Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review

To identify and map barriers and facilitators of physical activity (PA) in adults living with type 1 diabetes (T1D) in any care setting or environment. A scoping review was conducted in accordance with the PRISMA-ScR guidelines to address the aim of this review. Exclusion/inclusion criteria were det...

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Main Authors: Brennan, Marian, Brown, Janie, Ntoumanis, Nikos, Leslie, Gavin
Format: Journal Article
Language:English
Published: CANADIAN SCIENCE PUBLISHING 2021
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/86135
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author Brennan, Marian
Brown, Janie
Ntoumanis, Nikos
Leslie, Gavin
author_facet Brennan, Marian
Brown, Janie
Ntoumanis, Nikos
Leslie, Gavin
author_sort Brennan, Marian
building Curtin Institutional Repository
collection Online Access
description To identify and map barriers and facilitators of physical activity (PA) in adults living with type 1 diabetes (T1D) in any care setting or environment. A scoping review was conducted in accordance with the PRISMA-ScR guidelines to address the aim of this review. Exclusion/inclusion criteria were determined a priori. Articles captured in the search were subject to title and abstract screening before full-text articles were assessed for eligibility against the exclusion/inclusion criteria. Included articles underwent critical appraisal before being charted, mapped, and discussed. Forty-six articles were included in the final synthesis. Most commonly, articles reported cross-sectional survey studies (46%), then qualitative designs (17%), and opinion or text (17%). Experimental studies accounted for 13% of included articles. Hypoglycaemia/fear of hypoglycaemia was the most commonly reported barrier and patient education the most commonly discussed facilitator. Quality appraisal revealed methodological issues among included articles. Higher quality research with theoretically sound behaviour-change interventions combined with targeted patient education is needed to address hypoglycaemia/fear of hypoglycaemia as a barrier to PA. Novelty: Hypoglycaemia and fear of hypoglycaemia were the most commonly reported barriers to PA in adults with T1D. Powered randomised controlled trials are required to establish efficacy of behaviour change interventions targeting these barriers to PA.
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spelling curtin-20.500.11937-861352021-11-04T03:45:32Z Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review Brennan, Marian Brown, Janie Ntoumanis, Nikos Leslie, Gavin Science & Technology Life Sciences & Biomedicine Nutrition & Dietetics Physiology Sport Sciences adult barriers exercise facilitators scoping review type 1 diabetes SELF-MANAGEMENT YOUNG-ADULTS EXERCISE HYPOGLYCEMIA CARE INDIVIDUALS INTERVENTIONS ADHERENCE BEHAVIOR PROGRAM To identify and map barriers and facilitators of physical activity (PA) in adults living with type 1 diabetes (T1D) in any care setting or environment. A scoping review was conducted in accordance with the PRISMA-ScR guidelines to address the aim of this review. Exclusion/inclusion criteria were determined a priori. Articles captured in the search were subject to title and abstract screening before full-text articles were assessed for eligibility against the exclusion/inclusion criteria. Included articles underwent critical appraisal before being charted, mapped, and discussed. Forty-six articles were included in the final synthesis. Most commonly, articles reported cross-sectional survey studies (46%), then qualitative designs (17%), and opinion or text (17%). Experimental studies accounted for 13% of included articles. Hypoglycaemia/fear of hypoglycaemia was the most commonly reported barrier and patient education the most commonly discussed facilitator. Quality appraisal revealed methodological issues among included articles. Higher quality research with theoretically sound behaviour-change interventions combined with targeted patient education is needed to address hypoglycaemia/fear of hypoglycaemia as a barrier to PA. Novelty: Hypoglycaemia and fear of hypoglycaemia were the most commonly reported barriers to PA in adults with T1D. Powered randomised controlled trials are required to establish efficacy of behaviour change interventions targeting these barriers to PA. 2021 Journal Article http://hdl.handle.net/20.500.11937/86135 10.1139/apnm-2020-0461 English CANADIAN SCIENCE PUBLISHING fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Physiology
Sport Sciences
adult
barriers
exercise
facilitators
scoping review
type 1 diabetes
SELF-MANAGEMENT
YOUNG-ADULTS
EXERCISE
HYPOGLYCEMIA
CARE
INDIVIDUALS
INTERVENTIONS
ADHERENCE
BEHAVIOR
PROGRAM
Brennan, Marian
Brown, Janie
Ntoumanis, Nikos
Leslie, Gavin
Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title_full Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title_fullStr Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title_full_unstemmed Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title_short Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review
title_sort barriers and facilitators of physical activity participation in adults living with type 1 diabetes: a systematic scoping review
topic Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Physiology
Sport Sciences
adult
barriers
exercise
facilitators
scoping review
type 1 diabetes
SELF-MANAGEMENT
YOUNG-ADULTS
EXERCISE
HYPOGLYCEMIA
CARE
INDIVIDUALS
INTERVENTIONS
ADHERENCE
BEHAVIOR
PROGRAM
url http://hdl.handle.net/20.500.11937/86135