A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes. Issue 6 (15th April 2020)

• Record Type: Journal Article
• Authors: Dash, K.; Goyder, E. C.; Quirk, H.
• Is Part Of: Diabetic medicine. Volume 37:Issue 6(2020)
• Page Start: 934
• Page End: 944
• Publication Date: 2020-04-15
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.14299
• Languages: English
• ISSNs: 0742-3071

Abstract

Abstract: Aims: To explore the qualitative literature on the perceived factors, positive and negative, affecting participation by children and adolescents with type 1 diabetes in physical activity, from the perspective of children and adolescents with type 1 diabetes, their family members, teachers or sports coaches, and healthcare professionals. Methods: MEDLINE, SPORTDiscus, PsycINFO, CINAHL and Scopus were systematically searched in July 2019. Eligible studies included any that reported qualitative findings on the perceived factors that affect participation in physical activity from either the perspective of children or adolescents with type 1 diabetes, their family members, teachers or coaches, and healthcare professionals. Results: The literature search yielded a total of 7859 studies, of which 14 (13 qualitative studies and one mixed‐methods study) met the review inclusion criteria. In total there were 12 unique populations containing 270 individuals, 105 children or adolescents with type 1 diabetes, 108 family members, 37 teachers and 20 healthcare professionals. The main factors thought to influence physical activity for this population were the individual characteristics of children and adolescents, the requirement for self‐blood glucose regulation, support systems including friends, family, teachers and professionals, education and knowledge, and communication. Conclusions: This review synthesizes views on the perceived factors from several different perspectives. The findings suggest that it is important to consider the needs of the wider support network, as well as the child's or adolescent's concerns and preferences, when developing new or existing strategies and programmes to promote physical activity in children and adolescents with type 1 diabetes. What's new?: Children and adolescents with type 1 diabetes often do not meet the WHO recommendation for physical activity levels. This systematic review identifies all the current qualitative literature on the factors, positive and negative, that affect participation in physical activity from the view of children and adolescents with type 1 diabetes, their family members, teachers and healthcare professionals. The study identifies specific perceived factors that motivate and prevent children and adolescents with type 1 diabetes participating in physical activity. These factors should be considered when developing future strategies and programmes to increase and support their participation.