575-P: Development of a Complex Intervention to Improve Physical Activity Levels in People with Young-Onset Type 2 Diabetes (18–40 Years)—Evidence- and Theory-Based Codesign Approach

by sugaradmin



Introduction and Objective: The incidence of type 2 diabetes (T2D) in younger adults is increasing, yet physical activity engagement in this population is underexplored. This study used co-design to develop a complex intervention to improve physical activity levels in people with young-onset T2D (18-40 years).Methods: Development involved three stages. Stage 1 extracted evidence from a systematic review and a qualitative study, yielding candidate intervention elements and behavior change techniques. In stage 2, animated trigger films were created based on findings from stage 1, depicting the physical activity experiences of people with young-onset T2D. Stage 3 integrated the evidence, the Design Thinking Approach, and outputs from the first two stages to inform four co-design workshops where the animations were screened. Data were analyzed using reflexive thematic analysis.Results: A total of 25 participants (12 individuals with T2D, 11 health care providers, one family member, and one physiotherapist) attended the stage 3 workshops. About half (n=13) were female. In line with the Design Thinking Approach, the workshops prioritized a list of five intervention elements and 23 behavior change techniques identified in Stage 1. The resulting prototype intervention, the multimodal IPAYD (Improving Physical Activity in people with Young-onset type 2 Diabetes), was designed to provide tailored support. It focuses on individualized goal setting, planning, monitoring, professional knowledge, and social support, integrated with behavior change techniques. It will be delivered through the IPAYD website, activity trackers, one-to-one consultations, and optional group sessions.Conclusion: This study outlines the process of using an evidence- and theory-based approach to co-design a multimodal intervention to improve physical activity levels in people with young-onset T2D.

Disclosure

X. Zhao: None. A. Forbes: None. H. Abu Ghazaleh: None. M. Duaso: None.

Funding

King’s-China Scholarship Council PhD Scholarship (202108440151)



Source link