FACTS,
Murphy et al. 2007141
| Multicentre, RCT | 305 adolescents recruited (mean
13.1 ± 1.9 years) from 10 centres (not
clustered) | 6 × 1.5 hours
Education over 6
months | CHO counting and insulin dose adjustment, parental
responsibility and communication | Members of the existing diabetes MDT (dietitian, paediatric
nurse specialist, physician) | 4–6 families (parents and adolescents) | ? | 9 hours, over 6 months | HbA1c (3-monthly), episodes of hypoglycaemia/DKA,
Diabetes Quality of Life Youth scale, Health Behaviour in School
Children, Problem Areas in Diabetes Scale and
DFRQ
Baseline and 12 months (6 months post FACTS) |
| KICk-OFF | Pilot data (Waller et al., 2008142)
Currently trialling multicentre, cluster
RCT | 48 young people aged 11–16 years (mean 13.6 years) from
three centres | Five consecutive days
Six groups completed | Monday: what is diabetes, food groups, insulin–CHO
relationship
Tuesday:
BG levels, hypoglycaemia,
CHO counting
Wednesday: Insulin dose adjustments, doses
and illness, diabetes + long-term
health
Thursday: Healthy eating, weight, sweets, alcohol,
exercise
Friday: (friends can attend) friends/school
awareness of diabetes and support, puberty | Three educators per group (two PDSNs and one dietitian) | Eight young people per group (stratified by age and sex) | 48 participants from 3 centres over 5 months | 5 weekdays | Mean HbA1c value, body mass index, hypoglycaemia
episodes, Diabetes Family Conflict Scale, DFRQ, Diabetes
Treatment Satisfaction Questionnaire (DTSQ), PedsQL,
Self-Efficacy for Diabetes
Baseline, 3 months,
6
months |
| CHO, Insulin Collaborative Education Programme (CHOICE) | Multicentre, RCT (protocol data) | 140 adolescents (13–19 years) from six sites in Northern
Ireland | Four evening sessions over 4 weeks | CHO content in food/drink, relationship between CHO and insulin,
BG and exercise, adjusting insulin, illness, alcohol and drug
use | Two: one research assistant leading and one dietitian | | | 12 hours over 4 consecutive weeks | HbA1c, hypoglycaemia episodes, Diabetes quality of
life questionnaire, Diabetes empowerment scale, Diabetes Care
Profile |
| DEPICTED | Multicentre, cluster RCT | Clinical teams from 26 paediatric diabetes clinics (and 693
young people from those clinics) | | ‘Talking Diabetes’ training package for clinic
staff | | | | 1.5 hours e-learning module plus two afternoon seminars | HbA1c values of young people in clinics during trial
and in year after staff have received training
Health
Care Climate, PedsQL, Diabetes Continuity of Care, Problem Areas
in Diabetes Scale, Patient Enablement, hypoglycaemic episodes in
parents and young people |
| Evidence into Practice: Evaluating a child-centred intervention
for diabetes medicine management (EPIC) | Multicentre, RCT (protocol data) | Up to 10 sites will recruit a target of 252 participants
(6–18 years); 168 in intervention, 84 in control | Intervention delivered as part of usual clinic appointment | Young people receive individually tailored, age-appropriate
information pack at clinic visits | Information pack to be delivered by nurse/clinician as part of
clinic visit | | | | Diabetes PedsQL at 6 months. HbA1c value at each
routine clinic visit, EQ-5D and generic PedsQL, episodes of
DKA |
| Diabetes Information Given Because you are Young (DIGBY) | Clinic education programme at Addenbrooke’s
Hospital | Newly diagnosed young people | | How diabetes affects the body, how to manage diabetes and how to
adjust insulin doses according to diet and activity | | | | | |
| Managing Insulin and Carbohydrate for Kids and Young people with
Success (MICK&YS) | Pilot study | Young people (11–17 years), MDI regimen | 2 × 3.5-hour sessions 1 week apart | Healthy eating and CHO counting, insulin dose adjustment; pairs
also shared a meal together | Can be delivered by member of MDT, e.g. dietitian, diabetes
specialist nurse, paediatrician | Parent–child pairs | | 7 hours over
2 weeks | Qualitative evaluation (QoL and satisfaction outcomes) |
| Flexible Adjustment of Basal Boluses (FABB) | Clinic education programme at Leicester Royal | 146 families so far | 2 × 2.5-hour sessions | Training to enable young people/parents to dose adjust insulin
as part of a basal bolus regimen | Four trained educators; courses led by nurse and dietitian | Six children and six family members | | 5 hours over 2 weeks | HbA1c post programme – currently being
audited |
| STeP | Clinic education programme at Leeds Teaching Hospitals NHS
Trust | Children starting on insulin pump therapy | | | | | | 6–12 hours either consecutive days or within
4-day period | |
