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Title Physical activity and sedentary behaviour intervention for youth with Type 1 diabetes : determining the best approach / Freya C. MacMillan.
Name MacMillan, Freya C .
Abstract The purpose of this thesis was to aid the development of a physical activity and sedentary behaviour intervention for children and adolescents (youth) with Type 1 diabetes. Chapter 1 introduces the research area, target population and design of the thesis. Published guidance on the early development phase of complex health interventions was followed (Campbell et al., 2000; Craig et al., 2008), with three studies being undertaken as part of the thesis. The first study determined physical activity and sedentary behaviour levels and patterns using accelerometers, as well as quality of life using questionnaires, in a sample of Scottish youth with Type 1 diabetes. The second study systematically reviewed the evidence on study characteristics, intervention design and efficacy of phyiscal activity and sedentary behaviour RCT intervention studies in youth with Type 1 diabetes. The third study, developed as two manuscripts, explored perceptions of physical activity and sedentary behaviour and support needs in youth with Type 1 diabetes in patients, their parents, diabetes professionals and schoolteachers using interviews and focus groups. The novel findings of the studies in this thesis in relation to youth with Type 1 diabetes are: the need to target this population group due to low physical activity and high sedentary behaviour participation (study 1); the need for unsupervised, theory based interventions targeting sedentary behaviour in addition to physical activity and high quality evidence to support the efficacy of physical activity on health (study 2); and the requirement of parental and peer support in interventions, the necessity for diabetes professionals to encourage physical activity and the need for better support and training for schoolteachers to accommodate physical activity in schools (study 3). The final chapter of this thesis discusses how the findings of
Abstract the studies can be used in future research and practice.
Publication date 2013
Name University of Strathclyde. School of Psychological Sciences and Health.
Name University of Strathclyde. School of Psychological Sciences and Health. Physical Activity for Health.
Thesis note Thesis PhD University of Strathclyde 2013 T13594
System Number 000003312

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