Comparison of the effect of a compact vs a conventional, long-term education program on metabolic control in children and adolescents with type 1 diabetes: A pilot, randomized clinical trial

Abstract

Background Effective education is considered essential for people with type 1 diabetes mellitus (T1DM) to adhere to a complex and long‐term medical regimen and to delay or prevent the onset of diabetes‐related complications. Objective We compared the effect of a compact, cost‐effective, education program (CEPT1) vs a long‐term program on the metabolic control of children and adolescents with T1DM. Methods Young people aged 8 to 21 years with T1DM were randomized to a short‐term (experimental) or an extensive education program (control). The experimental group participated in three sessions of 90 minutes, with one session per week, containing five short videos. The control group attended an extended program delivered through 45‐minute PowerPoint lectures, with one class every 3 months. The primary outcome was change in glycated hemoglobin A1c (HbA1c) levels from baseline to endpoint (baseline, 3, 6, 9, and 12 months). Results In total, 62 patients were randomized to the experimental (CEPT1) (n = 32) or control (n = 30) groups. Both groups showed comparable improvement in HbA1c levels at the end of 12 months (P = .183). In a per‐protocol analysis, the mean HbA1c level reduction was −2.3% (−2.6, −2.0) in the experimental group and − 1.8% (−2.0, −1.5) in the control group (P = .008). Conclusion CEPT1 was comparable with an extensive education program in reducing HbA1c levels. In a per‐protocol analysis, the CEPT1 was more effective than the control program in reducing HbA1c levels. CEPT1 is a simple and cost‐effective tool that can equally be used in settings with limited resources and specialized centers.

The use of videos for diabetes patient education: A systematic review

“…The majority of videos 14,15,[18][19][20][21][25][26][27][28]30,31,[34][35][36][37][38][42][43][44][45][46] contained multiple and diverse topics about diabetes, including self-management, clinical care and lifestyle modifications, testimonials and patientempowering content. Three studies 17,22,23 revealed that their video content was structured around the principles of the American Association of Diabetes Educators 7 self-care behaviors (AADE7™) 50…”

Diabetes Management after a Therapeutic Education Program: A Qualitative Study

“…Some therapeutic education programs have been made for patients with type 1 diabetes [ 19 ]. However, adherence to the recommendations remains low–moderate [ 20 ].…”

Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review

“…Currently, there is a growing prevalence of this disease in both the child-youth population and in adults. According to a recent review and metanalysis, the incidence between 1990 and 2019 was 15 per 100,000 inhabitants and the prevalence was 9.5% in the world [1][2][3].…”

“…Keeping glucose levels within the indicated target delays diabetic complications [4]. For the management and control of diabetes, patients are required to adhere to a complex daily therapeutic plan that involves selfmonitoring of glucose, insulin administration, a diet plan, and regular physical exercise among others [1]. Uncontrolled T1DM is associated with physiological complications like hypoglycemia, hyperglycemia, and ketoacidosis.…”