Examining Multilevel Factors Affecting Participation in Physical Activity Among Adolescents With Type 1 Diabetes Using the Socio-Ecological Model

NCT07568028 · tracked via the Priya Life Science Turkey tracker

Sponsor

Biruni University

Phase

Observational

Started

2026-01-02

Last updated

2026-05-05

Condition(s) studied

Type 1 Diabetes Mellitus

Study summary

The goal of this observational study is to examine the multilevel factors influencing physical activity participation in adolescents with Type 1 diabetes (T1D) within the framework of the Socio-Ecological Model (SEM). Physical activity is a multidimensional behavior shaped by individual, interpersonal, institutional, community, and policy-level influences, and it plays a critical role in diabetes management, metabolic health, and overall well-being in youth with T1D.

The main questions it aims to answer are:

Do factors at the individual, interpersonal, institutional, community, and policy levels of the Socio-Ecological Model significantly influence physical activity participation, social participation, and diabetes management in adolescents with Type 1 diabetes? Which modifiable barriers and facilitators at these multiple levels are associated with higher or lower levels of physical activity?

Participants diagnosed with Type 1 diabetes will complete questionnaires assessing their daily living activities, exercise habits, social participation, psychosocial characteristics, and perceived social and environmental support. Objective measurements related to circadian rhythm patterns and glycemic control will also be collected. The study will analyze how multilevel socio-ecological factors are associated with physical activity behavior, social engagement, and diabetes management outcomes.

The findings are expected to provide a comprehensive biopsychosocial understanding of physical activity behaviors in adolescents with Type 1 diabetes and to inform the development of supportive, school- and community-based intervention strategies aimed at improving quality of life, self-efficacy, psychological resilience, and sustainable participation in physical activity.

Eligibility

Sex

ALL

Min age

9 Years

Max age

18 Years

Healthy volunteers

Inclusion Criteria: * Diagnosed with Type 1 diabetes at least 1 year prior to enrollment, * Aged between 9 and 18 years, * Currently attending school in Istanbul, * Willing to participate in the study (with voluntary consent), * HbA1c value ≥ 8% within the past year, * Reported glucose metabolism biomarkers, * Sufficient cognitive ability to understand and complete the questionnaires, * Under regular medical follow-up and using at least one glucose monitoring device. Exclusion Criteria: * Lack of parental consent, * Presence of additional neurological, motor, or cognitive disorders, * Inadequate mental status or diagnosis of moderate to severe intellectual disability, * Presence of systemic comorbid diseases, * Failure to report HbA1c data.

Primary outcome measure(s)

Physical activity level — 7 days
Physical activity level will be objectively assessed using a wearable accelerometer worn on the dominant arm for seven consecutive days. PAL will be calculated as the ratio of total energy expenditure to basal metabolic rate and expressed as a unitless value.

Trial sites (1)

Facility	City	Region	Status
Biruni University	Istanbul	Zeytinburnu	Recruiting

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07568028 on ClinicalTrials.gov ↗ ← All trials in Turkey