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Facilitating the Virtual Exercise Games for Youth with Type 1 Diabetes (ExerT1D) Peer Intervention: Protocol
Medrxiv : the Preprint Server for Health Sciences
|July 15, 2024
Summary
Virtual exercise games helped adolescents with type 1 diabetes (T1D) improve physical activity and diabetes management. The ExerT1D program provided valuable peer support and role models, showing promising results for youth with T1D.
Area of Science:
- Pediatric endocrinology
- Adolescent health
- Diabetes management
Background:
- Adolescents with type 1 diabetes (T1D) face barriers to moderate-to-vigorous physical activity (MVPA), including physiological challenges, the transition to autonomy, and diabetes-related stigma.
- Limited opportunities exist for peer engagement and role model support among youth with T1D.
- The ExerT1D pilot study was designed to address these needs by testing the feasibility of a virtual exercise intervention.
Purpose of the Study:
- To assess the feasibility of the Virtual Exercise Games for Youth with T1D (ExerT1D) program.
- To evaluate the program's impact on physical activity, diabetes management, and peer support for adolescents with T1D.
Main Methods:
- A single-arm pilot study involving 15 adolescents with T1D.
- The program incorporated an MVPA videogame, physician-led education on T1D management during MVPA, objective MVPA goal-setting, and guidance from young adult instructors with T1D.
- Feasibility and outcomes were assessed through participant ratings, intervention evaluator assessments, and glycemic metrics.
Main Results:
- The ExerT1D program was highly rated for engagement, comfort, instructors, and group cohesion (4.2-4.8/5).
- Participants reported high motivation for the videogame (4.1/5), and instructor-adolescent interactions were rated excellent for T1D management skills (78%).
- Glycemic metrics showed a decrease over time (d=-1.12), with no reported diabetic ketoacidosis, severe hypoglycemia, or injuries.
Conclusions:
- The ExerT1D program effectively facilitated peer support among diverse youth with T1D.
- The intervention successfully engaged adolescents in an MVPA program led by relatable role models living with T1D.
- The study demonstrated the feasibility and potential benefits of virtual interventions for improving physical activity and diabetes self-management in adolescents with T1D.
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