2024 年 3 巻 1 号 p. 1-17
【Introduction】We investigated whether educational interventions using cartoons for children with type 1 diabetes could enhance their knowledge of diabetes and improve their exercise habits. We also explored the safety aspects of these cartoons. 【Methods】The participants were children aged 8–15 with type 1 diabetes. They were initially sent a diabetes test (total of 30 points), as well as questionnaires related to exercise habits and psychological stress. Cartoons-based educational materials were subsequently mailed to their homes. For the final assessment, 6 months later, the participants were asked to complete the same tests and questionnaires as those in the initial assessment. The children's exercise habits were evaluated based on the percentage of days per week on which they engaged in moderate-to-vigorous physical activity (MVPA). Statistical analyses included comparisons of responses to the diabetes test and exercise habit questionnaires before and after the intervention, as well as comparisons between items related to psychological stress. Furthermore, we examined the relationship between the responses to the diabetes test and those of the psychological stress questionnaire. 【Results】A total of seven children participated in this study. There was no significant improvement in the points obtained in the diabetes test, which were 27 (24, 28) and 26 (25, 27) (P = 0.916) before and after the intervention, respectively. However, there was a significant improvement in exercise habits. The percentage of MVPA increased from 1 (1, 3) to 4 (3, 4) (P = 0.026). Among the four items related to psychological stress, the item “disgust” had fewer points than “Interestingness” (P = 0.053) and “satisfaction” (P = 0.019). There was a positive correlation between the pre-intervention points achieved in the diabetes test and “disgust” (r = 0.804, P = 0.052). 【Conclusion】The distribution of cartoons to children with type 1 diabetes did not facilitate an enhancement in diabetes-related knowledge, but it showed the potential to improve exercise habits. Additionally, the cartoons were demonstrated to have a certain level of safety.
