Evidence map›Paper›PMID 36949473›Full record

ArticleBMC pediatrics2023

Factors affecting the support for physical activity in children and adolescents with type 1 diabetes mellitus: a national survey of health care professionals' perceptions.

Emma J Cockcroft, Eva L Wooding, Parth Narendran, Renuka P Dias, Alan R Barker, Christopher Moudiotis, Ross Clarke, Robert C Andrews

Open access · goldFull text read
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Emma J CockcroftUniversity of Exeter Medical School, Exeter, EX1 2JP, UK. e.j.cockcroft@exeter.ac.uk.
Eva L WoodingUniversity of Exeter Medical School, Exeter, EX1 2JP, UK.
Parth NarendranDepartment of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Renuka P DiasInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Alan R BarkerChildren's Health and Exercise Research Centre, Sport and Health Sciences, University of Exeter, Exeter, EX1 2JP, UK.
Christopher MoudiotisDepartment of Paediatrics, Royal Devon University Healthcare NHS Foundation Trust, Exeter, EX2 5DW, UK.
Ross ClarkeUniversity of Exeter Medical School, Exeter, EX1 2JP, UK.
Robert C AndrewsUniversity of Exeter Medical School, Exeter, EX1 2JP, UK.
University of Exeter · GBBirmingham Children's Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBTaunton & Somerset NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany children and adolescents with Type 1 Diabetes Mellitus (T1DM) don't meet the recommended levels of physical activity. Healthcare professionals (HCPs) have a key role in supporting and encouraging children and adolescents with T1DM to be physically active. This study aims to understand the perspectives of HCPs in relation to supporting physical activity and implementing guidelines relating to physical activity.

methodsAn online mixed methods survey was circulated to HCPs in pediatric diabetes units in England and Wales. Participants were asked about how they support physical activity in their clinic and their perceptions of barriers/enablers of providing physical activity support to children and adolescents with T1DM. Quantitative data were analysed descriptively. An deductive thematic approach was applied to the free text responses using the Capability Opportunity Motivation model of Behaviour (COM-B) as a framework.

resultsResponses were received from 114 individuals at 77 different pediatric diabetes units (45% of pediatric diabetes units in England and Wales). HCPs surveyed felt that the promotion of physical activity is important (90%) and advised patients to increase levels of physical activity (88%). 19% of the respondents felt they did not have sufficient knowledge to provide support. HCPs reported limited knowledge and confidence, time and resources as barriers to providing support. They also felt the current guidance was too complicated with few practical solutions.

conclusionPediatric HCPs need training and support to be able to encourage and support children and adolescents with T1D to be a physical activity. In addition, resources that provide simple and practical advice to manage glucose around exercise are needed.

Indexed as

Diabetes Mellitus, Type 1AdolescentChildEnglandExerciseHealth PersonnelHumansQualitative ResearchWalesBehaviour changeExerciseIntervention developmentYoung people

Identifiers

PMID36949473
PMCPMC10031957
OpenAlexW4360600157

What Socratic holds

Textfull text, public
LicenceCC BY
reference markers read2
measurements read110
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.