Related Experiment Video
Updated: Dec 17, 2025
03:17
Author Spotlight: Advancing Diabetes Research with Static Exercise Training in Mice
Published on: March 29, 2024
886
Type I Diabetes Self-management With Game-Based Interventions for Pediatric and Adolescent Patients
Jennifer A Rewolinski1, Arpad Kelemen, Yulan Liang
1Author Affiliations: Department of Organizational Systems and Adult Health (Ms Rewolinski and Dr Kelemen) and Department of Family and Community Health (Dr Liang), University of Maryland, Baltimore.
Computers, Informatics, Nursing : CIN
|June 27, 2020
Summary
Game-based interventions show promise for improving type 1 diabetes self-management in children. These serious games and gamification approaches significantly boost knowledge, behavior, and engagement, though more research is needed.
Area of Science:
- Pediatrics
- Endocrinology
- Health Education
Background:
- Type 1 diabetes requires intensive self-management for metabolic control and complication prevention.
- Traditional education methods (lectures, pamphlets) yield low engagement and clinical outcomes.
- Game-based learning enhances motivation and self-management in pediatric chronic diseases.
Purpose of the Study:
- To review and synthesize literature on game-based interventions (serious games, gamification) for type 1 diabetes self-management in children and adolescents.
- To assess the impact on self-management knowledge, behavior, and engagement.
Main Methods:
- Systematic review of nine studies evaluating game-based interventions for type 1 diabetes self-management.
- Analysis of outcomes related to knowledge, behavior, and engagement.
Main Results:
- Statistically significant improvements in knowledge, behavior, and engagement were observed.
- Serious games most impacted knowledge; combined gamification/serious games most impacted behavior.
- Inconsistent theoretical frameworks and moderate-to-low evidence quality were noted.
Conclusions:
- Game-based tools hold significant potential for improving type 1 diabetes self-management in youth.
- Further rigorous research is recommended before widespread clinical adoption.
- The role of clinical nurse leaders in utilizing and researching these interventions warrants consideration.
Related Concept Videos
01:22Diabetes Mellitus: Overview and Type I Subtype
4.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
4.7K
01:15Diabetes: Management and Pharmacotherapy
775
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
775
01:22Diabetes Mellitus: Type 2 and Gestational
4.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.2K
01:15Diabetes: Symptoms, Diagnosis, and Complications
1.9K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
1.9K
01:16Insulin: Dosing Regimen and Adverse Effects
563
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
563
01:36Carbohydrate Metabolism
13.5K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.5K