An Exergames Program for Adolescents With Type 1 Diabetes: Qualitative Study of Acceptability

Area of Science:

• Pediatrics
• Endocrinology
• Exercise Science

Background:

• Youth with type 1 diabetes (T1D) face numerous barriers to moderate to vigorous physical activity (PA).
• The ExerT1D intervention utilized virtual exercise games with synchronous peer and role model support for T1D youth.

Purpose of the Study:

• To assess the acceptability of the ExerT1D virtual intervention among adolescent participants with T1D.
• To understand participant experiences and perspectives on the intervention's impact on physical activity and diabetes management.

Main Methods:

• Postprogram, semistructured televideo interviews were conducted with 15 participants (aged 14-19).
• Qualitative data analysis involved independent coding by two researchers, with discrepancies resolved through team discussion.
• Four main thematic areas were identified inductively from the interview transcripts.

Main Results:

• Participants reported motivation for PA stemmed from improving physical capabilities and glucose stability, despite T1D challenges.
• Managing diabetes during PA required adjustments, with some participants experiencing avoidance.
• Peer support within the virtual ExerT1D program was highly valued, enhancing engagement.
• All participants indicated improvements in PA and diabetes self-management efficacy due to the program.

Conclusions:

• The virtual PA intervention, combining video games and discussions, boosted confidence and peer support for adolescents with T1D.
• The program improved awareness of diabetes management strategies for exercise and understanding of PA's effect on glucose levels.
• Virtual interventions are a viable strategy to overcome physical activity barriers for adolescents with T1D.