Type 1 Diabetes Clinical Trial
Official title:
Junior KICk-OFF. Development and Pilot Evaluation of Structured Self-management Education Packages for Children 11 Years of Age and Under With Type 1 Diabetes, Their Parents and Carers.
The aim of this study is to develop educational packages for children of primary school age with type 1 diabetes and their parents, and to undertake a small scale feasibility study to allow evaluation of the curriculum. Paediatric diabetes teams in the United Kingdom currently deliver education using largely unevaluated teaching materials. By working with the education profession the investigators aim to develop packages which are based on recognised educational theory and practice. The investigators hope that use of these will result in better blood glucose control, reducing the risk of longterm diabetes complications such as eye and kidney disease.
The aim of the study is to
1. To produce an educational curriculum and teaching material for three groups
- Key stage one (KS1)(4-7 yrs)
- Key stage two (KS2) (8-11 yrs)
- Parents
2. To undertake pilot evaluation to establish
- the feasibility of running the different education sessions, addressing access and
other practical issues
- the educational value of the packages produced with the aim of further refinement
of the curriculum
- the acceptability of the sessions to participants and parents
- a process evaluation of the individual components of the packages
- potential biomedical and psychological benefits, to provide data for a power
calculation for a larger randomised controlled trial of the effectiveness of the
educational package
The first phase of the project involves development of curriculum for the education of 4-11
yr old children with type 1 diabetes. Participants in key stage one will be taught a basic
understanding of carbohydrate, exercise and insulin balance, hypoglycaemia and
injections/pump basics and blood glucose testing. Older participants (Key stage two) will be
taught similar topics but with increasing complexity appropriate to their age and
understanding. The teaching will use approaches similar to those employed in schools and
therefore the research team will work with primary school teachers and experts in education
to ensure appropriate techniques and resources are employed. The focus of the education for
parents will be to help them teach and encourage their children to develop their diabetes
skills as they grow up.
The second phase of the project involves delivery of courses to each age group. The main
focus of this will be to assess the acceptability of the curriculum. Feasibility in terms of
practical arrangements, timing, use of resources etc will be examined. Feedback from an
independent expert observer as well as from participants and educators will allow the
curriculum to be assessed and adapted if necessary prior to larger scale study.
Some outcome measures are being examined. The investigators aim to assess whether older
children's knowledge has changed pre and post course, whether diabetes self management within
the family has altered and whether there is any impact on glycaemic control and quality of
life.
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