Patient Education Strategies for Children with Type 1 Diabetes Report

This report focuses on patient education strategies for children newly diagnosed with Type 1 diabetes. It examines the current practices of providing information about insulin injection, physical activities, dietary management, family support, lifestyle changes, and psychological considerations. The report highlights the importance of bi-weekly teaching sessions involving both children and parents, utilizing simulations, videos, and demonstrations to enhance understanding. It discusses the measurement of A1C levels as an indicator of the effectiveness of the teaching sessions. Furthermore, the report synthesizes findings from two studies, comparing home-based versus inpatient education and assessing the use of different tools and methods in patient education. The evidence synthesis evaluation table provides a detailed analysis of the study designs, sample sizes, major variables, study findings, and levels of evidence, offering valuable insights into the optimal approaches for educating children with Type 1 diabetes and their families.

Running head: PICOT Question 1
Paraphrasing a PICOT Question
(Author’s name)
(Institutional Affiliation)

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Children of lower social economic status newly diagnosed with diabetes type one are
managed using the insulin replacement therapy, diet and physical exercises (Nilsson, 2016). The
general information that is normally given to newly diagnosed children with type 1 diabetes
include process of insulin injection, physical activities programs, dietary management,
availability of family support, lifestyle changes and psychological considerations(Clapin et al.,
2016). For these patients a follow up is needed. Therefore a bi-weekly one hour session of
patient teaching about diet and life changes is needed. The sessions should involve both children
and their parents. Use simulations, videos and proper demonstrations and engagements of
children during the teaching sessions as children prefer such materials other than speaking alone
to enhance understanding(Clapin et al., 2016). Teach about the need for proper diet and what it
should constitute and also how the children should involve themselves in physical activities. In
addition, teach the children and their parents the need of insulin, sites for injections and
procedures involve during injection at home(Clapin et al., 2016). Educate the children and their
families about their current lifestyle changes and how to adopt and accept them
psychologically(Clapin et al., 2016). Measure the A1C test after three months and repeat again in
the following three months to check if there are achievements from the teaching sessions. The
normal A1C levels should be below 5.7(Nilsson, 2016)
Pubmed data base Home-based vs inpatient
education for children newly
diagnosed with type 1
How young people can learn
about newly diagnosed type 1
diabetes
population 15 children-7 boys and 8 girls 50 patients 3-16 years living
approximately one hour in
hospital

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interventions Face to face conversations
with nurses
Use of tablets based apps to
deliver education
Assisting in injections, patient
education at home and also in
the hospital
comparison Relevance to NICE guideline Relevance to NICE guideline
outcome The study found it is better to
use different tools and
methods when giving patient
education to newly diagnosed
type 1 diabetes children
The result showed that there
was no difference in patient
satisfaction when providing
the services at home or
hospital. The families
preferred home based
education rather than in
hospital
time Two weeks 12 months
Evidence Synthesis
Evaluation Table
Citation Design Sample
size
Major
valuables
Study
findings
Level of
evidence
Evidence
synthesis
Clapin et Randomized 50 Independent Children High level of The study

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al., 2016 control
trials
patients with type 1
diabetes
can be
educated at
home with
adequate
support.
evidence
demonstrated
demonstrated
high level of
evidence as
the
information
was obtained
from real
patients. The
sample size
is convenient
and the time
given in
order to
come to
conclusions.
Nilsson,
2016)
A small
scale study
15
patients
Independent Strengths-
Different
tools and
methods
help in
patient
education.
Weakness-
High level of
evidence
demonstrated
High level of
evidence
demonstrated
though the
sample size
and duration
of the
research was

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no
weakness
found.
limited to
come to
conclution
References
Clapin, H., Hop, L., Ritchie, E., Jayabalan, R., Evans, M., & Browne-Cooper, K. et al. (2016).
Home-based vs inpatient education for children newly diagnosed with type 1
diabetes. Pediatric Diabetes, 18(7), 579-587.
Nilsson, S. (2016). How young people can learn about newly diagnosed type 1 diabetes. Nursing
Children And Young People, 28(3), 22-26. doi: 10.7748/ncyp.28.3.22.s21