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

Mitchell, Fiona and Wilkie, Louise and Robertson, Kenneth and Reilly, John J and Kirk, Alison (2018) Feasibility and pilot study of an intervention to support active lifestyles in youth with type 1 diabetes : the ActivPals study. Pediatric Diabetes, 19 (3). pp. 443-449. ISSN 1399-543X

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    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: 20 youth aged 7- 16 with T1D were recruited to a pilot randomised controlled trial. PA and Quality of Life (QoL) were measured using Actigraph GT3X+ monitor and Pediatric QoL scales at baseline and one 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 -vigorous PA was reported in intervention and control group from baseline to follow up (F (1, 14)=5.83; p= 0.03), with no significant between group differences. Participants in both groups reported significantly less overall diabetes 'problems' (F (1, 16)=7.93; p=0.012) and significantly less lifestyle 'problems' (F (1, 16)=7.39 p= 0.015) 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= 0.022) 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= 0.046). There was no significant increase in reported hypoglycaemic occurrences despite increased PA. The qualitative data highlights 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.

    ORCID iDs

    Mitchell, Fiona, Wilkie, Louise, Robertson, Kenneth, Reilly, John J ORCID logoORCID: https://orcid.org/0000-0001-6165-5471 and Kirk, Alison ORCID logoORCID: https://orcid.org/0000-0002-6534-3763;