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This article is part of the Research Topic

Physical Activity and Type 1 Diabetes

Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Endocrinol. | doi: 10.3389/fendo.2019.00076

Patient and Healthcare Professionals Perspectives on the Delivery of Exercise Education for Patients with Type 1 Diabetes

  • 1University of Birmingham, United Kingdom
  • 2University of Exeter, United Kingdom

Objective
One way of improving the prognosis for the growing numbers of people with type 1 diabetes is to increase their frequency of exercise. One known barrier to this is the lack of cohesive support and information from care providers. To better understand the issues around existing support for patients wishing to exercise and inform the co-design of an education package specifically to facilitate safe exercise we interviewed care providers and patients about the existing provision of support.
Research Design and Methods
The study was based within two large UK teaching hospitals where iterative focus groups were undertaken consisting either of patients diagnosed with type 1 diabetes who undertook regular exercise, or with health care providers that were part of the diabetes care team. These were complemented by 1:1 interviews with those unable to attend group discussions.
Results
We found the successful provision of education and advice was influenced by factors relating to the individual patient and their service provider. Patient factors included the type of activity and complexity of the exercise regime, the level of engagement with their condition and care and health literacy. Service-related factors included inconsistent training, a lack of capacity and continuity and limited coherence of information from across their care team.
Conclusions
Any education package developed to support exercise in patients with type 1 diabetes should be offered at a time following diagnosis in accordance with patients’ preferences and priorities, contain information on how to manage regular and irregular bouts of exercise. Peer to peer monitoring was favoured and group delivery could be use to facilitate such as well as considering the content and relevance of any supporting materials. Training should also be available for staff across the care team to enable them to either deliver the course or be confident in offering salient advice as part of routine care.

Keywords: Type 1 diabetes (T1D), Exercise, Service delivery and organisation, Structured education program, Staff develcpment

Received: 14 Aug 2018; Accepted: 28 Jan 2019.

Edited by:

Johan H. Jendle, Örebro University, Sweden

Reviewed by:

Tiffany M. Powell-Wiley, National Institutes of Health (NIH), United States
Jennifer Kirby, University of Virginia, United States  

Copyright: © 2019 Litchfield, Narendran, Andrews and Greenfield. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Ian Litchfield, University of Birmingham, Birmingham, United Kingdom, i.litchfield@bham.ac.uk