Self-study material to prevent severe hypoglycaemia in children and adolescents with type 1 diabetes: A prospective intervention study
2002 (English)In: Practical Diabetes International, ISSN 1357-8170, Vol. 19, no 5, 131-136 p.Article in journal (Refereed) Published
The aim of this study was to evaluate use of self-study material in diabetes education aimed at prevention of severe hypoglycaemia. Targeted self-study brochures (and video programs) regarding diabetes self-care and prevention of severe hypoglycaemia were mailed to all patients in early 1997 (and in 1999): a geographic population of 122-139 intensively treated type 1 diabetes patients yearly, aged 1-18 years (mean 12.2, SD 4.3), between 1994 and 1999. Yearly mean HbA1c (1.15% below DCCT level) ranged from 4.1 to 11.6% (mean 6.6, SD 1.1), age at onset 0.5-17.4 years (mean 7.6, SD 4.0) and duration 0.1-16.6 years (mean 4.6, SD 3.7). Main outcomes were patient attitudes to the interventions, perceived benefit, level of use, severe hypoglycaemia, and HbA1c.
Eighty-six percent of responders stated that the video was valuable. Perceived benefit was higher for the hypoglycaemia prevention video than for the brochure (p = 0.016). Those with severe hypoglycaemia the preceding year indicated greater benefit from the hypoglycaemia prevention brochure than others (p = 0.039). Average yearly incidence of severe hypoglycaemia with unconsciousness decreased from 13% in 1994-1996 to 9% (ns) in 1997-1999. The per patient cost of the material was <Euro 10.
Conclusion. Self-study material can reach high dissemination at a low cost. It also seems to have contributed to a decrease in severe hypoglycaemia, but controlled studies are needed. There is a great need for good quality patient/consumer information materials dealing with aspects of general management and risk prevention in diabetes treatment.
Place, publisher, year, edition, pages
2002. Vol. 19, no 5, 131-136 p.
children and adolescents, education, pedagogical device, prevention, severe hypoglycaemia, type 1 diabetes
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-13559DOI: 10.1002/pdi.363OAI: oai:DiVA.org:liu-13559DiVA: diva2:20951