健康行为的障碍：来自患有1型糖尿病合并超重/肥胖的青少年、护理人员和儿科内分泌学家的观点。
Barriers to healthy behaviors: perspectives from teens with comorbid Type 1 diabetes and overweight/obesity, caregivers, and pediatric endocrinologists.
作者信息
Warnick Jennifer L, Darling Katherine E, Swartz Topor Lisa, Jelalian Elissa
机构信息
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.
The Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, United States.
出版信息
J Pediatr Psychol. 2024 Dec 1;49(12):874-881. doi: 10.1093/jpepsy/jsae086.
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.
目的
本研究旨在了解1型糖尿病（T1D）合并超重/肥胖的青少年（n = 12）、他们的照顾者（n = 12）以及儿科内分泌学家（n = 9）在参与健康生活方式行为方面的障碍。
方法
参与者（n = 33）完成了个人半结构化访谈。访谈内容逐字转录，并采用主题分析法对访谈数据进行分析。
结果
青少年、照顾者和儿科内分泌学家的访谈结果揭示了T1D合并超重/肥胖青少年在健康生活方式行为方面存在的三个主题障碍：（1）对T1D中引起他人注意的方面感到不适；（2）T1D成为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
研究结果确定了同时参与推荐的健康生活方式行为和糖尿病管理方面存在的感知限制。这些结果可能有助于研究和临床护理确定支持青少年遵循健康行为建议所需的支持和指导。
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