Barriers to healthy behaviors: perspectives from teens with comorbid Type 1 diabetes and overweight/obesity, caregivers, and pediatric endocrinologists.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-10-24 DOI:10.1093/jpepsy/jsae086

Jennifer L Warnick, Katherine E Darling, Lisa Swartz Topor, Elissa Jelalian

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Abstract

Objectives: This study aimed to understand barriers to engagement in healthy lifestyle behaviors among adolescents with comorbid Type 1 diabetes (T1D) and overweight/obesity (n = 12), their caregivers (n = 12), and pediatric endocrinologists (n = 9).

Methods: Participants (n = 33) completed individual, semi-structured interviews. Interviews were transcribed verbatim, and applied thematic analysis was used to analyze the interview data.

Results: Results from adolescents, caregivers, and pediatric endocrinologists revealed three thematic barriers to healthy lifestyle behaviors for adolescents with T1D and overweight/obesity: (1) discomfort with aspects of T1D that draw attention to the self; (2) T1D as a barrier to engagement in healthy lifestyle behaviors; and (3) physiological dysregulation due to T1D impacting health behaviors.

Conclusions: Results identify perceived limitations to engaging in recommended healthy lifestyle behaviors and diabetes management concurrently. Results may assist research and clinical care in identifying supports and guidance needed to support adolescents in meeting behavioral recommendations for their health.

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健康行为的障碍：患有合并 1 型糖尿病和超重/肥胖症的青少年、照顾者和儿科内分泌专家的观点。

研究目的本研究旨在了解合并 1 型糖尿病（T1D）和超重/肥胖症的青少年（12 人）、其照顾者（12 人）和儿科内分泌专家（9 人）参与健康生活方式行为的障碍：参与者（n = 33）完成了个人半结构化访谈。对访谈内容进行逐字记录，并采用应用主题分析法对访谈数据进行分析：来自青少年、照顾者和儿科内分泌专家的结果显示，T1D 和超重/肥胖症青少年在健康生活方式行为方面存在三个主题障碍：（1）对 T1D 引起自我关注的方面感到不适；（2）T1D 是参与健康生活方式行为的障碍；（3）T1D 导致的生理失调影响健康行为：结论：研究结果表明了同时参与建议的健康生活方式行为和糖尿病管理的认知限制。研究结果可能有助于研究和临床治疗，以确定支持青少年满足其健康行为建议所需的支持和指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.