None listed
Conditions
Brief summary
Exercise has numerous physical and psychological health benefits for people with type 1 diabetes (T1D) however, the varying effects exercise has on blood glucose levels makes it challenging for young people with T1D. The current T1D guidelines available for exercise vary, are challenging to follow and not very accessible. Our research team have developed an app collating the guidelines with data from our previous studies to assist people with T1D to safely participate in a more physically active lifestyle. This project aims to evaluate the acceptability and usability of the app in individuals with T1D aged between 12 to 25 years during physical activity. At the end of the pilot test, these participants will complete an interview and survey. Analysis of pilot results will contribute to amending the features of the App to improve its usability and acceptability before conducting a trial.
Interventions
Participants will use an app for six weeks during physical activity, developed to provide guidance on carbohydrate and insulin dosing for young people with type 1 diabetes.
The app is broken down into two main sections. The first is the activity log where participants will enter the type of physical activity they will be completing. They will be guided through a series of questions related to the activity, the timing of their last insulin bolus, and their blood glucose level before the app pro
Participants will use an app for six weeks during physical activity, developed to provide guidance on carbohydrate and insulin dosing for young people with type 1 diabetes. The app is broken down into two main sections. The first is the activity log where participants will enter the type of physical activity they will be completing. They will be guided through a series of questions related to the activity, the timing of their last insulin bolus, and their blood glucose level before the app provides them with advice on the amount of carbohydrates to consume, and any adjustments to their basal insulin. The second section contains additional educational information on treating hypoglycaemia, pre and post exercise advice and food advice. The advice and educational content is sourced from the International Society for Paediatric and Adolescent Diabetes (ISPAD 2018) guidelines, the American Diabetes Association (ADA) 2016 guidelines, and Lancet guidelines (Riddell et al 2017). Participants will be instructed to use the app for all physical activity they take part in during the six weeks. The type of physical activity is not set. The additional educational information section is available for participants to use at their own discretion. Participants will download the app at visit 1. This visit will be attended by an endocrinologist, and a research assistant or nurse. The App has been co-designed with the target population for this study and being trialled for the first time in this study. Google data analytics will provide information about how frequently the app is being used, how long users are interacting with the app, and time spent on specific features of the app. This study it to test the acceptability and usability of the app and obtain feedback from young people with T1D. It is not to test the adherence to the advice.
Sponsors
Child and Adolescent Health Service
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Eligibility
Sex/Gender
All
Age
12 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
Healthy individuals with T1D aged from 12 to 25 years T1D > 6 months Exercising regularly at least 2 times per week Insulin pump or MDI Own and use a smartphone (i.e., separate to their parents’/guardians’ personal smartphone).
Exclusion criteria
Not willing or unable to exercise Non-english speaking participants Individuals with reduced cognitive capacity who do not have capacity to consent/assent
Outcome results
None listed