Evidence map›Paper›PMID 37507143›Full record

ArticleBMJ open quality2023

Implementation and evaluation of a longitudinal diabetes educational programme for adolescents.

Kristina Loreta Pabedinskas, Jennilea Courtney, Nicholas Barrowman, Sarah Zankar, Christine Richardson, Liz Stevens, Ellen B Goldbloom, Sarah E Lawrence, Caroline Zuijdwijk, Margaret L Lawson and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Family and culture in type 1 diabetes transition care: a mini review.Journal of pediatric endocrinology & metabolism : JPEM · 2026
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kristina Loreta PabedinskasFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0003-4413-9066
Jennilea CourtneyChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Nicholas BarrowmanFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Sarah ZankarFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Christine RichardsonDivision of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Liz StevensDivision of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Ellen B GoldbloomFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-6582-2924
Sarah E LawrenceFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Caroline ZuijdwijkFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Margaret L LawsonFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-2370-9552
Marie-Eve RobinsonFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Saunya DoverDivision of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Alexandra AhmetFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada aahmet@cheo.on.ca.ORCID 0000-0002-3226-8322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInternational guidelines recommend

methodsIn phase 1, the Diabetes Learning Centre (DLC), an educational programme for adolescents with type 1 diabetes (T1D) ages 13-17 years, was developed and implemented. Programme feasibility was evaluated through programme attendance rates. Phase 2 aimed to guide ongoing programme development and optimisation. DLC attendees rated their baseline confidence in overall and individual T1D self-management skills on a 5-point Likert scale. Patient characteristics were summarised using descriptive statistics and the association between patient characteristics and overall confidence in T1D self-management was evaluated. Phase 3 used patient surveys to evaluate patient satisfaction and reported change in confidence in self-management skills following DLC attendance.

resultsIn phase 1, 232 (81%) of eligible adolescents attended the DLC during the study period. In phase 2, median overall confidence in diabetes management on a Likert scale (0-4) was 3, representing 'quite confident', although confidence was low in some essential self-management skills. Higher confidence was associated with lower HbA1c (p<0.001). In phase 3, 77 (85%) of participants reported high levels of satisfaction with the DLC. 106 (82%) of completed worksheets were associated with improved confidence in the diabetes self-management skill addressed.

conclusionsImplementation of a longitudinal T1D educational model was feasible with good uptake in an existing T1D programme. While confidence at baseline was quite high for overall T1D self-management, it was low in some essential self-management skills, highlighting the need for this programme and specific educational gaps. Adolescents reported improvements in confidence and high levels of satisfaction following DLC attendance. Our model provides a replicable programme template to address longitudinal education needs.

Indexed as

Diabetes Mellitus, Type 1Self-ManagementAdolescentHumansPersonal SatisfactionDiabetes mellitusEducationPaediatricsQuality improvementTransition to Adult Care

Identifiers

PMID37507143
PMCPMC10387648

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.