Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme

Autor: Jacqui Troughton, Ian Litchfield, Parth Narendran, Robert Andrews, Niamh Quann, Catherine Thompson, Y Doherty, Sheila Greenfield
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Restructuring
Endocrinology
Diabetes and Metabolism
030209 endocrinology & metabolism
Pilot Projects
Minor (academic)
Glycemic Control
Structured education
law.invention
03 medical and health sciences
0302 clinical medicine
Endocrinology
Randomized controlled trial
Educational and Psychological Aspects
Patient Education as Topic
law
Stakeholder Participation
Intervention (counseling)
Internal Medicine
Medicine
Humans
030212 general & internal medicine
Program Development
Adaptation (computer science)
Exercise
Research Articles
Qualitative Research
Medical education
Type 1 diabetes
business.industry
Qualitative interviews
Self-Management
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Research: Educational and Psychological Aspects
Diabetes Mellitus
Type 1
Feasibility Studies
Female
Patient Safety
business
Zdroj: Diabetic Medicine
ISSN: 1464-5491
0742-3071
Popis: Aim To develop a structured education programme for individuals with Type 1 diabetes who are engaging in regular exercise. Method A multidisciplinary team of experts in supporting exercise and physical activity for people with Type 1 diabetes, alongside researchers with experience of developing self‐management education, developed an exercise programme using the Medical Research Council framework. The programme was informed by a review of the evidence relating to Type 1 diabetes and exercise, the behaviour change literature (including the behaviour change taxonomy), and qualitative interviews with stakeholders. The programme and supporting resources were refined using an iterative process of testing, delivery and collecting feedback from participants and the wider development team. Results The outcome of the intervention development was the design of a feasible and acceptable intervention for people with Type 1 diabetes to support safe exercise. The pilot allowed refinement of the intervention prior to testing in a two‐site feasibility randomized controlled trial. Key findings from the pilot informed minor restructuring of the timetable (timings and order) and adaptation of supporting educational materials (participant handbook and teaching materials). Conclusion The ‘EXercise in people with Type One Diabetes’ (EXTOD) education programme has been developed using robust methodology for the generation of educational interventions. It now needs testing in a randomized controlled trial.
What's new? Currently there is no dedicated structured education programme that supports the management of Type 1 diabetes for exercise.A self‐management education programme to support safe and effective exercise for people with Type 1 diabetes has been developed using the Medical Research Council framework.In the exercise programme we developed, participants were able to adjust their regimens and plan their exercise in a more structured way.The programme was delivered by trained healthcare professionals, meaning it can be embedded into the specialist care setting.If demonstrated to be effective, this programme could potentially expand currently available support for adults with Type 1 diabetes who wish to exercise.
Databáze: OpenAIRE
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