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

2021 ◽  
Vol 47 (5) ◽  
pp. 367-381
Author(s):  
Melissa DeJonckheere ◽  
Kevin L. Joiner ◽  
Garrett I. Ash ◽  
Mary Savoye ◽  
Mackenzie Adams ◽  
...  

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.

2021 ◽  
Author(s):  
Melissa DeJonckheere ◽  
Kevin Joiner ◽  
Garrett I. Ash ◽  
Mary Savoye ◽  
Mackenzie Adams ◽  
...  

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.


2021 ◽  
Vol 102 ◽  
pp. 106279
Author(s):  
Holly K. O'Donnell ◽  
Tim Vigers ◽  
Suzanne Bennett Johnson ◽  
Laura Pyle ◽  
Nancy Wright ◽  
...  

2017 ◽  
Vol 41 (5) ◽  
pp. S27
Author(s):  
Andrea Macintosh ◽  
Nika Korpesho ◽  
Jacqueline Hay ◽  
Meaghan Rempel ◽  
Kristy Wittmeier ◽  
...  

2012 ◽  
Vol 08 (02) ◽  
pp. 77 ◽  
Author(s):  
Jessica C Kichler ◽  
Ashley Moss ◽  
Astrida S Kaugars ◽  
◽  
◽  
...  

The Pediatric Self-Management Model provides an overview of how behavioral factors influence children’s chronic medical illnesses. This general framework is used to organize the present review of how self-management behaviors, contextual factors, and processes impact health outcomes for adolescent youth with type 1 diabetes. Adherence has been widely studied in the diabetes literature, and there are consistent findings demonstrating associations between aspects of self-management, adherence, and metabolic control, yet there are still equivocal approaches to adherence assessment methodology (e.g. global versus specific measures). Metabolic control is a hallmark health outcome for youth with type 1 diabetes, but additional outcomes need to be further explored. Future research should utilize the Pediatric Self-Management Model’s operational definitions to guide empirically-supported interventions for youth with type 1 diabetes.


2020 ◽  
Vol 46 (5) ◽  
pp. 444-454
Author(s):  
Manuela Sinisterra ◽  
Katherine Patterson Kelly ◽  
Caitlin Shneider ◽  
Ashley El-Zein ◽  
Ellen Swartwout ◽  
...  

Purpose The purpose of the study was to explore facilitators and barriers to self-management behaviors in adolescents with type 1 diabetes (T1D) to inform the development of an mHealth platform. Methods Eight adolescents with T1D, 9 parents, and 13 health care providers participated in separate focus groups that explored teen self-management behaviors. Results Adolescents and their parents have distinct preferences for handling diabetes management and use of mHealth technologies. Health care providers support the use of new technologies yet acknowledge concern meeting the potential increased volume of communication requests from teens and families. Conclusion Stakeholders agreed that an ideal mHealth platform would facilitate open communication between teens and their care network and easily integrate with other diabetes technologies. Future directions include incorporating additional feedback from stakeholders to build and modify the mHealth platform. The use of mHealth platforms could be integrated into clinical practice to optimize self-management and support communication between educators, providers, and families in between clinic visits.


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