为患有T1D的青少年提供虚拟练习游戏 (ExerT1D) 同行干预:协议开发和可行性
medRxiv : the preprint server for health sciences
|July 15, 2024
概括
虚拟运动游戏帮助1型糖尿病 (T1D) 青少年改善身体活动和糖尿病管理. ExerT1D计划提供了宝贵的同行支持和榜样,为患有T1D的年轻人展示了有希望的结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年健康 青少年健康
- 糖尿病管理 糖尿病管理
背景情况:
- 患有1型糖尿病 (T1D) 的青少年面临中度至强度体力活动 (MVPA) 的障碍,包括生理挑战,过渡到自主,以及与糖尿病相关的耻辱感.
- 在患有T1D的年轻人中,同行参与和榜样支持的机会有限.
- ExerT1D试点研究旨在通过测试虚拟练习干预的可行性来满足这些需求.
研究的目的:
- 评估T1D (ExerT1D) 青年虚拟运动游戏计划的可行性.
- 评估该计划对体力活动,糖尿病管理和T1D青少年同行支持的影响.
主要方法:
- 一项单臂试点研究涉及15名患有T1D的青少年.
- 该计划包括MVPA视频游戏,MVPA期间医生主导的T1D管理教育,客观的MVPA目标设定,以及T1D年轻成人教师的指导.
- 通过参与者评分,干预评估者评估和血糖指标来评估可行性和结果.
主要成果:
- 在参与度,舒适度,教练和群体凝聚力方面,ExerT1D程序获得了很高的评分 (4.2-4.8/5).
- 参与者表示对视频游戏的动机很高 (4.1/5),教练与青少年的互动被评为T1D管理技能 (78%) 的优秀.
- 血糖指标显示,随着时间的推移 (d=-1.12),血糖指标下降,没有报告糖尿病酸性脂肪酸症,严重低血糖症或受伤.
结论:
- "ExerT1D"计划有效地为患有T1D的不同年轻人提供了同行支持.
- 该干预成功地让青少年参与了一个由与T1D生活的可联系的榜样领导的MVPA计划.
- 该研究证明了虚拟干预措施的可行性和潜在益处,以改善T1D青少年的体力活动和糖尿病自我管理.
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