Blaylock Heidi, Hill Eddie, Leuba Carter, Aguilar Christina, Cox Carla
Department of Health, Physical Education, and Recreation, Weber State University, Ogden, UT 84408, USA.
Behav Sci (Basel). 2025 Mar 15;15(3):370. doi: 10.3390/bs15030370.
Type 1 diabetes (T1D) is a chronic disease that influences all health aspects. The self-determination theory (SDT) suggests that three psychological needs of competence, autonomy, and relatedness are necessary for motivation to engage in healthy behaviors. Through medical specialty camps, these needs can be met by educating campers on how to manage T1D and realize they are not alone. The volunteer-based, five-day, inaugural tween-teen camp for youth with T1D was held on the campus of a university. The entire camp experience was engineered around the three basic needs described by the SDT. These needs were promoted by physical and educational activities and meeting friends. The Basic Psychological Needs and Frustration Scale was administered as a pre-, post-, and follow-up test. Two of the four measures were significant, the autonomy pretest ( = 3.93; = 0.75) to posttest ( = 4.49; = 0.56), with (25) = -6.258; ≤ 0.001) and relatedness pretest ( = 4.31; = 0.79) to posttest ( = 4.53; = 0.49), with (25) = -2.168; = 0.040; however, mean scores declined at the 3-month follow-up. Campers' blood glucose levels were collected through an online platform that allowed staff to monitor blood glucose levels, with the week's average being 150 mg/dL, and almost 71% remaining in the TIR. The results can be helpful for practitioners who want to use the SDT to structure and examine the effectiveness of medical specialty camps for youth with T1D.
1型糖尿病(T1D)是一种影响所有健康方面的慢性疾病。自我决定理论(SDT)表明,能力、自主性和关联性这三种心理需求是促使人们参与健康行为的必要条件。通过医学专业营地,可以通过教育营员如何管理T1D并让他们意识到自己并不孤单来满足这些需求。首个为期五天、以志愿者为基础的针对T1D青少年的营地活动在一所大学校园内举行。整个营地体验都是围绕SDT所描述的三种基本需求设计的。这些需求通过体育和教育活动以及结交朋友来得到促进。使用基本心理需求与挫折量表进行了前测、后测和随访测试。四项测量中有两项具有显著性,自主性前测(M = 3.93;SD = 0.75)到后测(M = 4.49;SD = 0.56),t(25) = -6.258;p ≤ 0.001),以及关联性前测(M = 4.31;SD = 0.79)到后测(M = 4.53;SD = 0.49),t(25) = -2.168;p = 0.040;然而,在3个月的随访中平均得分有所下降。通过一个在线平台收集营员的血糖水平,该平台使工作人员能够监测血糖水平,一周的平均血糖水平为150 mg/dL,近71%的血糖水平保持在目标范围内(TIR)。这些结果对于希望利用SDT来构建和检验针对T1D青少年的医学专业营地活动效果的从业者可能会有所帮助。