant increase in reported hypoglycemic occurrences despite increased PA. The qualitative data highlight that goal setting, self-monitoring, and social support were effective motivators for increasing PA.
Conclusions: A larger trial with longer follow-up should be conducted to explore the effect of the intervention on PA in youth with T1D.
Methods: Twenty youth aged 7 to 16 years with T1D were recruited to a pilot randomized controlled trial. PA and quality of life (QoL) were measured using Actigraph GT3X+ monitor and Pediatric QoL scales at baseline and 1-month follow-up. A two-way, mixed ANOVA showed indicative effects of the intervention. Qualitative interviews were carried out with 16 participants to explore perceptions of the intervention.
Results: An increase in moderate to vigorous PA was reported in intervention and control groups from baseline to follow-up (F(1, 14) = 5.83; P = .03), with no significance between group differences. Participants in both groups reported significantly less overall diabetes “problems” (F(1, 16) = 7.93; P = .012) and significantly less lifestyle “problems” (F(1, 16) = 7.39; P = .015) at follow-up. However, both groups also reported significant increases in “problems” with the day-to-day diabetes routine (F(1,16) = 6.48; P = .022) at follow-up. Parents reported significant increased worry about their child's diabetes at follow-up, in both groups (F(1, 14) = 5.83; P = .046). There was no significant increase in reported hypoglycemic occurrences despite increased PA. The qualitative data highlight that goal setting, self-monitoring, and social support were effective motivators for increasing PA.
Conclusions: A larger trial with longer follow-up should be conducted to explore the effect of the intervention on PA in youth with T1D.
| Original language | English |
|---|---|
| Pages (from-to) | 443-449 |
| Journal | Pediatric Diabetes |
| Volume | 19 |
| Issue number | 3 |
| Early online date | 24 Nov 2017 |
| DOIs | |
| Publication status | Published - May 2018 |
Keywords
- Intervention
- Physical activity
- Type 1 diabetes
- Youth
Access to Document
- Mitchell-2018-Feasability-and-pilot-PD-AAM
© 2017, John Wiley & Sons A/S. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1111/pedi.12615