Beating Diabetes Together: A Mixed-Methods Analysis of a Feasibility Study of Intensive Lifestyle Intervention for Youth with Type 2 Diabetes

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• 作者：Elizabeth Huynh ; B.Kin.^a ; ^b ; Danielle Rand ; B.Kin.^b ; Caitlin McNeill ; BN^b ; Sarah Brown ; BSc.^b ; ^c ; Martin Senechal ; PhD^d ; Brandy Wicklow ; MD ; MSc^b ; ^e ; Allison Dart ; MD ; MSc^b ; ^e ; Elizabeth Sellers ; MD^b ; ^e ; Heather Dean ; MD^b ; ^e ; Tom Blydt-Hansen ; MD^f ; Jonathan McGavock ; PhD^a ; ^b ; ^e ; ^{jmcgavock@chrim.ca" class="auth_mail" title="E-mail the corresponding author}
• 关键词：behaviour modification ; exercise ; indigenous ; pediatrics ; qualitative
• 刊名：Canadian Journal of Diabetes
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：39
• 期：6
• 页码：484-490
• 全文大小：836 K

文摘

The purpose of this study was to assess the feasibility and lived experiences of an intensive group-based lifestyle intervention for youth with type 2 diabetes (Beating Diabetes Together) (BDT).

Methods

The study included 12 Indigenous youth with type 2 diabetes (mean age, 14 years; n=9 girls); they participated in a 16-week pilot study of an intensive, group-based lifestyle intervention. We conducted a mixed-methods investigation of the cardiometabolic responses and lived experiences in the intervention. Of the 12 youth with cardiometabolic risk data, 5 youth and 2 mothers participated in semistructured interviews. Interview participants were purposely selected based on the frequency of attendance and availability.

Results

The intervention was well attended (>75% retention), and youth perceived significant benefits from participation. Thematic analysis of the interviews revealed 3 major themes. First, youth and parents described living with type 2 diabetes as being emotionally challenging. They described this experience as being isolating and connected to feelings of guilt and defeat. Second, youth and parents discussed benefits of participating in BDT. They shared the significance of positive relationships and experiences and how those have helped to manage their illness. Third, youth described the aspects that they most enjoyed at BDT. Peer support was an important determinant of physical activity, but they considered dietary changes to be individual behaviours. Glycemic control, blood pressure and anthropometric measures were not different following the intervention.

Conclusions

Our findings support the importance of maintaining an inclusive environment and relationship building when designing strategies to promote behaviour modification for Indigenous youth living with type 2 diabetes.