title: Building physical activity and sedentary behavior support into care for youth with type 1 diabetes: patient, parent and diabetes professional perceptions.
abstract: OBJECTIVE
  To explore stakeholder's perceptions of physical activity (PA) and sedentary behaviour support in youth with type 1 diabetes (T1D), to aid intervention development.
  
  
  METHODS
  Primary data were collected between February and September 2012. Patients (N = 16), parents (N = 16), and professionals (N = 9) were recruited from a diabetes clinic for a qualitative study. Semi-structured interviews (N = 33) and focus groups (N = 2), using broad open-ended questions, were conducted in patient's/parent's homes, and at the diabetes clinic. Data were analysed thematically.
  
  
  RESULTS
  Based on participants' experiences and interpretations, parent and peer support were perceived as essential. Professionals identified they could do more to encourage PA. Technology and information on local opportunities, in addition to in-person support, and a combination of group and one-to-one support were perceived as useful. Important perceived components of support were: diabetes preparation, management and support; enjoyment; education; and incorporation of behaviour change techniques. The time of diagnosis was described as an appropriate point to initiate interventions.
  
  
  CONCLUSIONS
  The findings will help the development of future PA and sedentary behaviour interventions for youth with T1D.
authors.affiliation: School of Science and Health, University of Western Sydney, Sydney, New South Wales, Australia.
authors.forename: Freya
authors.initials: F
authors.lastname: MacMillan
authors.affiliation: School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Kirk
authors.affiliation: Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK.
authors.forename: Nanette
authors.initials: N
authors.lastname: Mutrie
authors.affiliation: Manitoba Institute for Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Fiona
authors.initials: F
authors.lastname: Moola
authors.affiliation: Royal Hospital for Sick Children (Yorkhill), Greater Glasgow and Clyde Children's Diabetes Service, Glasgow, UK.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Robertson
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010290:Parents / Q000523:psychology; D010348:Patient Care Team / Q000706:statistics & numerical data; D010465:Perception; D057185:Sedentary Behavior; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: physical activity; qualitative; sedentary behaviour