Perceived Knowledge and Confidence for Providing Youth-Specific Type 1 Diabetes Exercise Recommendations amongst Pediatric Diabetes Healthcare Professionals: An International, Cross-Sectional, Online Survey

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Pediatric Diabetes Pub Date : 2023-03-02 DOI:10.1155/2023/8462291

Paula Chinchilla, K. Dovč, K. Braune, Ananta Addala, M. Riddell, Tiago Jeronimo Dos Santos, D. Zaharieva

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引用次数: 1

Abstract

Background. Managing glycemia around exercise is challenging for individuals with type 1 diabetes (T1D) and their healthcare professionals (HCP). We investigated HCP knowledge and confidence around exercise counseling for youth with T1D worldwide. Objective. To assess HCP familiarity with ISPAD Clinical Practice Consensus Guidelines and confidence to deliver recommendations about T1D and exercise. Methods. A new online survey was developed on strategies and competencies about exercise for youth with T1D, comprising of 64 questions, divided into eight different categories, assessing HCPs perceived exercise knowledge, confidence, training, and barriers to exercise counseling. Results. A total of 125 HCPs mean ± SD age 42 ± 8.2 years (74% female, 73% physicians) completed the survey. The ISPAD exercise guidelines were considered familiar to 68/125 (54%) of responders. Overall, 91/125 (73%) felt confident with giving recommendations about exercise with 47/125 (38%) recommending 45–60 mins/day of physical activity, while 16/125 (13%) recommended >60 mins/day. Several topics related to self-management around exercise were covered by most, but not all responders, and differences were observed in exercise content “confidence” and/or “competence” based on geographic location ( p = 0.048 ). No differences in exercise recommendation dose, confidence, or familiarity with ISPAD guidelines were observed for age, sex, type of HCP, years in practice, or healthcare type. Conclusions. Exercise counseling for youth with T1D remains a challenge in most healthcare settings, globally. In general, the number of physically active minutes per week is under-prescribed for youth with T1D and many HCPs in various settings around the world feel that more professional education is needed to boost confidence around the education of several exercise-related topics.

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在儿科糖尿病保健专业人员中提供针对青少年的1型糖尿病运动建议的感知知识和信心：一项国际、跨部门的在线调查

背景。对于1型糖尿病(T1D)患者及其医疗保健专业人员(HCP)来说，在运动期间控制血糖是一项挑战。我们调查了全球青少年T1D患者在运动咨询方面的HCP知识和信心。目标。评估HCP对ISPAD临床实践共识指南的熟悉程度和提供T1D和锻炼建议的信心。方法。一项关于青少年T1D运动策略和能力的新在线调查，包括64个问题，分为8个不同类别，评估HCPs感知的运动知识、信心、训练和运动咨询障碍。结果。共有125名HCPs(平均±SD年龄42±8.2岁)完成了调查(74%为女性，73%为医生)。应答者中有68/125(54%)认为熟悉ISPAD运动指南。总体而言，91/125(73%)的受访者有信心给出锻炼建议，47/125(38%)的受访者建议每天锻炼45-60分钟，而16/125(13%)的受访者建议每天锻炼60分钟。大多数应答者涵盖了与运动相关的自我管理的几个主题，但不是所有应答者，并且根据地理位置观察到运动内容“信心”和/或“能力”的差异(p = 0.048)。在运动推荐剂量、信心或对ISPAD指南的熟悉程度方面，没有观察到年龄、性别、HCP类型、执业年限或医疗保健类型的差异。结论。在全球大多数医疗机构中，为患有T1D的青少年提供运动咨询仍然是一个挑战。总的来说，对于患有T1D的青少年来说，每周的运动分钟数是不够的，世界各地的许多卫生保健专业人员认为，需要更多的专业教育来提高人们对运动相关主题教育的信心。

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来源期刊

Pediatric Diabetes 医学-内分泌学与代谢

CiteScore

6.60

自引率

14.70%

发文量

141

审稿时长

4-8 weeks

期刊介绍： Pediatric Diabetes is a bi-monthly journal devoted to disseminating new knowledge relating to the epidemiology, etiology, pathogenesis, management, complications and prevention of diabetes in childhood and adolescence. The aim of the journal is to become the leading vehicle for international dissemination of research and practice relating to diabetes in youth. Papers are considered for publication based on the rigor of scientific approach, novelty, and importance for understanding mechanisms involved in the epidemiology and etiology of this disease, especially its molecular, biochemical and physiological aspects. Work relating to the clinical presentation, course, management and outcome of diabetes, including its physical and emotional sequelae, is considered. In vitro studies using animal or human tissues, whole animal and clinical studies in humans are also considered. The journal reviews full-length papers, preliminary communications with important new information, clinical reports, and reviews of major topics. Invited editorials, commentaries, and perspectives are a regular feature. The editors, based in the USA, Europe, and Australasia, maintain regular communications to assure rapid turnaround time of submitted manuscripts.